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find Keyword "心脏术后" 4 results
  • 体外膜肺氧合联合主动脉内球囊反搏在心脏术后的应用

    目的探讨体外膜肺氧合联合主动脉内球囊反搏术在心脏术后急性心力衰竭中的应用。方法回顾性分析 2012 年 10 月至 2017 年 10 月我院心外三科因急性心力衰竭接受体外膜肺氧合联合主动脉内球囊反搏治疗 38 例患者的临床资料,探索联合应用在心脏术后中的作用。男 24 例、女 14 例,平均年龄(58±11)岁。结果24 例患者成功撤离机械辅助装置,其中 16 例患者存活出院。死亡组肾功能衰竭的发生率显著高于生存组,差异有统计学意义。在不能脱机组的患者中,混合静脉血氧饱和度未见明显好转。结论体外膜肺氧合联合主动脉内球囊反搏可能具有协同作用,在心脏术后急性心力衰竭的治疗中起到一定的辅助作用。

    Release date:2019-01-03 04:52 Export PDF Favorites Scan
  • Effect of different analgesic interventions for chest tube removal after cardiac surgery: A randomized controlled trial

    Objective To compare the effect and degree of satisfaction of different analgesic interventions for tubes of pericardium and mediastinum removal after cardiac surgery. Methods From December 2017 to June 2018, 94 patients undergoing open heart cardiac surgery with tubes of pericardium and mediastinum were allocated randomly into three groups including a group A (32 patients), a group B (35 patients), and a group C (27 patients). In the group A, intravenous Dezocine was given as analgesics. In the group B, intravenous Dezocine plus oral ibuprofen were given. In the group C, interventions of group B plus specific nursing guidance were given. With the help of visual analogue scale (VAS), scores of pain during and after the tubes removal were collected. The degree of satisfaction and other adverse effects were also recorded. Results The VAS scores and fading time of pain in the group B were significantly lower than those of the group A (P<0.017). The score of sleeping was better in the group B as well. The VAS scores and fading time of pain in the group C were also significantly lower than those of the group A, and the scores of mood, activity as well as degree of satisfaction were all higher than those in the group A (P<0.017). The scores of activity and degree of satisfaction in the group C were higher compared with the group B (P<0.017). Conclusion Combination of intravenous Dezocine and oral ibuprofen seems to be more effective than each individual. Professional and specific nursing guidance could increase the degree of satisfaction for chest tube removal after cardiac surgery.

    Release date:2019-04-29 02:51 Export PDF Favorites Scan
  • Gastrointestinal complications after cardiac surgery

    Gastrointestinal complications after cardiac surgery are rare, but they are associated with significant morbidity and mortality. The mechanisms of gastrointestinal complications after cardiac surgery may be unique, as the abdominal cavity is not involved. This review summarizes the current evidence of the pathophysiology, clinical manifestations, risk factors, and management of gastrointestinal complications after cardiac surgery, aiming to improve the recognition of gastrointestinal complications after cardiac surgery.

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  • Research progress in electrical cardioversion of atrial fibrillation during perioperative cardiac surgery

    Atrial fibrillation (AF) is one of the most common complications after cardiac surgery. The existing treatment of postoperative AF mainly focuses on preoperative prevention, intraoperative protection and postoperative treatment for factors prone to AF before, during and after surgery, but the postoperative treatment in various areas and hospitals is different. This article combines the latest literature published in Europace about the practice guidance of cardioversion of AF and atrial flutter, and summarizes the treatment of electrical cardioversion, in order to provide clinical guidance for electrical cardioversion of AF after cardiac surgery.

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