文档介绍：重度肺动脉瓣狭窄术后低氧血症护理总结
doi:.1007-
中国论文网/6/view-
摘要目的:总结重度肺动脉瓣狭窄患者术后低氧血症的护理特点。方法:对重度肺动脉瓣狭窄行右室流出道跨环补片的患者,围术期发生低氧血症、低心排25例患者进行护理。结果:死亡3例,均为严重低氧血症、低心排,经治疗无改善,继发多脏器功能衰竭死于术后5~9天,其余患者经治疗后好转出院。结论:有效地观察监测和及时合理的处理低氧血症,可以明显减少术后并发症,降低死亡率。
关键词低氧血症低心排肺动脉瓣狭窄
Abstract Objective:To summarize characteristics of nursing care of patients with postoperative severe pulmonary :Review the nursing characteristics of 25 cases who had perioperative hypoxemia and low cardiac of severe pulmonary stenosis,and were acrossed the ring patch because of right ventricular outflow from November 2013 to September :3 died cases are all severe hypoxemia,low cardiac,and no improvement after treatment, and secondary an function failure died of postoperative 5~9 days,the rest of patients discharged from hospital after :Effectively monitoring and timely reasonable processing hypoxemia can significantly reduce the plications and reduce mortality.
Key words Hypoxemia;Low cardiac;Pulmonary stenosis
先天性肺动脉瓣狭窄是由于肺动脉瓣口狭窄导致右心室到肺动脉血流受阻的一种心脏病,占先天性心脏病的8%~10%[1],可以单独存在,也可以合并其他的心脏畸形。重度肺动脉瓣狭窄患者术后易发生严重的低氧血症和低心排。现对25例患者护理体会总结报告如下。
临床资料
2008年11月-2013年9月收治术后出现低氧血症的重度肺动脉瓣狭窄患者25例,男15例,女10例,年龄1~47岁,平均(5±)岁。术前彩超检查:右心室收缩压(125±26)mmHg,肺动脉瓣压力阶差(96±10)mmHg,右室肥厚,肺动脉狭窄后扩张。均在全麻低温体外循环下行右室流出道跨环补片。在手术过程中,复温后即给予多巴胺、多巴酚丁胺泵入维持心功能,当出现低