Postoperative Care of One Infective Endocarditis Patient with Isolated Kidney on the Right Side_West China Medical Journal

Authors：

 LUOTian-hui ,  ZENGLing

ICU, Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

ZENGLing, Email: zengling510@163.com

Keywords：

Infective endocarditis; Congenital isolated kidney; Valve replacement; Nursing

DOI：

10.7507/1002-0179.20140031

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To discuss the key nursing points for patients with infective endocarditis and congenital isolated kidney after valve replacement. Methods In December 2012, one infective endocarditis patient with isolated kidney underwent heart valve replacement in our hospital. In addition to actively preventing postoperative infection of the heart valve, our nursing focused mainly on the isolated kidney protection and monitoring, and the related complications. Results The surgery was successful, and the isolated kidney was effectively protected. The patient recovered and was discharged from the hospital. Conclusion For patients with congenital isolated kidney with infective endocarditis, patients' urine output per hour and 24 h discrepancy quantity should be closely observed after valve replacement surgery. It is also very important to intervene early and carry out comprehensive protection of the renal function.

Citation： LUOTian-hui, ZENGLing. Postoperative Care of One Infective Endocarditis Patient with Isolated Kidney on the Right Side. West China Medical Journal, 2014, 29(1): 102-105. doi: 10.7507/1002-0179.20140031 Copy

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10.	何朝生, 史偉, 梁馨苓, 等. 不同液凈化方式治療心臟手術后急性腎衰竭的療效比較研究[J]. 中國血液凈化, 2004, 3(4):188-191.
11.	趙偉麗. PICCO監測的臨床應用及護理[J]. 健康必讀雜志, 2012, 2(2):115.
12.	趙海龍, 余是. PICCO監測在危重患者中的應用進展[J]. 中國醫藥指南, 2012, 10(36):441-443.

1. 邢琪, 王輝, 任發成, 等. 感染性心內膜炎患者心臟瓣膜置換術麻醉管理體會[J]. 心肺血管病雜志, 2007, 26(3):175-176.
2. 劉上, 車妙琳, 謝波, 等. 急性腎損傷是影響心臟手術后患者長期生存的危險因素[J]. 中華腎臟病雜志, 2011, 27(6):416-422.
3. 蒲護瓊, 龔仁蓉, 周洪霞. 急性感染性心內膜炎圍手術期護理[J]. 華西醫學, 2007, 22(1):147-148.
4. 宋毅, 李然, 谷興華, 等. 體外循環術中自體血洗滌回輸對機體紅細胞免疫及腎功能的影響[J]. 中華醫學雜志, 2006, 86(32):2293-2296.
5. 寇黨培, 邊衛, 王準, 等. 心內直視術后早期并發急性腎功能衰竭的危險因素[J]. 天津醫藥, 2011, 39(6):566-567.
6. 張爾永, 石應康, 程述森, 等. 原發性感染性心內膜炎瓣膜損害的外科治療[J]. 中國胸心血管外科臨床雜志, 1999, 6(2):83-85.
7. 董力, 石應康, 田子樸, 等. 心臟機械瓣膜替換術后低強度抗凝治療[J]. 中華外科雜志, 2003, 41(4):250-252.
8. 汪鶯昱, 王朝暉, 王偉, 等. 成人先天性單腎缺如的臨床特征分析[J]. 腎臟病與透析腎移植雜志, 2010, 19(2):111-115.
9. 侯江龍, 董力. 心臟機械瓣膜置換術后的抗凝監測[J]. 華西醫學, 2008, 23(3):643-644.
10. 何朝生, 史偉, 梁馨苓, 等. 不同液凈化方式治療心臟手術后急性腎衰竭的療效比較研究[J]. 中國血液凈化, 2004, 3(4):188-191.
11. 趙偉麗. PICCO監測的臨床應用及護理[J]. 健康必讀雜志, 2012, 2(2):115.
12. 趙海龍, 余是. PICCO監測在危重患者中的應用進展[J]. 中國醫藥指南, 2012, 10(36):441-443.

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West China Medical Journal

Postoperative Care of One Infective Endocarditis Patient with Isolated Kidney on the Right Side

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