微创小切口心脏手术92例术后观察及护理

Observation on 92 patients with minimally invasive cardiac surgery and nursing care

目的：探讨微创小切口心脏手术的术后护理方法。方法：对40例动脉导管未闭患者行左腋下小切口；52例房间隔缺损、室间隔缺损、法洛三联症患者行右腋下小切口、心脏不停跳手术，并给予精心观察与护理。结果：本组无一例死亡，无严重并发症发生，40例动脉导管未闭患者于术后5～10d痊愈出院，52例先天性心脏病患者于术后7～12d痊愈出院。结论：微创小切口心脏手术创伤小、出血少，住院时间短，及时有效的护理和准确的病情观察对术后恢复起重要作用。

Objective： To study the postoperative nursing methods for the patients with minimally invasive cardiac surgery. Methods ： Left subaxillary minithoracotomy was applied to 40 patients with ductus arteriosus ; right subaxillary minitho- racotomy was applied to 52 patients with atrial septal defect, ventricular septal defect,tetralogy of Fallot with heart beating. The close observation was made on patients＇ conditions and careful nursing care was given to the patients. Results： No pa- tients were dead and severe complications occurred. 40 cases of PDA were cured after surgical treatment for 5 - 10 days. 52 cases of congenital heart disease were treated surgically and cured through 7 - 12 days. Conclusion ： Minimally invasive car- diac surgery has such advantages as small incision, less hemorrhage, short days of hospitalization. In - time and effective nursing care and accurate observation on patients＇ conditions play an major role in the recovery of the patients.