摘要
目的总结非体外循环下冠状动脉搭桥术(OPCAB)的围手术期护理措施及经验。方法选取2010年1月-2012年12月25例采用OPCAB治疗的冠心病患者为研究对象,总结在OPCAB中的护理管理措施。结果本组25例患者手术均获得成功,无患者死亡。手术时间(209.85±38.41)min,输血量(1 311.23±423.70)mL,引流量(491.98±142.46)mL,重症监护病房监护时间(4.22±1.23)d,住院时间(10.10±1.89)d,搭桥根数(4.00±0.51)根。2例患者术后出现体温偏高、咳嗽反应,及时予以药物静脉滴注和雾化吸痰后缓解;2例发生轻微伤口感染,经应用抗生素后逐渐控制;2例疼痛不能耐受者,遵医嘱给予盐酸哌替啶一次止痛;1例因神经刺激而胸疼痛者给予硝酸甘油后缓解。结论 OPCAB具有创伤小、出血少、住院时间短、住院费用低等优点,做好术前、术中和术后的护理,是确保手术顺利开展,促进患者早日康复的关键。
Objective To investigate the clinical efficacy of off-pump coronary artery bypass grafting, and summarize the experience of nursing care in the treatment. Methods We retrospectively analyzed the clinical data of 25 patients undergoing off-pump coronary artery bypass surgery between January 2010 and December 2012. The therapeutic effect of the surgical method and the care management measures were summarized and analyzed. Results All the operations were successful without any deaths. The Mean operation time was （209.85±38.41） miniutes; Blood infusion volume averaged （1 311.23±423.70） mL; Drainage volume was （491.98 ±142.46） mL; The mean ICU monitoring time was （4.22±1.23） days; Hospitalization lasted for （10.10±1.89） days; And the mean number of bypass was 4.00 ~ 0.51. Two patients had high temperature and coughing after surgery, and were cured through intravenous dripping and atomization sputum suction. Two had slight injury infection and were controlled with antibiotics. Two could not endure the pain which was relieved by sauteralgyl. One patient with thoracic pain due to neural stimulation was relieved by glycerin trinitrate. Conclusions The off-pump coronary artery bypass surgery is advantageous in having less trauma, less bleeding, shorter hospital stay and lower hospital costs. The preoperative, intraoperative and postoperative care should be prepared to ensure the smooth implementation of the surgery and improve therapeutic effect.
出处
《华西医学》
CAS
2014年第4期748-750,共3页
West China Medical Journal
关键词
冠心病
非体外循环
冠状动脉搭桥术
护理
Coronary heart disease
Off-pump
Coronary artery bypass
Nursing
