经导管左心耳封堵术围术期护理

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1、心肺血管病杂志2016年4月第35卷第4期JournalofCardiovascular＆PulmonaryDiseases，April2016，Vol．35，No．4313DOI:10.3969/j．issn．1007-5062.2016.04.016·心血管护理·经导管左心耳封堵术围术期护理付佳青马萍李立黄连军［摘要］目的:总结经导管左心耳封堵术预防心房颤动血栓栓塞患者的围术期中护理要点。方法:查阅文献并分析护士在左心耳封堵术的护理配合中可能出现的问题，术前参加病例讨论，访视患者，了解患者病情，做好心理护理，取得患者及家属的配合;术中备齐所需物品、急救设施

2、。熟练掌握手术中的每一个操作步骤，了解手术进程，与手术医生密切配合，严密监测生命体征，及时处理并发症;术后加强穿刺部位的护理和各种并发症的观察和护理，完善出院指导，加强随访工作以确保手术取得满意效果。结果:8例患者均被成功完成Watchman左心耳封堵系统置入，手术时间120～180(150±30)min。术中食道超声监测均提示封堵器位置良好，出院随访至今，患者无血栓栓塞及出血事件发生。结论:经导管左心耳封堵术是我科开展的一项新技术，护士不仅要全面了解左心耳封堵治疗过程，更应将所学知识应用于临床实践，对患者实施系统的整体护理，加强医护患关系密切合作，提高临床技

3、能并促进患者早日康复。［关键词］心房颤动;血栓栓塞;左心耳封堵术;护理［中图分类号］Ｒ54［文献标志码］A［文章编号］1007-5062(2016)04-313-04NursingcareinperioperativeperiodoftranscatheterLAAocclusionJiaqingFu，PingMa，LiLi，LianjunHuangDepartmentofInterventionalDiagnosisandTreatment，BeijingAnzhenHospital，CapitalMedicalUni-versity，BeijingInst

4、ituteofHeartLungandBloodVesselDisease，Beijing100029，China［Abstract］Objective:TosummarizethekeypointsofnursingcareinperioperativeperiodforpatientswithatrialfibrillationandwerereceivingtranscatheterLAAocclusiontopreventembolization．Methods:Ｒeviewarticlesandanalyzeproblemsthosemayoccur

5、innursingcooperationofLAAocclusion．Beforeoperation，par-ticipateinpreoperativecasediscussion，visitpatients，assesstheclinicalstatus，providepsychologicalnursingandobtaintheoperationofpatientsandrelations．Duringoperation，getrequirementsandemergencyinstrumentsready;mastereverytreatmentst

6、epofoperation，followtheprocess，cooperateperfectlywithphysicians，compre-hensivemonitorvitalsigns，andtreatcomplicationimmediately．Afteroperation，strengthennursingofpuncturesite，monitortheoccurrenceofcomplications，perfectdischargeeducationandfollow-upcaretoensuresatisfacto-ryoutcomes．Ｒ

7、esults:Watchmandeviceshavebeensuccessfullyimplantedinall8cases，andoperationtimewas120～180(150±30)min．Intraoperativetransesophagealechocardiography(TEE)showedthedevicesallwell-positioned．Allcasesfollow-uphithertohavenothrombosisorhemorrhageevents．Conclusion:TranscatheterLAAocclusioni

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