ICD围术期未停口服抗凝药的临床观察和护理

Clinical observation and nursing of implantable cardioverter-defibrillator patients with oral anticoagulants in the peroperative period

目的探讨植入型心律转复除颤器(ICD)围术期未停口服抗凝药的临床观察和护理。方法回顾ICD植入术35例患者,其中围术期未停抗凝药15例,总结护理要点和并发症的处理方法。结果 35例行ICD植入术患者均痊愈出院,随访患者无不良反应和并发症。结论术前全面评估患者围术期是否停用或替代抗凝剂,同时做好患者教育及凝血监测工作,术后严密观察术区情况,发现异常及时处理。

Objective To explore the clinical manifestations and nursing of implantable cardioverter-defibrillator（ICD） patients with oral anticoagulants in the peroperative period.Methods The clinical data of 35 ICD patients were reviewed.Among them,15 patients continued the oral anticoagulants.The nursing highlights and the ways to deal with complications have been summarized.Results All patients were discharged from hospital with good recovery.Follow-up showed that there were no adverse reactions and complications.Conclusion Comprehensive assessment should be done to identify whether patients has discontinued oral anticoagulants or other substitutes in the perioperative period before surgery.Meanwhile,health education and coagulation should be properly managed.The progression of disease should be closely observed after surgery in case of emergencies.