上海交通大学学报（医学版）

›› 2011, Vol. 31 ›› Issue (6): 720-.doi: 10.3969/j.issn.1674-8115.2011.06.008

• 专题报道（临床护理与管理） • 上一篇    下一篇

主动脉内球囊反搏在重症冠心病患者围手术期护理中的应用

彭彩虹, 康 磊   

  1. 上海交通大学 医学院附属瑞金医院心脏外科, 上海 200025
  • 出版日期:2011-06-28 发布日期:2011-06-27
  • 作者简介:彭彩虹（1973—）, 女, 主管护师；电子信箱: pch21173@rjh.com.cn。

Application of intra-aortic balloon pump in perioperative nursing for patients with severe coronary heart diseases

PENG Cai-hong, KANG Lei   

  1. Department of Cardiac Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
  • Online:2011-06-28 Published:2011-06-27

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摘要：

目的 应用主动脉内球囊反搏（IABP）对围手术期重症冠心病患者进行有效护理,探讨护理要点。方法 收集围手术期应用IABP辅助的54例重症冠心病患者的临床资料，对 IABP置管与护理配合过程进行回顾，结合文献总结护理要点。结果 2例患者因术后发生严重低心排血量综合征，在大剂量血管活性药物治疗无效的情况下，应用IABP辅助；其余患者均于麻醉诱导前置入IABP。辅助时间48～120 h，中位时间62 h。48例（88.9%）有效，死亡6例（11.1%）；无IABP置入相关并发症发生病例。结论 IABP是重症冠心病患者围手术期有效的救治措施。实时、准确和周密细致的观察和护理，对于改善IABP的临床效果，促进康复，提高抢救成功率尤为重要。

关键词: 主动脉内球囊反搏, 围手术期, 护理, 冠心病, 重症

Abstract:

Objective To apply intra-aortic balloon pump (IABP) in perioperative nursing for patients with severe coronary heart diseases. Methods The clinical data of 54 patients with severe coronary heart diseases undergoing perioperative IABP support were collected. The catheterization process of IABP and nursing procedures were retrospectively analysed, and the guideline for nursing was summarized on the basis of literature review. Results IABP was applied to 2 patients with severe postoperative low cardiac output syndrome after unsuccessful treatment with high dose of vasoactive drugs, and the other patients received IABP catheterization before anesthesia induction. The time of IABP application was 48 h to 120 h, with the median time of 62 h. Forty-eight patients (88.9%) survived, and 6 (11.1%) died, with no IABP associated complications. Conclusion IABP application is an effective perioperative treatment for patients with severe coronary heart diseases. Intensive and proper nursing is important to improve the clinical outcomes of IABP application, promote recovery and facilitate rescue.

Key words: intra-aortic balloon pump, perioperative, nursing, coronary artery disease, severe