封堵器介入治療并發(fā)癥原因分析及護(hù)理(更新版)
【正文】 間應(yīng)避免一些使腹壓增加的行為，如咳嗽、大小便時(shí)需用手壓緊穿刺點(diǎn)，以免增加穿刺口壓力，導(dǎo)致出血的發(fā)生。 全麻患兒 應(yīng)給氧氣吸入，注意觀察呼吸、面色及有無(wú)呼吸道分泌物，肩部墊高，頭偏向一側(cè)，保持呼吸道通暢，防止窒息 [2]。 因此，凡術(shù)后出現(xiàn)不明原因癥狀時(shí)， 如暈厥、呼吸困難、嚴(yán)重的心律失常時(shí)應(yīng)及時(shí)作心臟超聲或胸部 X線檢查鑒別原因。 在手術(shù)過(guò)程中要密切觀察病情，術(shù)中如果患者突然出現(xiàn)原因不明的心率增快或減慢或突然出現(xiàn)難以糾正的低血壓、胸痛，面色蒼白、心電監(jiān)護(hù)示 ST 段抬高，應(yīng)及早考慮心臟填塞的可能， 及時(shí)、準(zhǔn)確識(shí)別急性心包填塞， 應(yīng)及時(shí)處理 。 但適應(yīng)證掌握不好、介入裝置選擇不當(dāng)、操作技術(shù)欠佳、介入治療經(jīng)驗(yàn)不足等，均可造成嚴(yán)重并發(fā)癥甚至死亡。 【關(guān)鍵詞】 封堵器 ； 先天性心臟病 ；介入治療； 并發(fā)癥； 護(hù)理 Cause analysis and Nursing of the Complications of the congenital cardiopathy by occluder interventional therapy Yang Ru The first affiliated hospital of Beng Bu Medical College , Beng Bu An Hui 233004 [Abstract] Objectives: We discussed the cause and nursing of the plications of the congenital cardiopathy by occluder interventional therapy. Methods: We analyzed retrospectively 17 patients with plications. We executed proportional nursing strategies according to respective plication. Results: Of 174patients executed interventional therapy, plications happened in 17 patients (%), including 8 general plications (%) and 9 plications connect with heart disease (%). No case is dead. Conclusions: Occluder interventional therapy was the safe and effective nonoperation method to the congenital cardiopathy, but we should pay attention to the prevention and cure of plications, especially some lifethreatening plications. And we can acplish early prevention, early findings and adopt effective means. It is very important to accelerate postoperative 7 rehabilitation. [keywords] occluder, congenital cardiopathy, interventional therapy, plications, nursing
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