进行性心脏传导障碍患者行介入治疗的风险评估及护理

doi:10.3761/j.issn.2096-7446.2026.01.014

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (1): 86-88.doi: 10.3761/j.issn.2096-7446.2026.01.014

进行性心脏传导障碍患者行介入治疗的风险评估及护理

冯佳(), 叶琳, 邵翠梅, 姚梅琪, 姚晓芳, 彭丹, 许益萍, 宋剑平^*()

浙江大学医学院附属第二医院护理部杭州市 310009

收稿日期:2025-03-06 出版日期:2026-01-10 发布日期:2026-01-06
通讯作者: 宋剑平，E-mail：zrxwk1@zju.edu.cn
作者简介:冯佳：女，硕士，副主任护师，副护士长，E-mail：2507077@zju.edu.cn

Risk assessment and nursing care for a patient with cardiac progressive conduction disease undergoing interventional therapy

FENG Jia(), YE Lin, SHAO Cuimei, YAO Meiqi, YAO Xiaofang, PENG Dan, XU Yiping, SONG Jianping^*()

Nursing Department， the Second Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310009， China

Received:2025-03-06 Online:2026-01-10 Published:2026-01-06
Contact: SONG Jianping，E-mail：zrxwk1@zju.edu.cn

摘要/Abstract

摘要：

总结1例进行性心脏传导障碍患者行全皮下植入型心律转复除颤器植入术的围手术期护理体会。护理要点：恶性心律失常的风险管理与专属护嘱卡的应用、复杂血管通路的有效管理与血栓-感染风险防控、院内转运的动态评估与精细化方案制订、术后囊袋疼痛的药物与放松训练联合护理，以及不恰当放电的程控优化与心理认知干预。经过20 d个性化、精细化护理，患者安全度过围手术期。

关键词: 血管通路装置, 除颤器, 植入型, 进行性心脏传导障碍, 心律失常, 心性, 危重病护理

Abstract:

To summarize the perioperative nursing experience for a patient with cardiac conduction disease who underwent subcutaneous implantable cardioverter defibrillator（S-ICD） implantation. Key nursing points included risk management of malignant arrhythmias and application of a dedicated nursing instruction card，effective management of complex vascular access and prevention of thrombosis and infection risks，dynamic assessment and refined planning for intra-hospital transfer，combined pharmacological and relaxation training for post-operative pocket pain，programming optimization and psychological cognitive intervention for inappropriate shock. After 20 days of personalized and meticulous care，the patient safely navigated the perioperative period.

Key words: Vascular Access Devices, Defibrillator, Implantable, Progressive Cardiac Conduction Disease, Arrhythmias, Cardiac, Critical Care Nursing

冯佳, 叶琳, 邵翠梅, 姚梅琪, 姚晓芳, 彭丹, 许益萍, 宋剑平. 进行性心脏传导障碍患者行介入治疗的风险评估及护理[J]. 中华急危重症护理杂志, 2026, 7(1): 86-88.

FENG Jia, YE Lin, SHAO Cuimei, YAO Meiqi, YAO Xiaofang, PENG Dan, XU Yiping, SONG Jianping. Risk assessment and nursing care for a patient with cardiac progressive conduction disease undergoing interventional therapy[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 86-88.

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进行性心脏传导障碍患者行介入治疗的风险评估及护理

Risk assessment and nursing care for a patient with cardiac progressive conduction disease undergoing interventional therapy

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