ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2025, Vol. 6 ›› Issue (1): 79-81.doi: 10.3761/j.issn.2096-7446.2025.01.012

• 急症护理研究 • 上一篇    下一篇

重度主动脉瓣狭窄患者急诊行经导管主动脉瓣置换术的围手术期护理

陈海莲(), 邹双, 李程, 王力涵   

  1. 310009 杭州市 浙江大学医学院附属第二医院护理部（陈海莲，邹双，李程），心血管内科（王力涵）
  • 收稿日期:2024-05-21 出版日期:2025-01-10 发布日期:2025-01-14
  • 作者简介:陈海莲：女，本科，副主任护师，护士长，E-mail：2194004@zju.edu.cn
  • 基金资助:
    浙江省重点研发计划项目(2024C03024);浙江省医药卫生科技计划项目(2024KY1092)

Perioperative nursing of emergency transcatheter aortic valve replacement for patients with severe aortic stenosis

CHEN Hailian(), ZOU Shuang, LI Cheng, WANG Lihan   

  • Received:2024-05-21 Online:2025-01-10 Published:2025-01-14

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摘要：

总结26例重度主动脉瓣狭窄合并心源性休克患者急诊行经导管主动脉瓣置换术的围手术期护理经验。针对该组患者血流动力学不稳定、术前评估困难、急诊手术术中情况复杂多变、术后并发症发病率高等护理难点，采取术前早期识别与干预、多学科团队制订手术应急预案，术后精细化容量管理、并发症预防及护理、开展早期康复训练等措施。经过密切监护和精心护理，23例患者术后恢复良好，顺利出院；3例患者术后因多器官功能衰竭而死亡。

关键词: 主动脉瓣狭窄, 心源性休克, 经导管主动脉瓣置换术, 围手术期护理, 危重病护理

Abstract:

To summarize the perioperative nursing experience of 26 patients with severe aortic stenosis complicated with cardiogenic shock undergoing emergency transcatheter aortic valve replacement. For this group of patients with unstable hemodynamics，difficulties in preoperative evaluation，complex and variable intraoperative conditions，and high incidence of postoperative complications，measures such as early preoperative identification and intervention，development of emergency surgical plans by multidisciplinary teams，refined volume management after surgery，prevention and nursing of complications，and early rehabilitation training were taken. After close monitoring and careful nursing，23 patients recovered well after operation and were discharged smoothly. Three patients died of multiple organ failure.

Key words: Aortic Stenosis, Cardiogenic Shock, Transcatheter Aortic Valve Replacement, Perioperative Nursing, Critical Care Nursing