介入治疗继发孔型房间隔缺损患者的护理

The nursing care of secondary atrial septal defect patients with interventional therapy

目的:探讨封堵器介入治疗房间隔缺损(ASD)患者的护理及预防并发症发生的方法。方法:对161例接受介入治疗的房间隔缺损患者进行回顾性分析,并针对各自的并发症实施相应护理对策。结果:161例患者介入治疗技术成功率99.38%,1例缺损40mm,试封堵未成功放弃,术后1例发生传导阻滞,经治疗护理痊愈。结论:准确的术前决策,充分的术前准备,积极的术中、术后监护处理,对保证患者顺利通过手术、预防或减少并发症的发生有重要意义。

Objective： To discuss the way of nursing care of ASD patients treated with device closure, and prevention of complications. Methods： Analyzing retrospectively 161 patients with ASD accepted interventional therapy and give them different nursing care according to their respection complications. Results： Of 161 patients interventional therrapy was successful in 99.38%. Treatment of one patient with a 40mm defect was abandoned after failing. One patient occurred pastopertive heart block, cured after treatment and nursing. Conclusion：To assure patients survive from operation, prevennt or reduce complications, it is significant to have exact preoperative decision, sufficient preoperative preparation and positive pefioperative and postoperative nursing care.