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1例儿童心脏移植术后快速康复的护理实践

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总结1例儿童心脏移植术后快速康复的护理实践经验。护理要点包括早期识别与处理大供心综合征、右心衰竭并发症;优化呼吸支持策略,帮助患儿快速脱机;开展静息能量消耗测定,实施序贯式营养支持;强化Ⅰ期心脏康复训练,促进患儿心功能恢复;实施个体化的出院指导,加强出院后随访。经过49 d的康复治疗与护理,患儿心功能恢复至Ⅱ级,无严重并发症,顺利出院,随访3个月恢复良好。术后快速康复管理策略能有效缩短心脏移植患儿住院时间,恢复正常生活。
Nursing practice of rapid recovery after heart transplantation in a child
The nursing practice experience of a child with rapid recovery after heart transplantation was sum-marized.The key points of nursing includedthat large supply heart syndromeand complications of right heart failure were early identified and managed;Respiratory support strategies were optimized for helping children quickly offline;Resting energy consumption was measured and sequential nutritional support was conducted;Phase Ⅰ cardiac rehabili-tation training was strengthened to promote the recovery of heart function in children;Personalized discharge guid-ance was carried out and post discharge follow-up was strengthened.After 49 days of rehabilitation treatment and nursing,the patient's heart function recovered to level Ⅱ without serious complications,and was discharged smooth-ly.The patient was followed up for 3 months and recovered well.The postoperative rapid recovery management strategy could effectively shorten the hospitalization time of heart transplant patients and restore normal life.

heart transplantationrehabilitation nursingcardiac rehabilitationcritical carechild

周军、呼平、陈阮

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浙江大学医学院附属儿童医院心脏重症监护室国家儿童健康与疾病临床医学研究中心,浙江杭州 310052

心脏移植 康复护理 心脏康复 危重病护理 儿童

浙江省教育厅一般科研项目

Y202352336

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(14)