改良流出道经胸骨旁路植入左心室辅助装置手术的护理配合3例

Surgical nursing coordination of transsternal bypass implantation of left ventricular assist device with modified outflow tract:three cases analysis

目的探讨改良流出道经胸骨旁路植入左心室辅助装置手术的护理配合方法。方法回顾性分析本院实施的3例改良流出道经胸骨旁路植入左心室辅助装置患者的临床资料。结果3例手术均顺利完成,平均手术时间为(311.7±34.1)min,平均失血量为(383.3±28.9)mL,患者平均在术后(48.3±16.8)d出院。患者术后未出现明显并发症,术后情况稳定。结论改良左心室辅助装置流出道可使患者具有更稳定的血流动力学。与传统正中开胸术式相比,经胸骨旁路手术不仅有利于术者游离胸壁组织、更好地打开手术通路,还具有手术切口更小、患者恢复更快的特点。精湛的手术操作技术与娴熟的手术配合是该类手术成功的关键。

Objective To investigate the surgical nursing coordination methods in the modified outflow tract trans-sternal approach for left ventricular assist device implantation.Methods A retrospective analysis was conducted on the clinical data of 3 patients who underwent modified outflow tract trans-sternal LVAD implantation at our hospital.Results All 3 surgeries were successfully completed.The mean operative time was(311.7±34.1)minutes,and the mean blood loss was(383.3±28.9)mL.Patients were discharged after(48.3±16.8)days postoperatively in average.No significant complications occurred,and the postoperative condition of patients was stable.Conclusion The modified outflow tract for left ventricular assist device implantation provides more stable hemodynamics for patients.Compared with the traditional median sternotomy,the trans-sternal approach not only facilitates the dissection of chest wall tissues and better access to the surgical field but also offers the advantages of smaller incisions and faster recovery.Proficient surgical operation techniques and skilled surgical coordination are crucial for the success of this procedure.