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阐述1例冠状动脉-肺动脉瘘手术患者的临床护理效果。患者入院后经术前护理(心理干预、心肌梗死预防性护理、术前给药观察)、术中护理(心电监护、体位护理、抗凝药物及输液护理)以及术后护理(维持心功能稳定、维持水电解质平衡、呼吸道管理、血栓预防性护理以及基础护理强化)等临床护理干预后,无术后血栓、心肌梗死等严重并发症,手术后15天后恢复良好出院。提出对冠状动脉-肺动脉瘘手术患者进行临床护理干预,能减少术后并发症,促进患者的术后康复。
A case of coronary artery - pulmonary fistula surgery patients with clinical nursing. Patients were admitted to the hospital after preoperative care (psychological intervention, preventive care of myocardial infarction, preoperative medication observation), intraoperative care (ECG monitoring, body care, anticoagulants and infusion care) and postoperative care (to maintain cardiac function Stable and maintain the balance of water and electrolyte, respiratory tract management, thromboprophylaxis care and basic nursing care), no serious complications such as postoperative thrombosis and myocardial infarction, and recovered well after 15 days. The clinical nursing intervention on patients with coronary artery-pulmonary arterial fistula was proposed to reduce postoperative complications and promote postoperative recovery.