目的 总结胸腔镜下二尖瓣置换术的护理配合要点。 方法 2011年7月－12月利用腔镜技术以肋间开胸方式对5例心脏疾患患者施行二尖瓣置换手术，术前充分准备和术中密切配合，确保了手术的顺利施行和完成。 结果 除1例患者因术中出血改为传统开胸手术外，其余4例均顺利完成手术。患者术中出血量平均约300 mL，术后平均引流量约100 mL，手术平均时间4 h，患者术后在监护室留观1 d后转入病房。 结论 腔镜二尖瓣置换术是一项值得推广的手术方式，护理人员要不断加强知识的学习和更新，以适应新术式发展对护理工作的挑战和要求。
ObjectiveTo summarize and share the surgical nursing experiences for hybrid procedures in the treatment of congenital heart disease with diminished pulmonary blood flow and aortopulmonary collateral arteries (APCA). MethodWe retrospectively analyzed the clinical data, including nursing problems, interventions and outcomes, of 15 patients with congenital heart disease with diminished pulmonary blood flow and APCA treated between May 2011 and February 2012. ResultsAll operations were completed successfully with effective nursing interventions. No complications like low cardiac output syndrome, lung over-perfusion, vital organ dysfunction, neuropsychological disorder, or systemic infection were noticed. ConclusionsHybrid procedure in the treatment of congenital heart disease with diminished pulmonary blood flow and APCA with complex surgical procedures, intraoperative variables and high surgical risks requires multi-disciplinary collaboration. Effective surgical nursing intervention is important to ensure the successful completion of surgery, and reduce possible complications.