新生儿大动脉调转术围术期的护理

Perioperative nursing for the neonates undergoing arterial switch operation

目的总结完全性大动脉转位新生儿行大动脉调转术的围术期护理经验。方法选取20例完全性大动脉转位新生儿,实行大动脉调转术,总结围术期护理措施和要点。结果 20例患儿发绀均消失,14例术后延迟关胸,8例肺部感染,2例肺不张,4例房室传导阻滞,均已治愈。结论加强新生儿大动脉调转术的围术期护理,可有效减少并发症,提高手术成功率。

Objective To sum up the experience of the perioperative nursing for neonates with arterial switch operation. Methods A total of 20 neonates with transposition of great arteries were selected and arterial switch operation was given to these neonates. Nursing measures and nursing key points of neonates were summarized. Results Cyanopathy was disappeared in all cases, and there were fourteen cases with delayed sternal closure, eight cases with lung infection, two cases with atelec- tasis, four cases with atrioventricular block, and all these eases were cured finally. Conclusion Peri- operative nursing for neonates undergoing arterial switch operation can reduce complication rates and improve success rate of operation.