摘要
对12例重度主动脉瓣狭窄患者经导管置入国产主动脉瓣膜术后进行监护。12例出现低心排综合征,4例微量瓣周反流,8例极微量瓣周反流;11例术后植入临时起搏器,其中4例安装永久植入型起搏器;9例低氧血症,其中4例呼吸道感染;12例肾功能损害,其中1例出现血尿;12例血色素减低、低蛋白血症、白细胞增高,其中1例发生严重的血小板减少症;9例局部血管并发症。认为针对TAVI术后的病理、生理特点进行严密监护,积极预防,尽早发现和处理并发症,对患者术后的康复效果有重要意义。
This paper summarizes the intensive care of 12 patients with severe aortic stenosis underwent the operation of transeatheter aortic valve implantation（TAVI）. Twelve patients had low cardiac output syndrome,four of them had slight perivalvular regurgitation and eight cases had extremely slight perivalvnlar regurgitation;eleven patients were installed with temporary pacemaker implantation and four of them with permanent pacemaker;nine patients had hyoxemia and four of them with respiratory infections;twelve patients had renal function damage and one case with hematuresis;twelve patients had lower hemoglobin,hypoproteinemia and leukocytosis,one case with severe thrombopenia;nine patients had peripheral vascular complications. It is suggested that intensive care of patients after RAVI,active prevention,early detection and timely treatment of postoperative complications are important for the postoperative rehabilitation.
出处
《中华护理杂志》
CSCD
北大核心
2014年第5期540-542,共3页
Chinese Journal of Nursing
关键词
主动脉瓣
经导管主动脉瓣置入术
手术后并发症
护理
Aortic Valve Stenosis
Transcatheter aortic valve implantation
Postoperative Complications
Nursing Care
