重症心脏瓣膜置换术围术期护理体会
JOURNAL OF JINGGANGSHAN MEDICAL COLLEGE(2003)
Abstract
目的探索重症瓣膜置换术围术期护理要点.方法以33例重症瓣膜置换患者为研究对象,术前给予心理护理及卫生宣教,积极预防并控制心衰,改善全身营养状况;术中应用抑肽酶及磷酸果糖、白蛋白等胶体液保护心肌;术后加强并发症的防治和基础护理,使用血管活性药.结果本组死亡4例,29例均顺利康复.结论完善呼吸系统的护理,防治并发症,加强基础护理及改善心功能是本组病人的护理重点.
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