IABP治疗患者的观察与护理

Observation and the nursing care of the cases of IABP

目的:探讨心脏直视手术后患者应用主动脉内球囊反搏(IABP)过程中的观察与护理。方法:回顾性分析12例心脏直视手术后应用IABP患者的临床资料,加强术后观察与护理,预防各种并发症的发生。结果:IABP治疗成功率75%。痊愈出院12例,死亡4例,IABP平均辅助时间为(73±21.6)h,结论:IABP是危重心脏病患者围术期有效的机械辅助循环方法;适用于严重心血管系统疾病,心肌收缩力、血流动力学状态严重障碍导致的心肌缺血,心源性休克或低心排综合征等,应用后可改善心功能及全身状况,提高手术成功率;熟练掌握反搏泵的使用方法,加强IABP术后监护,密切观察病情变化,预防各种并发症的发生,是提高IABP成功的重要因素。

Objective： To explore the observation and nursing care in the process of applying intra - aortic balloon pump after open heart surgery. Methods： The retrospective study was made on the clinical data of 12 patients, strengthened postoperative care and prevention from the occurrence of various complications, Results： Twelve cases recovered completely, 4 cases died. The mean time of assistance of IABP were 73 ± 21.6 hours, success rate was 75% in the IABP treatment. Conclusion： IABP is a kind of effective method of mechanical circulatory assistance for patients with intensive cardiac disease in perioperative period, myocardial ischemia, cardiogenic shock and LCOS resulted from disturbance of myocardial contractive power and hemodynamics, Strengthened postoperative monitoring and observation are important to ensure the success of IABP.