体外循环心内直视术后并发急性心包填塞的观察与护理

摘要

Objective To investigate the observation and nursing strategies of acute pericardial tamponade after cardiopulmonary bypass. Method The clinical records of 15 patients of acute pericardial tamponade after cardiopulmonary bypass from July 2006 to July 2011 were retrospectively reviewed to summarize the experience of and nursing strategies. Result Through timely and symptomatic treatment, hemodynamics restored to stability in all the 15 patients and all of them were recovered. Conclusions A major cause of acute pericardial tamponade after cardiac operation is mediastinal bleeding combined with the blockage or no blockage of drainage tube. The hemodynamic observation and nursing care for drainage tube are the key points to the prevention and treatment of acute pericardial tamponade.%目的 探讨体外循环心内直视术后并发急性心包填塞的观察与护理要点.方法 回顾性分析本院2006年7月～2011年7月实施体外循环心内直视术后出现心包填塞15例患者的临床资料,并总结术后观察和护理要点.结果 15例患者经过及时对症治疗和护理后,血流动力学恢复稳定,无1例死亡.结论 心内直视术后心包填塞的主要原因是术后纵膈出血过多,可伴有心包液引流不畅,而积极的观察和及时正确做好纵膈引流管护理是防治急性心包填塞的关键.