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目的:总结1例体外循环下主动脉瓣置换术后并发急性肾功能衰竭、心包填塞、心力衰竭、高血钾、酸中毒等多种并发症的护理抢救配合。方法:密切观察患者病情变化,正确迅速评估病情,随时做好突发病情变化、心跳呼吸骤停及活动性大出血的监测,规范心胸外科护理要点,及时处理不良反应。结果:经过及时的抢救和精心护理.患者最后康复出院。结论:做好术后专科护理工作,及时发现问题及时处理,降低并发症的发生,通过护理人员严密监护、精心护理,提高抢救成功率。
OBJECTIVE: To summarize a case of aortic valve replacement after cardiopulmonary bypass with acute renal failure, tamponade, heart failure, hyperkalemia, acidosis and other complications of nursing rescue and cooperation. Methods: Closely observe the patient’s condition changes, correctly and promptly assess the condition, keep abreast of sudden changes in conditions, sudden cardiac arrest and active bleeding monitoring, regulate cardiopulmonary surgery nursing points, and timely treatment of adverse reactions. Results: After timely rescue and meticulous care, patients were finally discharged. Conclusion: To do a good postoperative specialist nursing work, timely detection of problems and timely treatment to reduce the incidence of complications, nurses through intensive care, meticulous care and improve the success rate of rescue.