eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association
Critical Care Research

Postoperative nursing of a child with radical treatment of pulmonary atresia and fusion of aortopulmonary collateral arteries

  • LI Xiaoyan ,
  • LI Shuaini ,
  • LI Ran ,
  • TANG Xiaomin
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Received date: 2023-11-13

  Online published: 2024-09-10

Abstract

This paper summarized the postoperative nursing of a child with radical treatment of pulmonary atresia and fusion of aortopulmonary collateral arteries. In response to the complex surgical procedures,long duration of extracorporeal circulation,poor compliance of the right ventricle after surgery,application of artificial valved blood vessels,delayed closure of the chest in the pediatric patient and other problems,the following nursing measures were taken,including strictly control of the intake and output to maintain the stability of right heart function,implementation of early dynamic anticoagulation management to maintain the patency of artificial valved blood vessels,paying attention to delayed chest closure and respiratory care,strengthening of nutritional support and psychological care. After careful treatment and nursing,the child recovered well and was discharged. Following up for six months,the child‘s right ventricular outflow tract was patency and the cardiac function recovered well.

Cite this article

LI Xiaoyan , LI Shuaini , LI Ran , TANG Xiaomin . Postoperative nursing of a child with radical treatment of pulmonary atresia and fusion of aortopulmonary collateral arteries[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024 , 5(9) : 840 -842 . DOI: 10.3761/j.issn.2096-7446.2024.09.013

References

[1] 段欣,赵明霞,崔勇丽,等. 肺动脉闭锁合并室间隔缺损患者应用流量研究的临床结果[J]. 中国体外循环杂志,2023,21(2):76-79.
Duan X,Zhao MX,Cui YL,et al.The clinical outcomes of applying flow study in patients with pulmonary atresia and ventricular septal defect and major aortopulmonary collateral arteries[J]. Chin J Extracorpor Circ,2023,21(2):76-79.
[2] 刘锦阳,蒋显超,李响,等. 合并室间隔缺损的肺动脉闭锁患儿的诊疗进展[J]. 中华胸心血管外科杂志,2021,37(2):116-120.
Liu JY,Jiang XC,Li X,et al.Progress in diagnosis and treat-ment of children with pulmonary atresia with ventricular septal defect[J]. Chin J Thorac Cardiovasc Surg,2021,37(2):116-120.
[3] Isherwood M,Serra M,Safirstein J,et al.Low-dose alteplase infusion for the treatment of mechanical aortic valve throm-bosis:a spotlight on the importance of medication adherence[J]. J Cardiovasc Nurs,2016,31(3):262-266.
[4] 荣敬,耿潇潇,邢鑫欣,等. 先天性心脏病患儿术后延迟关胸循环监测及护理[J]. 中国医药,2022,17(3):448-451.
Rong J,Geng XX,Xing XX,et al.Circulatory monitoring results and nursing process of delayed chest closure after cardiac surgery in children with congenital heart disease[J]. China Med,2022,17(3):448-451.
[5] 诸纪华,金陈娣,唐晓敏,等. 完全型大动脉转位术后低心排血量综合征患儿的护理[J]. 中华急危重症护理杂志,2021,2(3):283-285.
Zhu JH,Jin CD,Tang XM,et al.Nursing care of children with low cardiac output syndrome after complete transposition of great arteries[J]. Chin J Emerg Crit Care Nurs,2021,2(3):283-285.
[6] 吴雪梅,胡秀,苏苗赏,等. 有氧趣味运动训练在儿童难治性肺炎支原体肺炎辅助排痰中的临床疗效观察[J]. 中国妇幼保健,2021,36(7):1543-1545.
Wu XM,Hu X,Su MS,et al.Clinical observation on aerobic fun exercise training in children with refractory mycoplasma pneumoniae pneumonia assisted with sputum removal[J]. Ma-tern Child Health Care China,2021,36(7):1543-1545.
[7] 吴小花,诸纪华,周红琴,等. ICU儿童医疗辅导的研究进展[J]. 中华急危重症护理杂志,2021,2(5):448-453.
Wu XH,Zhu JH,Zhou HQ,et al.Research progress of child life in intensive care units[J]. Chin J Emerg Crit Care Nurs,2021,2(5):448-453.
[8] 燕春丽,章毅,潘丽丽,等. 抗N-甲基-D-天冬氨酸受体脑炎伴中毒性表皮坏死松解症患儿的护理[J]. 中华急危重症护理杂志,2023,4(12):1119-1122.
Yan CL,Zhang Y,Pan LL,et al.Nursing care of a child with anti N-methyl-D-aspartate receptor encephalitis accompanied by toxic epidermal necrolysis[J]. Chin J Emerg Crit Care Nurs,2023, 4(12):1119-1122.
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