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目的总结杂交手术治疗合并体肺侧支的肺血减少型先天性心脏病的手术护理要点,分享该类手术护理经验。方法对2011年5月-2012年2月开展的15例合并体肺侧支的肺血减少型先天性心脏病行一站式杂交手术的护理资料进行回顾,分析手术护理过程中出现的护理问题及应对措施和效果。结果 15例合并体肺侧支的肺血减少型先天性心脏病患者在有效的护理干预下手术顺利完成,无低心排血量综合征、灌注肺、重要脏器功能损害、神经精神障碍、全身感染等严重并发症发生,均痊愈出院。结论杂交手术治疗合并体肺侧支的肺血减少型先天性心脏病,涉及多学科协作,手术步骤复杂,术中可变因素多,手术风险大,有效的手术护理干预是保证手术顺利完成,减少并发症发生的关键因素之一。
OBJECTIVE: To summarize the main points of surgical nursing for the treatment of congenital heart disease with pulmonary blood flow complicated by hybrid surgery and to share the experience of such surgical nursing. Methods A retrospective review was conducted on the nursing data of 15 cases of pulmonary artery-bypass congenital heart disease with one-staged hybridization performed from May 2011 to February 2012. The nursing problems occurred during the operation nursing were analyzed And countermeasures and effects. Results Fifteen patients with congenital heart disease complicated with pulmonary side branch had successfully completed the operation under effective nursing intervention without any symptoms such as low cardiac output syndrome, lung perfusion, functional impairment of vital organs, neuropsychiatric disorders, Serious complications such as systemic infection occurred, were cured and discharged. Conclusions Hybridization surgery for lung-blood reduced congenital heart disease with pulmonary collateral involvement involves multidisciplinary collaboration, complicated surgical procedures, multiple intraoperative variables, large surgical risks and effective surgical nursing interventions to ensure the successful completion of surgery. Reduce the incidence of complications one of the key factors.