Nursing care for one case of newborn with delayed closure of chest and acute renal injury after Switch operation and underwent Peritoneal dialysis
10.3760/cma.j.issn.1672-7088.2019.03.009
- VernacularTitle:一例新生儿大动脉转位术后延期关胸合并急性肾损伤行腹膜透析护理
- Author:
Wenyuan SHANG
1
;
Qun YU
;
Yaqin HU
;
Siwen LI
;
Qian LI
;
Yu CHEN
;
Wenqing HOU
Author Information
1. 上海交通大学医学院附属新华医院小儿急危重症医学科PSICU 200092
- Keywords:
Switch operation;
Low cardiac output syndrome;
Delayed closure of chest;
Peritoneal dialysis
- From:
Chinese Journal of Practical Nursing
2019;35(3):200-204
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the nursing experience of delayed closure of chest with acute renal injury after switch operation and underwent peritoneal dialysis in neonates and to improve the therapeutic effect. Methods To summarize the curative effects and perioperative nursing experience of one case of the complete transposition of great arteries with intact interventricular septum neonate who underwent delayed closure of chest with acute renal injury and peritoneal dialysis after Switch operation under general anesthesia and extracorporeal circulation in November 2017 in our department. Results The child was postponed to close the chest after surgery. Low cardiac output syndrome and acute renal function injury occurred 1 hour after operation. Through monitoring hemodynamic indexes during ICU, the child recovered after timely treatment of low cardiac output syndrome, maintaining stabilization of circulation, diuresis, peritoneal dialysis, keeping water, electrolyte and acid-base balance, nursing care for delayed closure of chest and other related treatment. Postoperative assisted mechanical ventilation time was 168 hours, postoperative ICU hospitalization time was 12 days, and postoperative total hospitalization time was 19 days. Conclusion The infants who have complete transposition of the great arteries and the intact interventricular septum after Switch operation have many complications and rapid changes in the state of illness. Rigorous and meticulous nursing plays a key role in reducing the postoperative complications and improving the achievement ratio of the operation.
