摘要
目的探讨深低温停循环下大血管手术患者的术中温度控制方法。方法对121例深低温停循环大血管手术患者,在停循环与恢复循环期间进行核心体温、环境温度监测与控制,同时做好低温下患者皮肤防护。结果 121例手术患者停循环期核心体温控制在25.42~25.68℃,循环恢复后核心体温控制在36.41~36.50℃,停循环环境温度控制在18.50~18.68℃,循环恢复后环境温度控制在23.44~23.70℃,温度指标控制良好;耳廓及面部等周围皮肤无冻伤,骶尾、足底受压部位皮肤发生压红9例,术后未发生压疮。结论综合降温和综合保温措施是保障深低温停循环下大血管手术患者核心体温和环境温度有效管理的方法。
Objective To explore the strategies for temperature control in aortic surgery with deep hypothermic circulatory arrest. Methods A total of 121 patients undergoing aortic surgery with deep hypothermic circulatory arrest were studied. Their core body temperature and environmental temperature were monitored and controlled during circulatory arrest and rewarming, and skin pro- tection measures were provided. Results Core body temperature was controlled in the range of 25.42-25.68℃ during circulatory arrest and 36, 41-36.50℃ during rewarming. Environmental temperature was controlled at 18.50-18.68℃ during circulatory arrest and 23.44-23.70℃ during rewarming. No patient had developed auricular or facial cold injury, but 9 patients had reddened skin in the sacro-coccygeal and heel area and none of them developed pressure ulcer. Conclusion Integrated cooling and warm- keeping measures are effective in management of core body temperature and environmental temperature in aortic surgery with deep hypothermic circulatory arrest.
出处
《护理学杂志》
CSCD
2017年第12期43-45,共3页
Journal of Nursing Science
基金
2014年湖北省科技计划基金项目(2014CFB488)
关键词
大血管手术
深低温
停循环
温度控制
核心体温
环境温度
aortic surgery
deep hypothermia
circulatory arrest
temperature control
core body temperature
environ-mental temperature
