摘要
目的总结7例先天性心脏病产时手术后新生儿的护理过程。方法回顾分析本中心2023年1月至2024年8月进行产时手术后患儿的护理措施。结果患儿成功进行畸形根治手术,手术时长为6~8(7.00±0.82)h,体外循环时长110~234(177.57±51.30)min。经过精心的护理均成功脱离呼吸机,转出ICU时体重达(3480.00±619.14)g,顺利出院。结论术中精准的体外循环配合,术后通过多学科配合成立护理专业组,医护配合双人气管内吸引操作,并根据血气结果实时调整内环境稳定,增加舒适感体位护理,及时有效的营养支持和适当的镇静镇痛,能帮助进行产时手术的新生儿尽早恢复。
Objective To summarize the nursing process of 7 newborns undergoing perinatal surgery for congenital heart disease.Methods A retrospective analysis was conducted on the nursing measures for newborns who underwent perinatal surgery at our center between January 2023 and August 2024.Results All patients successfully underwent corrective surgeries congenital heart defects,with the surgery duration ranging from 6 to 8(7.00±0.82)hours,and cardiopulmonary bypass(CPB)time ranging from 110 to 234(177.57±51.30)mins.Following meticulous nursing care,all patients were successfully weaned off the ventilator and discharged with a weight of 3480.00±619.14 g at the time of transfer.Conclusion Accurate intraoperative CPB management,,combined with postoperative multidisciplinary nursing support,medical and nursing cooperation with double endotracheal suction operation,and real-time adjustment of the internal environment stability according to the blood gas results,and increase the sense of comfort position care,timely and effective nutritional support and appropriate sedation and analgesia can facilitate the recovery of neonates undergoing perinatal surgery.
作者
高天月
彭婷婷
张山
刘璐
Gao Tianyue;Peng Tingting;Zhang Shan;Liu Lu(Department of Intensive Care Unit,Beijing Anzhen Hospital Affiliated to Capital Medical University,Beijing 100029;School of Nursing,Capital Medical University,Beijing 100069,China)
出处
《中国体外循环杂志》
2025年第1期64-67,71,共5页
Chinese Journal of Extracorporeal Circulation
关键词
先天性心脏病
新生儿
产时手术
护理
体外循环
Congenital heart disease
Neonate
Intrapartum operation
Nursing
Cardiopulmonary bypass
作者简介
通信作者:张山,Email:shan1993ccmu@163.com。
