摘要
目的回顾性评估心脏瓣膜病围术期并发恶性室性心律失常,应用β-受体阻滞剂治疗的护理体会。方法收集本科风湿性心脏瓣膜病术前1周—术后1月出现恶性室性心律失常的患者52例,均用床边心电监测,一旦发现恶性室性心律失常,予β-受体阻滞剂静脉注射,严密监测血流动力学及电解质变化,重视用药护理。结果恶性室性心律失常得到有效控制,52例患者均治愈。结论发生室性心律失常的患者使用β受体阻滞剂治疗,配合良好的护理和监测可使药物疗效更加满意。
Objective To Retrospectively assess the nursing experience of β- receptor blockers in treating perioperative malignant ventricular arrhythmias of adult rheumatic valves patients. Methods The data of 52 adult rheumatic valves patients with malignant ventricular arrhythmias from the first week before surgery to 1 month after the operation was collected. Ventricular arrhythmias were detected by bedside monitor. Once malignant ventricular arrhythmia was found, β- receptor blocker injection was used. Nurses monitored the haemodynamics and electrolyte strictly, paying close attention to effects of pharmaceutical drugs. Results Malignant ventricular arrhythmias were effectively controlled. All 52 patients recovered.
出处
《实用临床医药杂志》
CAS
2011年第22期102-103,106,共3页
Journal of Clinical Medicine in Practice
关键词
心脏瓣膜病
恶性室性心律失常
Β-受体阻滞剂
护理
perioperative heart valve operation
malignant ventricular arrhythmia
β- receptor blocker
nursing
