Perioperative Care for Full Thoracoscopic Bipolar Radiofrequency Ablation of Simple Atrial Fibrillation_West China Medical Journal

Authors：

CHEN Miao ¹ , JIANG Tao ² , ZENG Ling ¹

1. Department of Cardiovascular Surgery, West China Hospital , Sichuan University, Chengdu, Sichuan 610041, P. R. China; 2. Department of Cardiovascular Surgery, Hospital Affiliated to Luzhou Medical College, Luzhou, Sichuan 646000, P. R. China;

Corresponding author：

Keywords：

胸腔镜; 单纯性房颤; 围手术期; 护理

Video：

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目的　探讨全胸腔镜下Box Lesion双极射频消融术治疗单纯性房颤的围手术期护理方法与要点。方法　对2011年5月－2011年9月拟行全胸腔镜下Box Lesion双极射频消融（双侧肺静脉+左心房后壁隔离）治疗的6例心房纤颤患者，术前做好心理疏通及各项手术准备；术后采取各项对症措施加强呼吸道、心律、引流、疼痛等监测与护理。结果　6例患者均在术后即刻转复为窦性心律，无死亡，无并发症发生，术后7 d均顺利出院。出院后4周复查均为窦性心律。结论　全胸腔镜下行Box-lesion双极射频房颤术是治疗单纯性房颤的有效手段，严密的观察及精心护理是手术顺利施行和疾患治愈的重要因素。

Citation： CHEN Miao,JIANG Tao,ZENG Ling. Perioperative Care for Full Thoracoscopic Bipolar Radiofrequency Ablation of Simple Atrial Fibrillation. West China Medical Journal, 2012, 27(8): 1237-1239. doi: Copy

1.	李岩, 孟旭, 崔永强. 56例微创外科治疗单纯性心房颤动的临床经验[J].心肺血管病杂志, 2008, 27(3): 129-132.
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6.	Doval HC, Nul DR, Grancelli HO, et al. Randomised trial of low-dose am iodarone in severe congestive heart failure Grupo-de Estudio de la Sobrevida en la Insuficiencia Cardiaca en Argentina (GESICA) [J]. Lancet, 1994, 344(8921): 493-498.
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11.	Haissaguerre M, Jais P, Shah DC, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins[J]. N Engl J Med , 1998, 339 : 659-666.
12.	Everett TH 4th, Olgin JE. Basic mechanisms of atrial fibrillation[J]. Cardiol Clin, 2004, 22(1): 9-20.
13.	Sonmez B, Ergun D, Naci Y, et al. A fatal complication due to radiofrequency ablation for atrial fibrillation: atrio-esophageal fistula[J]. Ann Thorac Surg, 2003, 76(1): 281-283.
14.	Cooper JM, Sapp JL, Usha T, et al. Ablation with an internally irrigated radiofrequency catheter:learning how to avoid steam pops[J]. Heart Rhythm, 2004, 1(3): 329-333.

1. 　李岩, 孟旭, 崔永强. 56例微创外科治疗单纯性心房颤动的临床经验[J].心肺血管病杂志, 2008, 27(3): 129-132.
2. 　李妍, 俞贤珍, 吕春华. 阵发性心房颤动患者经导管射频消融治疗的护理[J]. 护理学杂志, 2009, 7(5): 31-32.
3. 　杨占云, 王丽, 魏蔚. 心胸外科手术中单肺通气的研究与进展[J]. 中国组织工程研究与临床康复, 2008, 12(5): 945-948.
4. 　曹克将, 陈椿. 抗心律失常药物的应用进展[J]. 中国实用内科杂志, 2007, 27(1): 14-17.
5. 　Massie BM, Fisher SG, Deedwania PC, et al. Effect of am iodarone on clinical status and leftventricu lar function in patients with congestive heart failure[J]. Circulation, 1996, 93(21): 2128-2134.
6. 　Doval HC, Nul DR, Grancelli HO, et al. Randomised trial of low-dose am iodarone in severe congestive heart failure Grupo-de Estudio de la Sobrevida en la Insuficiencia Cardiaca en Argentina (GESICA) [J]. Lancet, 1994, 344(8921): 493-498.
7. 　李淑荣, 李洁, 梅静, 等. 射频消融房室结改良术心电监护分析[J]. 中华护理杂志, 1998, 33(10): 562-564.
8. 　周微微, 任卫东. 房颤发生机制研究进展[J]. 心脏杂志, 2003, 15(6): 558-559.
9. 　Scherf D. Studies on auricular tachycardia caonitine administ ration[J]. Proc Soc Exp Biol NY , 1947 , 64 : 233 - 239.
10. 　Garratt CJ, Duytschaever M, Killian M, et al. Repetitive electrical remodeling by paroxysms of atrial fibrillation in he goat: no cumulatice effect on inducibility or stability of atrial fibrillation [J]. J Cardiovasc Electrophysil, 1999, 10: 1101-1108.
11. 　Haissaguerre M, Jais P, Shah DC, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins[J]. N Engl J Med , 1998, 339 : 659-666.
12. 　Everett TH 4th, Olgin JE. Basic mechanisms of atrial fibrillation[J]. Cardiol Clin, 2004, 22(1): 9-20.
13. 　Sonmez B, Ergun D, Naci Y, et al. A fatal complication due to radiofrequency ablation for atrial fibrillation: atrio-esophageal fistula[J]. Ann Thorac Surg, 2003, 76(1): 281-283.
14. 　Cooper JM, Sapp JL, Usha T, et al. Ablation with an internally irrigated radiofrequency catheter:learning how to avoid steam pops[J]. Heart Rhythm, 2004, 1(3): 329-333.

West China Medical Journal

Perioperative Care for Full Thoracoscopic Bipolar Radiofrequency Ablation of Simple Atrial Fibrillation

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