3例经心尖行二尖瓣瓣中瓣手术老年患者的护理

Nursing care of 3 elderly patients undergoing mitral valve median valve surgery at the cusp of the heart after mitral valve replacement surgery

总结3例二尖瓣置换术后老年患者经心尖行二尖瓣瓣中瓣手术的护理。护理内容如下。组建多学科照护团队,制订术前评估策略。术后监测血流动力学,改善心功能;优化气道管理,降低肺部并发症;监测凝血功能、肾功能,做好血糖管理,临时起搏器的护理,积极预防并发症的发生。实施多层面干预措施,改善患者预后。3例经过精心的治疗和护理,顺利出院,1个月后随访,恢复良好。

To summarize the nursing care of 3 elderly patients undergoing mitral valve middle valve surgery at the cusp of the heart after mitral valve replacement surgery.The nursing content is as follows:Forming a multidisciplinary care team and developing preoperative assessment strategies;postoperative hemodynamic monitoring to improve cardiac function;optimize airway management and reduce pulmonary complications;monitor coagulation function and kidney function,implement blood glucose management,nursing temporary pacemakers,and actively prevent the occurrence of corresponding complications;implement multifaceted interventions to improve patient outcomes.3 patients were successfully discharged from the hospital under careful treatment and care.The follow-up results at 1 month after discharge were good.