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目的总结功能性单心室合并重度房室瓣返流患者行瓣膜置换的护理配合。方法对32例合并重度房室瓣重度返流的功能性单心室患者行房室瓣膜置换17例,房室瓣置换+全腔静脉-肺动脉吻合术5例,房室瓣置换+上腔静脉-肺动脉吻合术10例。术前参与复杂手术病例讨论,明确手术方案及步骤,提前备好手术常规及特殊用物,术中熟练配合外科医生,做好抢救及术式改变的配合,术后安全及时转运患者。结果 4例术后死亡,生存28例均接受随访(其中2例失访),随访0.9~9.3年,期间无死亡。结论手术护士术前参与手术病例讨论,正确准备特殊器械和物品,术中沉着应变,默契配合,传递准确,做好各项应对措施是复杂手术配合的关键。
Objective To summarize the nursing cooperation of valve replacement with functional single ventricle and severe atrioventricular valve regurgitation. Methods Thirty-two patients with functional single ventricle who had severe regurgitation of severe atrioventricular valve were performed 17 cases of atrial valve replacement, 5 cases of atrioventricular valve replacement and total cavopulmonary-pulmonary anastomosis, 5 cases of atrioventricular valve replacement and superior vena cava- Pulmonary artery anastomosis in 10 cases. Preoperative participation in complex surgical case discussion, a clear surgical options and procedures, prepared in advance surgery routine and special materials, surgery skilled with the surgeon, do a good job of salvage and surgical changes, timely and safe transport of patients after surgery. Results Four patients died and 28 survived. All patients were followed up (2 of them were lost to follow-up). All patients were followed up for 0.9-9.3 years without any death. Conclusion Surgical nurses preoperative participation in surgical cases, the correct preparation of special equipment and articles, intraoperative calm strain, tacit cooperation, accurate delivery, and make all kinds of response measures is the key to complex operation.