1例卵圆孔未闭介入封堵术后发生心脏压塞的护理

A Case Report of Nursing Care of Cardiac Tamponade after Transcatheter Occlusion of Patent Foramen Ovale (PFO)

摘要: 总结１例卵圆孔未闭介入封堵术后发生急性心脏压塞的护理措施。护理要点：术前应完善术前宣教及筛查；术中应严格监测患者生命体征；术后出现心脏压塞时应及时抢救，对患者进行全程血流动力学监测，并做好危重症患者护理、导管护理、用药护理、穿刺点护理、心理护理和防治并发症等相关护理措施。经过一系列护理及治疗，患者各项指标均较前好转。全程精细化护理是保证此类患者成功救治的关键。

Abstract: The nursing measures for acute cardiac tamponade after interventional closure of patent foramen ovale were summarized. Key points of nursing: preoperative education and screening should be improved before surgery; the patient’s vital signs should be strictly monitored during the operation; in the event of cardiac tamponade after surgery, the patient should be rescued in time, the patient should be monitored for hemodynamic monitoring throughout the whole process, and relevant nursing measures such as critical patient care, catheter care, medication care, puncture point care, psychological care, and prevention and treatment of complications should be done. After a series of nursing and treatment, the patient’s indicators were better than before. Meticulous care throughout the process is the key to ensuring the successful treatment of such patients.