心脏移植患者围手术期右心室功能障碍的护理OA

Objective To summarize the nursing process of right ventricular dysfunction during perioperative heart transplantation and provide reference for clinical nursing.Methods A retrospective analysis was performed on 19 patients with right ventricular dysfunction who underwent heart transplantation at the Cardiac Surgery Department of Guangdong Provincial People's Hospital from February 2023 to February 2024,including 17 males and 2 females,aged(46.2±11.0)years,13 patients with dilated cardiomyopathy and 6 patients with ischemic cardiomyopathy.Through perioperative enhancement of right ventricular diastolic and systolic function,nitric oxide inhalation care,strengthening volume management,and improving microcirculatory perfusion,observation and care of rejection reactions,the purpose of maintaining the stability of right heart function and maintaining the effect of surgery was ultimately achieved.Results The postoperative ventilator assistance time of the 19 patients was[28(25,75)]h,and the ICU stay time was(8.0±4.8)d.Conclusion Full evaluation of patients'right ventricular function during perioperative period and optimization of perioperative right ventricular function can improve the prognosis of heart transplantation patients.