先天性心脏病介入治疗术后在ICU的护理

Nursing in ICU for post-operative patients with congenital heart disease who received interventional therapy

目的探讨小儿先天性心脏病介入治疗后在综合ICU的护理特点。方法对近2年来泸洲医学院附属医院儿科、心内科及心胸外科行小儿先天性心脏病介入治疗后进入综合ICU的208例患儿的护理特点和重点操作内容进行分析和总结。结果所有在介入术后进入ICU的患儿均接受了有较强针对性的加强护理,在ICU的观察时间为6～8 h,仅5例发生较轻心律失常,均顺利转出ICU。结论小儿先天性心脏病介入治疗后在综合ICU给予有针对性的加强护理,既可减轻患儿的痛苦,又能减少术后并发症,提高手术的安全性和成功率。

Objective To explore the features of nursing in ICU for post-operative patients with congenital heart disease （CHD） who received interventional therapy. Methods Analyzed and summarized the features of nursing in ICU for 208 children patients with CHD who received interventional therapy from pediatrics, cardiology and surgery department in our hospital in recent 2 years. Results All the patients with CHD who were transferred into ICU after the operation were given pertinent intensive cares. After 6 - 8 hours of observation and intensive cares, 5 petients developed arrhythmia. All the patients were transferred out of ICU without any nursing related complications. Conclusions Pertinent intensive nursing in ICU for post-operative patients with congenital heart disease（CHD） who received interventional therapy could relieve the patients＇ pain, decrease the complications and improve the safety and the success rate of interventional therapy.