左心室辅助装置桥接心脏移植患儿的围手术期护理

doi:10.3761/j.issn.2096-7446.2025.11.012

中华急危重症护理杂志 ›› 2025, Vol. 6 ›› Issue (11): 1355-1358.doi: 10.3761/j.issn.2096-7446.2025.11.012

左心室辅助装置桥接心脏移植患儿的围手术期护理

周军(), 陈阮, 诸纪华()

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CICU（周军），国际病房（陈阮），护理部（诸纪华）

收稿日期:2025-02-03 出版日期:2025-11-10 发布日期:2025-11-04
通讯作者: 诸纪华，E-mail：jihuazhu@zju.edu.cn
作者简介:周军：男，本科，主管护师，副护士长，E-mail：6513253@zju.edu.cn

Perioperative nursing care of a child undergoing left ventricular assist device bridging heart transplantation

ZHOU Jun(), CHEN Ruan, ZHU Jihua()

Received:2025-02-03 Online:2025-11-10 Published:2025-11-04

摘要/Abstract

摘要：

总结1例终末期心力衰竭患儿行左心室辅助装置桥接心脏移植的围手术期护理体会。护理要点：术前调节合适的血泵转速、优化容量管理及采取补救性抗凝策略，为心脏移植创造有利条件；术后早期识别并处理原发性移植物功能障碍、大供心综合征及急性排斥反应潜在并发症，提高移植后生存率。经过47 d的精心治疗与护理，患儿心功能恢复至Ⅱ级，无严重并发症，康复出院。

关键词: 心脏辅助装置, 心脏移植, 围手术期护理, 儿科护理学, 危重病护理

Abstract:

To summarize the perioperative nursing experience of a child with end-stage heart failure undergoing left ventricular assist device bridging heart transplantation. The key points of nursing included adjusting the appropriate blood pump speed，optimizing the volume management and taking remedial anticoagulation strategies before the surgery to create favorable conditions for heart transplantation；early recognition and treatment of primary graft dysfunction，large donor heart syndrome and potential complications of acute rejection after the surgery to improve post-transplant survival. After 47 days of careful treatment and nursing，the cardiac function of the child recovered to grade Ⅱ without serious complications and was discharged.

Key words: Heart Assist Device, Heart Transplantation, Perioperative Nursing, Pediatric Nursing, Critical Care Nursing

周军, 陈阮, 诸纪华. 左心室辅助装置桥接心脏移植患儿的围手术期护理[J]. 中华急危重症护理杂志, 2025, 6(11): 1355-1358.

ZHOU Jun, CHEN Ruan, ZHU Jihua. Perioperative nursing care of a child undergoing left ventricular assist device bridging heart transplantation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(11): 1355-1358.

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左心室辅助装置桥接心脏移植患儿的围手术期护理

Perioperative nursing care of a child undergoing left ventricular assist device bridging heart transplantation

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