54例先心病体外循环术围手术期护理

The nursing of 54 cases congenital heart disease after extraneouscirculation operation

总结了54例先心病体外循环术患者的临床护理经验。对54例在体外循环下行房间隔、室间隔缺损修补、法络四联征矫正术病人术前做好心理护理，加强深呼吸训练，指导病人练习有效咳嗽和排痰方法；术后严密观察病情加强呼吸道管道、胸腔引流管护理及循环系统监测，预防可能出现的并发症。本组术后2例发生快速室上性心率失常，全部病例于术后10—15d痊愈出院。术前、术后严密的护理是预防术后并发症，促进病人康复的基础。

Objective Has summed up 54 examples nursing of congenital heart disease after extraneouscirculation operation. Be ready for the mentality nursing, reinforce deep breathing training, guide patient exercise to have an effect to cough and to arrange sputum method before the gap, the ventricular septal defect mending, four couplets Mrs. law diseases correcting the skill patient skill to 54 examples in having sexual intercourse under extracorporal circulation; Close the pipeline observing state of illness reinforcing pneogaster, thoracic cavity drainage tube nursing and circulatory system monitor the skill queen, take precautions against the complication may appear. Nature pulses are abnormal on this group skill last 2 example occurrence fleetness rooms, all case leaves hospital in skill last 10 15 d recovery. The close skill queen nursing is the complication taking precautions against the skill queen in the skill front, promotes the recovered basis of patient.