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目的探讨低龄低体重心脏手术患儿在麻醉准备间的护理干预措施,保障患儿在麻醉准备间的安全。方法对我院2016年1-10月收治的51例体质量小于5kg、年龄小于4个月的先天性心脏病手术患儿在麻醉准备间的各项护理干预措施的具体实施方法和临床效果进行回顾性分析和评估。结果全组患儿在麻醉准备间呼吸和血流动力学平稳,内环境稳定,皮肤完整无压红,液体管理准确,无拔管坠床液体外渗等不良事件发生。结论麻醉准备间是一个手术患者集中流动性大的工作场所,低龄低体重心脏手术患儿的机体发育不成熟、各器官功能不全,护理工作中要求给予多方面的护理干预措施,根据其特点进行呼吸系统、循环系统、泌尿系统、内环境、皮肤、温度等全方位的管理,对提高围手术期的麻醉质量,减少并发症,保障患儿安全具有重要意义。
Objective To explore the nursing interventions between anesthesia preparation in children undergone low-weight cardiac surgery to ensure the safety of children during anesthesia preparation. Methods 51 cases of hospitalized from January 2016 to January 2016 with body mass less than 5kg, age less than 4 months of congenital heart disease surgery in anesthesia preparation of various nursing interventions between the specific implementation methods and clinical effects Retrospective analysis and assessment. Results All patients had stable respiratory and hemodynamics during anesthesia preparation, stable internal environment, complete absence of red pressure on the skin, accurate liquid management, and no extravasation of fluids such as extubation of bed fallout. Conclusion The anesthesia preparation room is a concentrated workplace with a large mobility of surgical patients. The body of young children with low-weight and low-weight cardiac surgery is immature and the organs are not fully functional. Various nursing interventions are required in the nursing work, and according to their characteristics Respiratory system, circulatory system, urinary system, internal environment, skin, temperature and other comprehensive management, to improve perioperative anesthesia quality, reduce complications, to protect the safety of children is of great significance.