肺动脉闭锁根治及体肺侧支融合患儿的术后护理

Postoperative nursing of a child with radical treatm ent of pulm onary atresia and fusion of aortopulmonary collateral arteries

总结1例行肺动脉闭锁根治及体肺侧支融合患儿的术后护理体会。针对患儿手术操作复杂、体外循环时间长、术后右心室顺应性差、应用人工带瓣血管、延迟关胸等问题,采取严格控制出入量,维持右心功能稳定;做好早期动态抗凝管理,保持人工带瓣血管通畅;重视延迟关胸及呼吸道护理;加强营养支持及心理护理等措施。经过精心治疗和护理,患儿康复出院。随访6个月,患儿右室流出道通畅,心功能恢复良好。

This paper summarized the postoperative nursing of a child with radical treatment of pulmonary atresia and fusion of aortopulmonary collateral arteries.In response to the complex surgical procedures,long duration of extracorporeal circulation,poor compliance of the right ventricle after surgery,application of artificial valved blood vessels,delayed closure of the chest in the pediatric patient and other problems,the following nursing measures were taken,including strictly control of the intake and output to maintain the stability of right heart function,implementation of early dynamic anticoagulation management to maintain the patency of artificial valved blood vessels,paying attention to delayed chest closure and respiratory care,strengthening of nutritional support and psychological care.After careful treatment and nursing,the child recovered well and was discharged.Following up for six months,the child's right ventricular outflow tract was patency and the cardiac function recovered well.