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心脏直视手术同期射频消融改良迷宫术的护理 被引量:1

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摘要 [目的]总结心脏直视手术同期射频消融改良迷宫术的护理配合要点。[方法]回顾性分析78例接受心脏直视手术病人,同期用单极冲洗式射频消融行改良迷宫术治疗心房纤颤的手术配合要点,包括术前访视,心理护理,手术物品准备充分,术中心率、心律变化的监护等。[结果]所有病例手术均顺利完成,无术中死亡。术毕转为窦性心律70例,结性心律3例,5例仍为心房纤颤,无Ⅲ°房室传导阻滞和死亡。随访3个月~24个月,62例为窦性心律(总有效率80%,其中有4例经电转复律),7例为房扑,9例心房纤颤。[结论]单极冲洗式射频消融治疗心房纤颤简易、安全、有效,良好的护理配合有助于提高手术的成功率,减少并发症。
出处 《全科护理》 2012年第21期1936-1937,共2页 Chinese General Practice Nursing
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