摘要
目的讨论对经导管主动脉瓣植入术(TAVI)术后患者的护理方法。方法对2012年4月-2013年8月25例行TAVI术后患者返回冠心病监护病房(CCU)的临床护理方法予以回顾和总结。结果 25例患者在CCU期间,1例合并腹壁后血肿,1例并发上消化道大出血,1例腹股沟股动脉切开部位大出血,1例腹股沟动脉穿刺部位轻度渗血,1例右侧颈外静脉置管处皮肤感染,2例右上肢桡动脉有创血压监测接头松脱出血,经采用相关处置措施后均得以控制。患者待各项生命体征稳定后,均顺利转出CCU,在CCU监护时间14~243 h,平均29 h。结论 TAVI术后患者,应严密病情观察,严格遵循护理操作规程,及时发现和正确处理相关并发症,方能使患者安全渡过危险期。
Objective To study the nursing methods for patients after transcatheter aortic valve implantation （TAVI）. Methods From April 2012 to August 2013, 25 patients undergoing TAVI before returning to the coronary care unit （CCU） were included in this study. We reviewed the clinica! nursing methods and summarized the clinical nursing experiences. Results Among the 25 patients, there were 1 case complicated with retroperitoneal hematoma, 1 case with hemorrhage of upper digestive tract, 1 case with severe hemorrhage of femoral artery incision site, 1 case with mild hemorrhage of femoral artery puncture site, 1 case with catheter-related infections of right external jugular vein, and 2 cases with hemorrhage related to the loosening of radial artery invasive blood pressure monitoring. All the complications were controlled by reasonable treatments and all the patients were transferred out from CCU with stable vital signs. The mean time of CCU stay was 29 hours ranging from 14 hours to 243 hours. Conclusion Due to special characteristics of patients after TAVI, we should observe carefully, follow the nursing operation rules strictly, discover complications timely, give treatment correctlw and fin^lh, ,~ ^-1~ ~.~ ~_~~.
出处
《华西医学》
CAS
2015年第1期108-111,共4页
West China Medical Journal
关键词
主动脉瓣狭窄
经导管主动脉瓣植入术
术后护理
Aortic valve stenosis
Transcatheter aortic valve implantation
Postoperative nursing
