Pi Jing Hong , Chen Wen Min , Jia Zheng , Na Zhu Hui , Yang Jia , Fu Qiong Fen . Cardiac Arrest Caused by Malignant Arrhythmia in Patients in Early Stage after Valve Replacement[J]. Journal of Kunming Medical University, 2017, 38(10): 55-59.
Citation: Pi Jing Hong , Chen Wen Min , Jia Zheng , Na Zhu Hui , Yang Jia , Fu Qiong Fen . Cardiac Arrest Caused by Malignant Arrhythmia in Patients in Early Stage after Valve Replacement[J]. Journal of Kunming Medical University, 2017, 38(10): 55-59.

Cardiac Arrest Caused by Malignant Arrhythmia in Patients in Early Stage after Valve Replacement

Funds:

基金: 昆明市延安医院院内科研基金资助项目 (YYKY014-036);

  • Received Date: 2017-04-13
  • Objective To investigate the related problems in the emergency treatment of cardiac arrest in patients with early cardiac arrhythmias after valve replacement, and to provide reference for clinical practice.Methods 35 cases of cardiac arrest induced by early malignant ventricular arrhythmia after heart valve replacement in our department from January 2013 to January 2015 were selected as A group, 35 cases of cardiac arrest induced by early malignant ventricular arrhythmia after heart valve replacement in February 2015 to February 2017 were selected as the B group. In the study, treatment and nursing data of patients in A group were retrospectively analyzed, the nursing measures were carefully analyzed, and the clinical experience and shortcomings were summarized, the nursing process, quality standard and professional training for the cardiac arrest patients induced by malignant arrhythmia were reanalyzed, and formulated a standard, normal, scientific and effective management system. Then we applied the new management system in B group. We compared the sinus rhythm recovery time, the autonomous blood pressure recovery time, the autonomous breathing recovery time, the cases of successful rescue, the chest compression time, the defibrillation frequency, the types of used antiarrhythmic drug, the cases of bedside thoracotomy, the cases of using temporary pacemaker, the mechanical ventilation time and the prognosis of the patients. Results The sinus rhythm recovery time, the autonomous blood pressure recovery time, the autonomous breathing recovery time, the chest compression time, and the mechanical ventilation time of patients in B group were lower than the A group, the preliminary rescue success rate, the success rate of rescue in B group were higher than the A group, the difference was statistically significant (P < 0.05) . Conclusions For early rescue of cardiac arrest caused by malignant arrhythmia after valve replacement, the key is to strengthen the observation, early detect, give timely defibrillation, regulate the use of intravenous catheters and temporary pacemaker antiarrhythmic drugs and pay attention to use the central venous catheter and the temporary pacemaker.
  • loading
  • [1]左婷婷, 叶李莎, 凌华.心脏瓣膜替换术后并发恶性心律失常的护理[J].实用临床医学, 20113, 12 (7) :117.
    [2]
    [2]LECLEREQ T, PARREL S, MIERDL S, et al.Acquired long QT syndrome and cardiac arrest after general anesthesia.Case report and review of literature[J].Ann Fr Anesth Reanim, 2014, 33 (6) :421.
    [3]徐琼英.恶性心律失常致心脏骤停患者的护理干预[J].护士进修杂志, 2014, 29 (3) :244.
    [4]
    [4]COYAL D, NADAR SK, WRIGLEY B, et al.Successful use of intra-aortic counter pulsation therapy for intractable ventricular arrthythmia in patient with severe left ventricular dysfunction and normal coronary arteies[J].Cardiol J, 2010, 17 (4) :401-403.
    [5]欧阳兆忠, 吴木富.恶性心律失常42例急救的临床分析[J].中国实用医药, 2012, 7 (21) :57.
    [6]刘大为.实用重症医学[M].北京:人民卫生出版社, 2010:444.
    [7]周利, 张婷, 刘思.护理干预用于恶性心律失常致心脏骤停患者中的效果评价[J].实用临床医药杂志, 2016, 20 (20) :3.
    [8]蒋丽虹, 邹弘麟, 李亚雄.心脏外科围术期管理实用手册[M].北京:中国科学技术出版社, 2016:182.
    [9]白冰冰, 石丽, 贾艳, 等.心血管病护理手册[M].北京:中国协和医科大学出版社, 2007:25.
    [10]石丽.实用心胸血管外科护理及技术[M].北京:科学出版社, 2008:69.
    [11]王欣然, 杨莘.危重病护理临床思维[M].北京:科学技术文献出版社, 2010:88.
    [12]李宏伟, 张艳芹, 陈涛, 等.前位护理路径在预防急性心肌梗死并发恶性心律失常的效果评价[J].山西医药杂志, 2014, 43 (6) :701-703.
    [13]林金金.恶性心律失常预见性护理分析[J].现代诊断与治疗, 2015, 26 (9) :2146-2147.
    [14]
    [14]HERSI A S, ALHABIB K F, AIFALEH H F, et a1.Incidence of ventricular arrhythmia and associated patient outcomes in hospi-t Mized acute coronary syndrome patients in saudi arabia:find-ings from the registry of the saudi project for assessment of acute coronary syndrome (SPACE) [J].Ann Saudi Med, 2012, 32 (4) :372-377.
    [15]李小勤, 童本沁, 杨惠花, 等.恶性心律失常的早期识别与急救护理[J].江苏医药, 2013, 39 (23) :2942-2943.
  • Relative Articles

    [1] Xiao-lu YANG, Shu-juan WANG, Xiang-feng BAI. Effect of Family-centered Care on Quality of Life in Patients Underwent Heart Valve Replacement. Journal of Kunming Medical University, 2021, 42(8): 174-176.  doi: 10.12259/j.issn.2095-610X.S20210831
    [2] Hu Feng Chan . . Journal of Kunming Medical University,
    [3] Zheng Yan . . Journal of Kunming Medical University,
    [4] Luo Li Yun . . Journal of Kunming Medical University,
    [5] Chen Xiao Na . . Journal of Kunming Medical University,
    [6] Yang Xiu Hua . . Journal of Kunming Medical University,
    [7] Jie Yan Hua . . Journal of Kunming Medical University,
    [8] Li Xiu Fen . . Journal of Kunming Medical University,
    [9] Feng Rui . . Journal of Kunming Medical University,
    [10] Zhang Jing . . Journal of Kunming Medical University,
    [11] Qin Hui Zhi . . Journal of Kunming Medical University,
    [12] Zhu Li Xian . . Journal of Kunming Medical University,
    [13] Li Rui . . Journal of Kunming Medical University,
    [14] Chen Wen Min . . Journal of Kunming Medical University,
    [15] Chen Wen Min . . Journal of Kunming Medical University,
    [16] Zhao Lei . . Journal of Kunming Medical University,
    [17] . . Journal of Kunming Medical University,
    [18] . . Journal of Kunming Medical University,
    [19] . . Journal of Kunming Medical University,
    [20] Ji Jian Hua . . Journal of Kunming Medical University,
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (1906) PDF downloads(60) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return