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目的:总结1例4月龄心力衰竭高危患儿肝脏血管内皮瘤腹腔镜肝叶切除术配合的护理经验。方法:依托多学科团队合作术前讨论,小儿心血管外科医生评估患儿心力衰竭风险程度,指导术中心力衰竭预防措施,手术医生提出术中婴儿手术所需的特殊用物及注意事项,结合手术室护理人员的经验共同制定心力衰竭高危患儿的肝脏血管内皮瘤腹腔镜切除的手术配合方案。结果:1个月后患儿来院复查恢复良好。结论:术前充分评估风险,有效的手术护理配合是手术安全和顺利进行的重要保障。
OBJECTIVE: To summarize the nursing experience of laparoscopic hepatectomy combined with liver hemangioendothelioma in children with heart failure at 4 months of age. Methods: Based on the preoperative discussions of multidisciplinary teamwork, pediatric cardiovascular surgeons evaluated the risk of heart failure in children and guided the prevention of intraoperative heart failure. The surgeon proposed the special objects and precautions required for intraoperative infant surgery. Operating room nurses experience together to develop high-risk heart failure in children with hepatic hemangio-endothelioma laparoscopic surgical protocol. Results: One month later, the children returned to hospital and recovered well. Conclusion: Preoperative fully assess the risk of effective surgical care and cooperation is safe and smooth operation of the important guarantee.