行射频消融术的心房颤动患者术中并发症发生的原因分析及护理对策

Cause analysis and nursing countermeasures complications of patients with atrial fibrillation radiofrency ablation

目的探讨行射频消融术的心房颤动(AF)患者术中并发症发生的原因及护理对策。方法选取2014年8月至2016年9月于广东药科大学附属第一医院收治的86例AF患者作为研究对象,所有患者均行行射频消融术。结果86例患者中20例发生并发症,其中褥疮2例、疼痛12例、尿储留3例、迷走神经反射2例、心包填塞1例,经及时处理均已纠正。结论行射频消融术的AF患者术中易发生褥疮、疼痛、尿储留、迷走神经反射、心包填塞等并发症,应及时采取针对性治疗和护理对策,将并发症危害降至最低,保证手术治疗效果。

Objective to investigate the reasons of causing complications in patients with atrial fibrillation radiofrency ablation and to explore the related nursing countermeasures.Methods Since august2014 to september 2016 our hospital 86 cases patients with atrial fibrillation radiofrency ablation were analyzed retrospectively.analyzed the reasons of causing pressure sores,pain,uroschesis,vagus reflex,cardiac tamponade and so on.Active related nursing strategy was adopted in order to reduce complications.Results 20 patients had complications.2 cases had pressure sores,12 cases had pain,3 cases had uroschesis,2 cases had vagus reflex,1 case had cardiac tamponade.all cases recovered by active treatment.Conclusion The occurring of complications should be carefully observed,related treated timely and nursing countermeasures which can prevent and reduce the occurring of complications effectively,ensure the radiofrequency ablation effectively.