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