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23例心脏移植手术患儿的护理 被引量:15

Nursing care of 23 cases undergoing pediatric heart transplantation
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摘要 总结23例小儿心脏移植手术的护理要点,包括:小儿供心获取和保护要点,小儿心脏移植的手术配合要点,小儿心脏移植患者手术期容量管理,手术期体温的控制以及体外膜肺氧合和延迟关胸的护理。23例患儿术后平均住院(24.5±8.3)d,1例患儿出院后19个月死于原发性移植物衰竭,其余22例患儿均存活,心功能恢复至纽约心脏病协会心功能分级Ⅰ-Ⅱ级。 This paper summarized nursing points for earing 23 cases undergoing pediatric heart transplantation,including:characteristics of accessing and protection of hearts, collaboration in pediatric heart transplantation, nursing of capacity management, temperature controlling, extra- corporeal membrane oxygenation and delayed sternal closure during surgeries. The average length of hospitalization for 23 cases was 24.5-+8.3 days,1 case died from primary graft failure after 19 months,the rest of 22 cases sur- vived,and cardiac function recovered to NYHA class Ⅰ-Ⅱ.
出处 《中华护理杂志》 CSCD 北大核心 2017年第4期414-417,共4页 Chinese Journal of Nursing
关键词 心脏移植 儿科护理学 供心保护 延迟关胸 ECMO辅助 容量管理 Heart Transplantation Pediatric Nursing Heart Protection Delayed Chest Closure ECMOAuxiliary Capacity Management
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