Nursing Care for Hybrid Surgery to Treat Congenital Heart Disease with Diminished Pulmonary Blood Flow and Aortopulmonary Collateral Arteries_West China Medical Journal

Authors：

 HUANGZhi-hui , YANGXiao-rong , ZHENGJing ,  GONGRen-rong

Operation Room, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

GONGRen-rong, Email: gongrenrong@163.com

Keywords：

Hybrid surgery; Congenital heart disease with diminished pulmonary blood flow and aortopulmonary collateral artery; Surgcal nursing

DOI：

10.7507/1002-0179.20150655

Video：

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Objective To summarize and share the surgical nursing experiences for hybrid procedures in the treatment of congenital heart disease with diminished pulmonary blood flow and aortopulmonary collateral arteries (APCA). Method We retrospectively analyzed the clinical data, including nursing problems, interventions and outcomes, of 15 patients with congenital heart disease with diminished pulmonary blood flow and APCA treated between May 2011 and February 2012. Results All operations were completed successfully with effective nursing interventions. No complications like low cardiac output syndrome, lung over-perfusion, vital organ dysfunction, neuropsychological disorder, or systemic infection were noticed. Conclusions Hybrid procedure in the treatment of congenital heart disease with diminished pulmonary blood flow and APCA with complex surgical procedures, intraoperative variables and high surgical risks requires multi-disciplinary collaboration. Effective surgical nursing intervention is important to ensure the successful completion of surgery, and reduce possible complications.

Citation： HUANGZhi-hui, YANGXiao-rong, ZHENGJing, GONGRen-rong. Nursing Care for Hybrid Surgery to Treat Congenital Heart Disease with Diminished Pulmonary Blood Flow and Aortopulmonary Collateral Arteries. West China Medical Journal, 2015, 30(12): 2286-2290. doi: 10.7507/1002-0179.20150655 Copy

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11.	夏书杰. 浅谈一站式杂交手术[J]. 临床研究, 2007, 4(5):132-133.
12.	张壮, 董新伟, 杨侃, 等. 重症法洛四联症合并体肺侧支的外科治疗[J]. 中国自然医学杂志, 2005, 7(2):67-68.
13.	乔军选, 许卫民, 康朝, 等. 体肺侧支血管栓塞术在重症法洛四联症治疗中的应用[J]. 西南国防医药, 2010, 20(8):834-835.
14.	李秀英, 房伍磊. 护理工作中医院感染的危险因素及干预对策[J]. 中华医院感染学杂志, 2009, 19(13):1694-1695.
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1. 刘迎龙, 沈向东, 李守军, 等. 介入及手术联合矫治伴有体肺动脉侧支的肺血减少型先天性心脏病[J]. 中华医学杂志, 2006, 86(4):228-231.
2. 李胜利, 王旭, 贺彦, 等. 体肺侧支介入封堵联合根治术治疗法洛四联症[J]. 临床心血管病杂志, 2009, 25(2):117-118.
3. Arda IS, Guney LH, Coskun M, et al. Esophageal stenosis after coil embolization of an aortopulmonary collateral artery:report of a very unusual cause[J]. J Pediatr Surg, 2005, 40(4):E21-E23.
4. 曾筝, 张戈军, 蒋世良, 等. 体肺侧支血管栓塞术在复杂先天性心脏病治疗中的应用[J]. 中华放射学杂志, 1998, 32(8):15-17.
5. Galantowicz M, Cheatham JP, Phillips A, et al. Hybrid approach for hypoplastic left heart syndrome:intermediate results after the learning curve[J]. Ann Thorac Surg, 2008, 85(6):2063-2070; discussion 2070-2071.
6. 胡海波, 徐仲英, 蒋世良, 等. 体-肺侧支栓塞术在重症法洛四联症"一站式"杂交治疗中的临床价值[J]. 中国介入心脏病学杂志, 2008, 16(3):121-123.
7. 胡盛寿, 黄方炯. 冠心病外科治疗学[M]. 北京:科学出版社, 2003:406-407.
8. Murray JF, Matthay MA, Luce JM, et al. An expanded definition of the adult respiratory distress syndrome[J]. Am Rev Respir Dis, 1988, 138(3):720-723.
9. Murkin JM. Attenuation of neurologic injury during cardiac surgery[J]. Ann Thorac Surg, 2001, 72(5):S1838-S1844.
10. Krupp MA. Current medical diagnosis and treatmeat[M]. California:Lanqe Medical Publications, 1982:162-163.
11. 夏书杰. 浅谈一站式杂交手术[J]. 临床研究, 2007, 4(5):132-133.
12. 张壮, 董新伟, 杨侃, 等. 重症法洛四联症合并体肺侧支的外科治疗[J]. 中国自然医学杂志, 2005, 7(2):67-68.
13. 乔军选, 许卫民, 康朝, 等. 体肺侧支血管栓塞术在重症法洛四联症治疗中的应用[J]. 西南国防医药, 2010, 20(8):834-835.
14. 李秀英, 房伍磊. 护理工作中医院感染的危险因素及干预对策[J]. 中华医院感染学杂志, 2009, 19(13):1694-1695.
15. 宋秀棉, 何丽, 高静. 护理管理在一站式杂交手术感染控制中的作用[J]. 中华医院感染学杂志, 2011, 21(1):104-105.

West China Medical Journal

Nursing Care for Hybrid Surgery to Treat Congenital Heart Disease with Diminished Pulmonary Blood Flow and Aortopulmonary Collateral Arteries

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