非体外循环下冠状动脉旁路移植及左室室壁瘤成形术的护理配合

Nursing care in off-pump coronary artery bypass grafting and angioplasty for left ventricular aneurysm

总结279例非体外循环下冠状动脉旁路移植及左室室壁瘤成形术的护理配合,提出巡回护士要尽可能准备好所有手术用物品,并应密切观察术中患者各项生命体征和指标的变化.尤其是要准备好切实能用的心脏除颤器.器械护士要熟悉手术过程,准备好双头针缝合线及足够大的毡片.及时配制好利多卡因和硝酸甘油混合液,以供心脏表面喷洒.

This paper introduced the nursing care experience of 279 cases off-pump coronary artery bypass grafting and angioplasty for left ventricular aneurysm, putting forward for nurses to prepare well for all surgical items as much as possible, and should closely observe the operation 6f the vital signs of patients and index changes. In particular, the heart defibrillator should be prepared for using effectively. Device nurses should be familiar with the operation procedure, prepare 2-0 Surgipro （ VP-843 ） double needle stitching line and big enough Teflon patch. Timely preparation of a good mixture of lidocaine and nitroglycerin for heart surface spray.