Nursing Care for Hybrid Surgery to Treat Congenital Heart Disease with Diminished Pulmonary Blood Flow and Aortopulmonary Collateral Arteries_West China Medical Journal

Authors：

 HUANGZhi-hui , YANGXiao-rong , ZHENGJing ,  GONGRen-rong

Operation Room, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

GONGRen-rong, Email: gongrenrong@163.com

Keywords：

Hybrid surgery; Congenital heart disease with diminished pulmonary blood flow and aortopulmonary collateral artery; Surgcal nursing

DOI：

10.7507/1002-0179.20150655

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To 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). Method We 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. Results All 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. Conclusions Hybrid 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.

Citation： HUANGZhi-hui, YANGXiao-rong, ZHENGJing, GONGRen-rong. Nursing Care for Hybrid Surgery to Treat Congenital Heart Disease with Diminished Pulmonary Blood Flow and Aortopulmonary Collateral Arteries. West China Medical Journal, 2015, 30(12): 2286-2290. doi: 10.7507/1002-0179.20150655 Copy

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1. 劉迎龍, 沈向東, 李守軍, 等. 介入及手術聯合矯治伴有體肺動脈側支的肺血減少型先天性心臟病[J]. 中華醫學雜志, 2006, 86(4):228-231.
2. 李勝利, 王旭, 賀彥, 等. 體肺側支介入封堵聯合根治術治療法洛四聯癥[J]. 臨床心血管病雜志, 2009, 25(2):117-118.
3. Arda IS, Guney LH, Coskun M, et al. Esophageal stenosis after coil embolization of an aortopulmonary collateral artery:report of a very unusual cause[J]. J Pediatr Surg, 2005, 40(4):E21-E23.
4. 曾箏, 張戈軍, 蔣世良, 等. 體肺側支血管栓塞術在復雜先天性心臟病治療中的應用[J]. 中華放射學雜志, 1998, 32(8):15-17.
5. Galantowicz M, Cheatham JP, Phillips A, et al. Hybrid approach for hypoplastic left heart syndrome:intermediate results after the learning curve[J]. Ann Thorac Surg, 2008, 85(6):2063-2070; discussion 2070-2071.
6. 胡海波, 徐仲英, 蔣世良, 等. 體-肺側支栓塞術在重癥法洛四聯癥"一站式"雜交治療中的臨床價值[J]. 中國介入心臟病學雜志, 2008, 16(3):121-123.
7. 胡盛壽, 黃方炯. 冠心病外科治療學[M]. 北京:科學出版社, 2003:406-407.
8. Murray JF, Matthay MA, Luce JM, et al. An expanded definition of the adult respiratory distress syndrome[J]. Am Rev Respir Dis, 1988, 138(3):720-723.
9. Murkin JM. Attenuation of neurologic injury during cardiac surgery[J]. Ann Thorac Surg, 2001, 72(5):S1838-S1844.
10. Krupp MA. Current medical diagnosis and treatmeat[M]. California:Lanqe Medical Publications, 1982:162-163.
11. 夏書杰. 淺談一站式雜交手術[J]. 臨床研究, 2007, 4(5):132-133.
12. 張壯, 董新偉, 楊侃, 等. 重癥法洛四聯癥合并體肺側支的外科治療[J]. 中國自然醫學雜志, 2005, 7(2):67-68.
13. 喬軍選, 許衛民, 康朝, 等. 體肺側支血管栓塞術在重癥法洛四聯癥治療中的應用[J]. 西南國防醫藥, 2010, 20(8):834-835.
14. 李秀英, 房伍磊. 護理工作中醫院感染的危險因素及干預對策[J]. 中華醫院感染學雜志, 2009, 19(13):1694-1695.
15. 宋秀棉, 何麗, 高靜. 護理管理在一站式雜交手術感染控制中的作用[J]. 中華醫院感染學雜志, 2011, 21(1):104-105.

West China Medical Journal

Nursing Care for Hybrid Surgery to Treat Congenital Heart Disease with Diminished Pulmonary Blood Flow and Aortopulmonary Collateral Arteries

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