心脏外科术后早期并发症的护理

Nursing of early complications after cardiac surgery

目的：总结心脏外科术后早期并发症患者的护理经验。方法回顾性分析本院2009年4月~2014年4月收治的9例心脏外科术后早期并发症患者的临床资料。结果9例心脏外科术后患者发生早期并发症，1例（11.1%）因急性呼吸窘迫综合征、多脏器功能衰竭及三重酸碱失衡死亡，其余8例的并发症均治愈。结论严密监测生命体征，改善心功能，维持水电解质、酸碱平衡，对术后低心排综合征、多器官功能衰竭及恶性心律失常等并发症及时防范并采取有效的治疗护理措施，可有效提高并发症治愈率及患者生存率、降低死亡率。

Objective To summarize the nursing experience of early complications after cardiac surgery. Methods Clinical data of 9 patients with early complications after cardiac surgery treated in our hospital from April 2009 to April 2014 was retrospectively analyzed. Results 9 patients occurred with complications after cardiac surgery,1 case （11.1%） was dead due to acute respiratory distress syndrome,multiple organ failure, and three triple acid-base imbal-ance.The other 8 case were s cured. Conclusion Close monitoring of vital signs,improving heart function,maintaining balance of water electrolyte and acid-base,timely preventing and take effective nursing measures for complications （postoperative low cardiac output syndrome,multiple organ failure and malignant arrhythmia and other complications） can effectively improve the cure rate of complications and survival rate of patients,reduce the mortality rate.