全胸腔鏡下Box Lesion雙極射頻術治療單純性心房顫動的手術配合及護理_West China Medical Journal

Authors：

 吳雪霖 , 倪禾豐 ,  龔仁蓉

四川大學華西醫院手術室（成都 610041）;

Corresponding?author：

龔仁蓉, Email: gongrenrong@163.com

Keywords：

胸腔鏡; 單純性心房顫動; 護理

DOI：

10.7507/1002-0179.201600255

Video：

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Abstract Full text Figures/Tables Video References Cited by

目的總結全胸腔鏡下Box Lesion 雙極射頻術治療單純性心房顫動（房顫）的手術配合方法及要點。方法對2011 年5 月－ 2012 年10 月收治的14 例行全胸腔鏡Box Lesion 雙極射頻術治療單純性房顫患者的手術配合及護理方法進行總結，做到充分的術前準備，正確調節胸腔鏡等儀器設備，放置最佳的手術體位，對手術步驟的熟悉，對胸腔鏡、射頻消融系統等特殊器械的了解和及時準確的傳遞等術中護理配合工作。結果 14 例患者在全胸腔鏡下順利完成手術，只需在雙側胸腔各開3 個長1 cm 左右的手術切口，平均手術時間（123±36）min，無術中并發癥，無圍手術期死亡，所有患者術后1 年隨訪，12 例（85.71%）患者恢復為竇性心律，2 例患者仍為房顫。結論術前充分準備和術中密切配合是提高全胸腔鏡下Box Lesion 雙極射頻術效率、順利完成手術的關鍵。

Citation： 吳雪霖, 倪禾豐, 龔仁蓉. 全胸腔鏡下Box Lesion雙極射頻術治療單純性心房顫動的手術配合及護理. West China Medical Journal, 2016, 31(5): 946-948. doi: 10.7507/1002-0179.201600255 Copy

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13.	陳秒, 江濤, 曾玲. 全胸腔鏡下Box Lesion雙極射頻消融術治療單純性房顫圍手術期護理[J]. 華西醫學, 2012, 27(8): 1237-1239.

1. 1 Zhang S. Atrial fibrillation in mainland China: epidemiology and current management[J]. Heart, 2009, 95(13):1052-1055.
2. Kopecky SL, Gersh BJ, Mcgoon MD, et al. The natural history of lone atrial fibrillation. A population-based study over three decades[J]. N Engl J Med, 1987, 317(11):669-674.
3. Furberg CD, Psaty BM, Manolio TA, et al. Prevalence of atrial fibrillation in elderly subjects (the Cardiovascular Health Study)[J]. Am J Cardiol, 1994, 74(3):236-241.
4. Lévy S, Maarek M, Coumel P, et al. Characterization of different subsets of atrial fibrillation in general practice in France: the ALFA study. The College of French Cardiologists[J]. Circulation, 1999, 99(23):3028-35.
5. Cox JL, Schuessler RB, Boineau JP. The development of the Maze procedure for the treatment of atrial fibrillation[J]. Semin Thorac Cardiovasc Surg, 2000, 12(1):2-14.
6. Zuffada F, Saviano M, Pappone A, et al. Irrigated-tip magnetic catheter ablation of AF: a long-term prospective study in 130 patients[J]. Heart Rhythm, 2011, 8(1):8-15.
7. Wolf RK, Schneeberger EW, Osterday R, et al. Video-assisted bilateral pulmonary vein isolation and left atrial appendage exclusion for atrial fibrillation[J]. J Thorac Cardiovasc Surg, 2005, 130(130):797-802.
8. 李美清, 王曉丹, 廖冰野, 等. 手術室貴重器械的管理實踐[J]. 中華護理雜志, 2010, 45(8): 768.
9. Kumagai K, Muraoka S, Mitsutake C, et al. A new approach for complete isolation of the posterior left atrium including pulmonary veins for atrial fibrillation[J]. J Cardiovasc Electrophysiol, 2007, 18(10): 1047-1052.
10. 周微微, 任衛東. 房顫發生機制研究進展[J]. 心臟雜志, 2003, 15(6): 558-562.
11. Ha?ssaguerre M, Ja?s 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(10): 659-666.
12. 石峻, 張本貴, 白志軒, 等. 全胸腔鏡下Box Lesion雙極射頻治療心房顫動[J]. 中國胸心血管外科臨床雜志, 2011, 18(5): 433-435.
13. 陳秒, 江濤, 曾玲. 全胸腔鏡下Box Lesion雙極射頻消融術治療單純性房顫圍手術期護理[J]. 華西醫學, 2012, 27(8): 1237-1239.

West China Medical Journal

全胸腔鏡下Box Lesion雙極射頻術治療單純性心房顫動的手術配合及護理

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