west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "陈秒" 7 results
  • Perioperative Care for Full Thoracoscopic Bipolar Radiofrequency Ablation of Simple Atrial Fibrillation

    目的 探讨全胸腔镜下Box Lesion双极射频消融术治疗单纯性房颤的围手术期护理方法与要点。方法 对2011年5月-2011年9月拟行全胸腔镜下Box Lesion双极射频消融(双侧肺静脉+左心房后壁隔离)治疗的6例心房纤颤患者,术前做好心理疏通及各项手术准备;术后采取各项对症措施加强呼吸道、心律、引流、疼痛等监测与护理。 结果 6例患者均在术后即刻转复为窦性心律,无死亡,无并发症发生,术后7 d均顺利出院。出院后4周复查均为窦性心律。 结论 全胸腔镜下行Box-lesion双极射频房颤术是治疗单纯性房颤的有效手段,严密的观察及精心护理是手术顺利施行和疾患治愈的重要因素。

    Release date:2016-09-08 09:17 Export PDF Favorites Scan
  • 快通道心脏麻醉应用于冠状动脉旁路移植术的监护体会

    目的:探讨快通道心脏麻醉在冠状动脉旁路移植术的监护经验,使冠状动脉旁路移植术后早期拔除气管插管。方法:回顾性总结2004年1月~2006年5月行冠状动脉旁路移植术患者的监护得失。结果:45例患者均在术后6小时内拔除气管插管,3例患者因病情变化二次插管。44例患者好转出院。1例因多器官功能衰竭死亡。结论:快通道心脏麻醉在冠状动脉旁路移植术的使用,可以减少由长期带管给患者带来的呼吸道并发症,减少患者痛苦,减少患者的平均住院日,减少患者住院费用。

    Release date:2016-09-08 09:54 Export PDF Favorites Scan
  • 二尖瓣、主动脉瓣、三尖瓣和肺动脉瓣置换术患者的围手术期护理

    目的探索复杂心脏瓣膜置换术围手术期患者的护理体会。 方法针对2014年9月收治的1例病程长,病情复杂,心脏功能差行二尖瓣、主动脉瓣、三尖瓣和肺动脉瓣置换术的患者展开了个体化的、精心准备的围手术期护理。 结果通过团队合作、积极配合医生治疗,患者未出现不可逆的并发症,顺利出院。 结论通过对复杂心脏瓣膜置换术患者的护理,增加了护士对复杂瓣膜置换术围手术期危重患者护理的经验,为以后类似疑难重症患者的护理提供了更好的依据。

    Release date: Export PDF Favorites Scan
  • Per-ventricular Device Closure of Doubly Committed Sub-arterial Ventricular Septal Defect ——Technical Consideration and Perioperative Management

    Doubly committed sub-arterial ventricular septal defect (VSD) is a unique type of VSD which is located beneath both the aortic and pulmonary valve. Open-heart repair is traumatic especially for pediatric patient while trans-catheter device closure is also not suitable for this type of VSD. Minimally invasive per-ventricular device closure has been introduced as an alternative method in the treatment of doubly committed VSD with encouraging results. In the review, we will illustrate the surgical technique as well as perioperative management strategy as for this technique in treating doubly committed VSD.

    Release date: Export PDF Favorites Scan
  • Nursing Experience of Noninvasive Ventilation for Infants with Congenital Heart Disease after Surgery

    【摘要】 目的 总结先天性心脏病术后无创通气的监护。 方法 2008年1-12月胸外ICU 36例先天性心脏病术后患儿,在使用无创通气前后监测血压、心率、呼吸及血气变化。 结果 与无创通气前相比,无创通气后30 min、1 h、2 h的指标均恢复到满意水平,循环稳定。 结论 通过采用无创通气,80%的患儿避免了再次插管,缩短有创通气时间,同时避免了相关的呼吸道并发症,缩短了患儿住院时间,节省了医疗费用,提升了先天性心脏病患儿术后成活率。【Abstract】 Objective To summarize the nursing experience of noninvasive ventilation for infants with congenital heart disease after the surgery. Methods A total of 36 patients who underwent noninvasive ventilation from January to December 2008 were enrolled. The blood pressure, heart rate, respiration, and blood gas were recorded and analyzed before and after noninvasive ventilation. Results Compared with the results before noninvasive ventilation, all of the indexes returned to a satisfying level and the circulation kept stable 30 minutes, one hour, and two hours after noninvasive ventilation. Conclusion Noninvasive ventilation may avoid reintubation, shorten the invasive ventilatory time, decrease the respiratory complications, shorten the time of hospitalization, save the medical expenses, and promote the survival rate of infants with congenital heart disease.

    Release date: Export PDF Favorites Scan
  • Effects of multi-disciplinary collaborative nursing on patients with transcatheter aortic valve implantation

    Objective To analyze the clinical intervention effect of multi-disciplinary team (MDT) nursing mode on patients after transcatheter aortic valve implantation (TAVI). Methods A total of 89 patients who were admitted to our hospital and underwent TAVI surgery from April to December 2021 were selected, including 64 males and 25 females, with an average age of 64.7±11.8 years. The subjects were divided into a MDT intervention group (n=42) and a control group (n=47) according to different postoperative nursing intervention methods. Clinical effectivenesses were compared between the two groups. Results The left ventricular ejection fraction in the two groups significantly increased on the 7th day after the operation, and the increase in the MDT intervention group was more obvious, with no statistical difference between the two groups (P=0.14). On the 7th day after surgery, forced vital capacity/predicated value and forced expiratory volume in one second/predicated value significantly decreased, and decreased more significantly in the control group than those in the MDT intervention group with statistical differences (P=0.01). The ICU stay time (P=0.01), hospital stay time (P<0.01) and total postoperative pulmonary complications rate (P=0.03) in the MDT intervention group were significantly shorter or lower than those in the control group The evaluation results of the anxiety and depression status of the patients before and after nursing intervention showed that the scores of anxiety and depression in the two groups were significantly lower than before, and the scores of each scale in the MDT intervention group were lower. The score of quality of life of the two groups significantly improved at the end of 6 months after surgery, and in the MDT intervention group it was significantly higher than that in the control group (P=0.02). Conclusion MDT intervention mode can promote the rapid recovery of patients after TAVI, effectively reduce the risk of postoperative pulmonary complications, and improve the postoperative quality of life.

    Release date: Export PDF Favorites Scan
  • Effects of preoperative inspiratory muscle training on prevention of postoperative pulmonary complications in patients undergoing transcatheter tricuspid valve replacement

    Tricuspid valve, also known as "forgotten valve" because of the high natural and surgical mortality. Transcatheter tricuspid valve replacement is an innovative surgical method to treat tricuspid regurgitation, which improves the prognosis of patients and is gradually being popularized in clinics. However, postoperative pulmonary complications are still the main causes affecting the rapid recovery and death. More and more medical experts begin to use preoperative inspiratory muscle training to reduce postoperative pulmonary complications and improve the quality of life of patients after cardiac surgery. However, there was no report on the effect of preoperative inspiratory muscle training on pulmonary complications after transcatheter tricuspid valve replacement. Therefore, for the first time, we boldly speculate that inspiratory muscle training can reduce pulmonary complications after transcatheter tricuspid valve replacement, and put forward suggestions for its treatment mechanism and strategy. But this rehabilitation intervention lacks practical clinical research. Unknown challenges may also be encountered, which may be a new research direction.

    Release date: Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content