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目的:观察与分析高原地区开胸手术治疗动脉导管未闭合并肺动脉高压术后并发症,提出相应的护理措施。方法:对300例动脉导管未闭合并肺动脉高压开胸术后并发症发生率、影响原因及相应的护理手段进行分析,比较居住在不同海拔高度的病例术前、术后平均肺动脉压、氧饱和度及合并症发生率。结果:300例动脉导管未闭合并肺动脉高压术后死亡率为4%,存活病例中合并高血压病例达45%,肺部并发症15%,声音嘶哑19.3%,出血10%。患者居住地海拔越高,术后并发症的几率越高。术前充分准备,吸氧;术中注意心肌保护措施;术后严密监护与护理,可以减少术中和术后并发症的发生,降低死亡率。结论:对于动脉导管未闭合并肺动脉高压患者,严格注意围术期的观察与护理,可以取得良好的治疗效果。
OBJECTIVE: To observe and analyze the postoperative complications of patent ductus arteriosus and pulmonary hypertension treated with thoracotomy in high altitude area and put forward corresponding nursing measures. Methods: 300 cases of patent ductus arteriosus and pulmonary hypertension after thoracotomy complications, the causes and the corresponding nursing methods were analyzed, compared to living in different altitude cases of preoperative and postoperative mean pulmonary arterial pressure, oxygen saturation Degree and complication rate. Results: The mortality of 300 patients with patent ductus arteriosus and pulmonary hypertension was 4%. The survivors were 45% with hypertension, pulmonary complications 15%, hoarseness 19.3% and bleeding 10%. The higher the altitude of the patient’s residence, the higher the probability of postoperative complications. Preoperative preparation, oxygen; intraoperative attention to myocardial protection measures; close monitoring and care after surgery, can reduce intraoperative and postoperative complications, reduce mortality. Conclusion: For the patent ductus arteriosus patients with pulmonary hypertension, strict attention to perioperative observation and care, you can get good treatment.