小儿先天性冠状动脉瘘介入治疗的护理

The nursing of interventional therapy of pediatric congenital coronary artery fistula

目的：探讨经导管介入治疗冠状动脉瘘患儿的护理方法,以提高介入治疗的成功率。方法：选择我院2006年1月~2012年12月12例介入治疗冠状动脉瘘患儿,做好充分的术前准备及心理护理;术中术后严密监护心电图、血压及血氧饱和度的变化;观察和预防术后并发症。结果：12例患儿成功封堵,成功率为100%。3例患儿试封堵时出现心电图ST段改变。术后即时造影,3例有少量残余分流,1例提示三尖瓣中度反流。结论：经导管介入治疗冠状动脉瘘创伤小、安全、有效,精湛的手术与精心细致的护理是保证手术成功的关键。

Objective ： To explore the nursing methods of transeatheter interventional therapy of pediatric congenital coronary artery fistula patients to improve the success rate of intervcntional treatment. Methods：The 12 cases of children patients with interventional therapy of coronary artery fistula in our hospital from Jan. 2006 to Dec. 2012 were chosen as research objects. For these patients, make full preoperative preparation and psychological nursing, closely monitor the change of intraoperative and postoperative electrocardiogram, blood pressure and blood oxygen saturation and observe and prevent postoperative compli- cations. Results：The 12 cases of children patients of pediatric congenital coronary artery fistula were successfully blocked ,the success rate of 100%. The 3 cases were given electrocardiogram ST segment changes in the blocking test. With immediate postoperative radiography ,3 cases were with a small amount of residual shunt and 1 case was prompted to have tricuspid moderate reflux. Conclusion ： Transcatheter interventional therapy of coronary artery fistula was with little trauma, safety and effective. Excellent operation and meticulous nursing was the key to ensure the successful＇operation.