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1例机械循环装置辅助CHIP病人行冠状动脉内旋磨术的围术期护理

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摘要 总结1例机械循环装置辅助复杂高危具有介入治疗指征病人(CHIP)行冠状动脉内旋磨术的护理配合经验。护理要点包括导管室仪器设备合理布局,术中密切配合医生完成体外膜肺氧合、主动脉球囊反搏的建立以及冠状动脉内旋磨术的配合,做好手术相关并发症观察与护理、目标导向抗凝管理、精准水化与循环容量管理、清醒镇痛护理。术后体外膜肺氧合脱机并转入心脏重症医学科,术后第1天病人主动脉球囊反搏脱机并转入冠心病病房,术后第4天康复出院。
出处 《全科护理》 2024年第2期391-393,共3页 Chinese General Practice Nursing
基金 辽宁省省直医院改革重点临床科室诊疗能力建设项目青年项目,编号:LNCCC-D18-2015。
关键词 体外膜肺氧合 主动脉球囊反搏 复杂高危具有介入治疗指征 冠状动脉内旋磨术 围术期护理 extracorporeal membrane oxygenation intra-aortic balloon pump complex higher-risk and indicated rotational atherectomy perioperative nursing
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