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
重症护理研究

Berry综合征患儿行心脏大血管复杂矫正术后的护理

  • 兰旭红 ,
  • 刘兴光 ,
  • 吴致娴 ,
  • 周红芳 ,
  • 王恒阳 ,
  • 贾东珲 ,
  • 王倩 ,
  • 汤雪梅 ,
  • 张志刚
展开
  • 730000 兰州市 甘肃省人民医院重症医学科一病区(兰旭红,汤雪梅),心脏大血管外科(刘兴光,吴致娴); 兰州大学第一医院重症医学科(周红芳,张志刚); 兰州大学护理学院(王恒阳,贾东珲,王倩)
兰旭红:男,本科(硕士在读),主管护师,E-mail:lxh2015sy@163.com
张志刚,E-mail:zzg3444@163.com

收稿日期: 2024-01-30

  网络出版日期: 2025-01-14

基金资助

甘肃省软科学专项(21CX6ZA114)

Postoperative nursing care of a child with Berry syndrome undergoing complex correction surgery of cardiac large vessels

  • LAN Xuhong ,
  • LIU Xingguang ,
  • WU Zhixian ,
  • ZHOU Hongfang ,
  • WANG Hengyang ,
  • JIA Donghui ,
  • WANG Qian ,
  • TANG Xuemei ,
  • ZHANG Zhigang
Expand

Received date: 2024-01-30

  Online published: 2025-01-14

摘要

总结1例Berry综合征患儿行心脏大血管复杂矫正术后的护理体会。护理要点:早期预警循环系统变化,积极处理危急状况;及时监测凝血功能,尽早干预伤口大出血;精细机械通气管理,动态调节呼吸机参数;分阶段个体化康复。患儿住院17 d,康复出院。

本文引用格式

兰旭红 , 刘兴光 , 吴致娴 , 周红芳 , 王恒阳 , 贾东珲 , 王倩 , 汤雪梅 , 张志刚 . Berry综合征患儿行心脏大血管复杂矫正术后的护理[J]. 中华急危重症护理杂志, 2025 , 6(1) : 82 -85 . DOI: 10.3761/j.issn.2096-7446.2025.01.013

Abstract

To summarize the postoperative nursing experience of a child with Berry syndrome undergoing complex correction surgery of cardiac large vessels. Key points of nursing included early warning of circulatory system changes to active treat critical conditions,timely monitoring of coagulation function and early intervention of wound hemorrhage,fine mechanical ventilation management and dynamic adjustment of ventilator parameters,and phased individualized rehabilitation,which ultimately promoted the improvement of the clinical prognosis of the child.

参考文献

[1] Zhang X, Liu XW, Gu XY, et al. Prenatal diagnosis of Berry syndrome by fetal echocardiography:a report of four cases[J]. Echocardiography, 2018, 35(4):563-565.
[2] Nguyen CHL, Nguyen TLT, Tran VQ, et al. Intermediate outcome for the single-stage surgical repair of aortopulmonary window associated with interrupted aortic arch[J]. Interdiscip Cardiovasc Thorac Surg, 2023, 36(6):ivad077.
[3] 朱红梅, 朱双萍, 诸纪华. 5例主动脉弓离断患儿的术后护理[J]. 中华护理杂志, 2010, 45(10):909-911.
  Zhu HM, Zhu SP, Zhu JH. Postoperative care of five children with interrupted aortic arch[J]. Chin J Nurs, 2010, 45(10):909-911.
[4] 胡莹莹, 李晨, 李艳玲, 等. 中心静脉压急诊临床应用中国专家共识(2020)[J]. 临床急诊杂志, 2020, 21(6):421-428.
  Hu YY, Li C, Li YL, et al. China expert consensus on emergency clinical application of central venous pressure(2020)[J]. J Clin Emerg, 2020, 21(6):421-428.
[5] 张明杰, 徐卓明. 《中国肺动脉高压诊断与治疗指南(2021版)》解读:儿童肺动脉高压[J]. 中国实用内科杂志, 2022, 42(3):206-209.
  Zhang MJ, Xu ZM. Interpretation of guidelines to the diagnosis and treatment of pulmonary hypertension in China(2021):pe-diatric pulmonary hypertension[J]. Chin J Pract Intern Med,2022, 42(3):206-209.
[6] 金陈娣, 蒋伟红, 林楠, 等. 体外膜肺氧合支持下行右肺动脉矫治术患儿的术后护理[J]. 中华急危重症护理杂志, 2022, 3(5):452-454.
  Jin CD, Jiang WH, Lin N, et al. Postoperative nursing care of a child undergoing right pulmonary artery correction with extra-corporeal membrane oxygenation support[J]. Chin J Emerg Crit Care Nurs, 2022, 3(5):452-454.
[7] 许如青, 诸纪华, 周军, 等. 1例Berry综合征患儿行早期根治术的围手术期护理[J]. 中华护理杂志, 2023, 58(23):2910-2914.
  Xu RQ, Zhu JH, Zhou J, et al. Perioperative nursing care of a child with Berry syndrome recognized by radical surgery[J]. Chin J Nurs, 2023, 58(23):2910-2914.
[8] 蒋振杰. ARDS患者俯卧位通气过程中呼吸驱动和呼吸力学指标的动态监测[D]. 广州: 广州医科大学, 2023.
  Jiang ZJ. Dynamic monitoring of respiratory drive and respira-tory mechanics in ARDS patients during PPV[D]. Guangzhou: Guangzhou Medical University, 2023.
[9] Bailey JM. Management of patient-ventilator asynchrony[J]. Ane-sthesiology, 2021, 134(4):629-636.
[10] Von Wedel D, Redaelli S, Suleiman A, et al. Adjustments of ventilator parameters during operating room to ICU transition and 28-day mortality[J]. Am J Respir Crit Care Med, 2024, 209(5):553-562.
文章导航

/