中华急危重症护理杂志2024,Vol.5Issue(11) :1022-1024.DOI:10.3761/j.issn.2096-7446.2024.11.011

奥格登综合征致梗阻性肥厚型心肌病患儿的围手术期护理

Perioperative nursing care for a child with hypertrophic obstructive cardiomyopathy caused by Ogden syndrome

丁亚平 金余瑜 倪燕 诸纪华
中华急危重症护理杂志2024,Vol.5Issue(11) :1022-1024.DOI:10.3761/j.issn.2096-7446.2024.11.011

奥格登综合征致梗阻性肥厚型心肌病患儿的围手术期护理

Perioperative nursing care for a child with hypertrophic obstructive cardiomyopathy caused by Ogden syndrome

丁亚平 1金余瑜 1倪燕 1诸纪华2
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作者信息

  • 1. 310052 杭州市 国家儿童健康与疾病临床医学研究中心/浙江大学医学院附属儿童医院重症监护病房
  • 2. 310052 杭州市 国家儿童健康与疾病临床医学研究中心/浙江大学医学院附属儿童医院护理部
  • 折叠

摘要

总结1例奥格登综合征致梗阻性肥厚型心肌病患儿的围手术期护理体会.针对患儿手术复杂、并发症发生率高等护理难点,术前护理要点在于减轻心脏负荷;术后护理要点为优化容量负荷,预防低心排血量综合征;使用心脏起搏器辅助维持心脏节律,预防心律失常;动态观察心包引流液,警惕出血与心脏压塞;镇痛改善舒适度,防止加重左心室流出道梗阻;进行被动与主动活动,促进心脏早期康复.经过10 d精细化的护理,患儿顺利度过危险期,转出至心脏外科继续专科治疗后出院.

Abstract

To summarize the perioperative nursing experience of hypertrophic obstructive cardiomyopathy due to Ogden syndrome in a child.In response to the nursing challenges of complex surgery and high incidence of complications in the pediatric patient,the key points of preoperative nursing focused on reducing cardiac load.Postoperative nursing emphasized optimizing volume load and preventing low cardiac output syndrome,using cardiac pacemakers to assist in maintaining heart rhythm and preventing arrhythmias,dynamically monitoring pericardial drainage fluid and being vigilant for bleeding and pericardial tamponade,providing pain relief to improve comfort and prevent exacerbation of left ventricular outflow obstruction,and facilitating passive and active exercises to promote early cardiac recovery.After 10 days of meticulous nursing care,the patient successfully passed the critical period and was transferred to the cardiac surgery department for further specialized treatment before discharge.

关键词

Ogden综合征/梗阻性肥厚型心肌病/围术期护理/儿科护理学

Key words

Ogden Syndrome/Hypertrophic Obstructive Cardiomyopathy/Perioperative Care/Pediatric Nursing

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出版年

2024
中华急危重症护理杂志

中华急危重症护理杂志

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