婴幼儿完全性肺静脉移位30例术后护理分析

发布时间：2018-01-13 02:37

本文关键词：婴幼儿完全性肺静脉移位30例术后护理分析　出处：《中国社区医师》2016年35期 　论文类型：期刊论文

【摘要】：目的:总结小儿完全性肺静脉移位术后护理经验。方法:收治小儿完全性肺静脉移位患者30例,均在气管-静脉复合麻醉、低温体外循环下行矫治术,术后加强循环系统监护、加强呼吸系统监护及术后并发症的监护。结果:本组30例患儿经过精心监护,应用呼吸机辅助时间22.5~84.8 h,平均(52.4±3.8)h,监护室监护时间2~46 d,平均(13.2±1.2)d,术后住院时间13~45 d,平均(23.3±3.2)d,所有患儿均痊愈出院,无死亡病例发生。结论:术后加强循环系统及呼吸系统监护及术后并发症的监护是婴幼儿完全性肺静脉移位患儿术后护理的关键,可以明显提高护理质量,提高手术成功率。
[Abstract]:Objective: to summarize the nursing experience after complete pulmonary vein transposition in children. Methods: 30 cases of children with complete pulmonary vein transposition were treated with trachea vein combined anesthesia and hypothermic cardiopulmonary bypass (CPB). Results: 30 children were carefully monitored and ventilator was used for 84.8 hours. The mean time of monitoring was 52.4 卤3.8h. the monitoring time in the intensive care unit was 246 days, the average time was 13.2 卤1.2 days, the postoperative hospitalization time was 1345 days, and the average time was 23.3 卤3.2 days. Conclusion: strengthening the monitoring of circulatory system and respiratory system and postoperative complications is the key to postoperative nursing of infants with complete pulmonary vein displacement. It can improve the quality of nursing and the success rate of operation.
【作者单位】：河南郑州市儿童医院外科监护室;
【分类号】：R473.72
【正文快照】： 婴幼儿完全性肺静脉移位是指婴幼儿的肺静脉直接或借道体静脉间接入右心房[1],使右心和肺动脉流量增加,左心排出量降低,右心室因流量大,增加额心脏的负荷,是导致心衰重要因素。完全性肺静脉异位引流(TAPVC)虽然发病率相对较低,但大多数患儿往往在新生儿期或小婴儿期即因出现明

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