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find Author "石蓉" 5 results
  • Nursing Experience of Glycemic Control for Patients with Rheumatic Heart Disease Combined with Diabetes after Valve Replacement

    ObjectiveTo summarize the monitoring experiences of blood glucose for patients with rheumatic heart disease combined with diabetes, in order to prevent postoperative complications caused by abnormal blood sugar, relieve pain and promote rehabilitation. MethodsWe reviewed the medical records of the patients with diabetes after heart valve replacement who were admitted to our department from April 2011 to March 2012. Eighty patients were randomly divided into observation group and control group with 40 in each group. Patients in the control group received conventional treatment with subcutaneous insulin injection, while the observation group patients were treated with intravenous insulin pump, and the dose of insulin was adjusted depending on blood glucose levels. Then we compared the postoperative changes in blood glucose level and complications between the two groups. ResultsThe insulin dose, the time of reaching target blood glucose levels, hospital stays and postoperative complication rates were significantly lower in the observation group than the control group (P<0.05). During the one-year follow-up after operations, 2 and 4 patients died respectively in the observation group and the control group, and the difference was not significant (χ2=0.180, P=0.670). ConclusionFor patients with diabetes after heart valve replacements, intravenous insulin pump is better than subcutaneous insulin injection. It can prevent complications, shorten hospital stays, reduce financial burden, and promote prognosis and harmonious doctor-patient relationship.

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  • 主动脉夹层动脉瘤腔内隔离术后并发急性脊髓缺血损伤一例护理

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  • 心脏瓣膜置换同期应用双极射频消融术治疗心房纤颤患者的术后护理

    摘要:目的:总结54例心脏瓣膜置换同期应用双极射频消融术治疗心房纤颤患者的术后护理经验。方法:除做好瓣膜置换术后常规护理外,重视心律和心率的监测、电解质平衡的维持、应用胺碘酮的观察及护理、起搏器的观察、抗凝监测和健康指导与心理护理。结果:通过严密的监测和精心的护理,本组病例术后恢复良好,术后7~10 d出院。结论:做好心脏瓣膜置换同期应用双极射频消融术治疗心房纤颤患者的术后护理,认真观察患者瓣膜置换、消融术后心房纤颤治疗效果,为此类患者的生命质量提高提供了保证。

    Release date:2016-08-26 03:57 Export PDF Favorites Scan
  • 品质圈活动在心脏外科仪器设备管理中的应用

    【摘要】 为强化病房仪器设备管理,确保救治工作的需要,全面提高医疗护理质量。依据品质圈理论对仪器设备管理、使用、维护和保养方面存在的问题进行了分析,建立和推行以品质管理为核心的管理制度和人员培训机制,全面提升仪器设备的使用与管理。新制度的建立与推行,不仅有效地降低了仪器设备的损坏率,使仪器设备时刻处于完好的备用状态,而且增强了护士的团队意识和凝聚力,提高了医疗护理质量,该方法可供临床借鉴。

    Release date:2016-09-08 09:24 Export PDF Favorites Scan
  • 1例肺动脉夹层动脉瘤临床抢救护理

    我科于2009年2月11日收治1例先天性心脏病合并双侧肺动脉夹层动脉瘤患者,心界不大,心律齐,肺动脉区及主动脉区可闻及第一心音亢进,口唇发绀。经过临床抢救,通过快速使降压药物、镇痛、镇静,严密观察血压变化,将患者血压控制在100~120mmHg/60~80mmHg,同时观察用药后的不良反应,给予恰当对症处理。为患者提供舒适、安静治疗环境,以及饮食指导、心理护理等措施,患者顺利渡过危险期。

    Release date:2016-09-08 10:00 Export PDF Favorites Scan
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