Perioperative nursing care of a child with hypoplastic left heart syndrome undergoing modified total vena cava pulmonary artery anastomosis operation
10.3761/j.issn.0254-1769.2025.19.015
- VernacularTitle:1例左心发育不良综合征患儿行改良全腔静脉-肺动脉吻合术的护理
- Author:
Jun ZHOU
1
;
Ruan CHEN
;
Jihua ZHU
Author Information
1. 310052 杭州市 浙江大学医学院附属儿童医院心脏重症监护室
- Publication Type:Journal Article
- Keywords:
Hypoplastic Left Heart Syndrome;
Modified Total Vena Cava Pulmonary Artery Anastomosis Operation;
Pediatric Nursing
- From:
Chinese Journal of Nursing
2025;60(19):2404-2408
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the nursing experience of a child with hypoplastic left heart syndrome undergoing modified total vena cava pulmonary artery anastomosis operation.Preoperative nursing points:to establish a multidisciplinary team to formulate the best surgical plan;implementation of pre-rehabilitation nursing to reduce the risk of surgery.Postoperative nursing points:precise volume management to ensure effective pulmonary circulation perfusion;to reduce pulmonary artery pressure and maintain effective cardiac output;early warning of high risk to prevent thrombosis;nutritional support should be strengthened and protein-losing enteropathy should be alert for its incidence.Phase Ⅰ cardiac rehabilitation training should be strengthened to improve cardiopulmonary function.After careful treatment and nursing care,the child recovered and was discharged on the 28 th day after surgery.
