目的 探討全胸腔鏡下Box Lesion雙極射頻消融術(shù)治療單純性房顫的圍手術(shù)期護(hù)理方法與要點。方法 對2011年5月－2011年9月擬行全胸腔鏡下Box Lesion雙極射頻消融（雙側(cè)肺靜脈+左心房后壁隔離）治療的6例心房纖顫患者，術(shù)前做好心理疏通及各項手術(shù)準(zhǔn)備；術(shù)后采取各項對癥措施加強呼吸道、心律、引流、疼痛等監(jiān)測與護(hù)理。 結(jié)果 6例患者均在術(shù)后即刻轉(zhuǎn)復(fù)為竇性心律，無死亡，無并發(fā)癥發(fā)生，術(shù)后7 d均順利出院。出院后4周復(fù)查均為竇性心律。 結(jié)論 全胸腔鏡下行Box-lesion雙極射頻房顫術(shù)是治療單純性房顫的有效手段，嚴(yán)密的觀察及精心護(hù)理是手術(shù)順利施行和疾患治愈的重要因素。
引用本文： 陳秒,江濤,曾玲. 全胸腔鏡下Box Lesion雙極射頻消融術(shù)治療單純性房顫圍手術(shù)期護(hù)理. 華西醫(yī)學(xué), 2012, 27(8): 1237-1239. doi: 復(fù)制
| 1. | 李巖, 孟旭, 崔永強. 56例微創(chuàng)外科治療單純性心房顫動的臨床經(jīng)驗[J].心肺血管病雜志, 2008, 27(3): 129-132. |
| 2. | 李妍, 俞賢珍, 呂春華. 陣發(fā)性心房顫動患者經(jīng)導(dǎo)管射頻消融治療的護(hù)理[J]. 護(hù)理學(xué)雜志, 2009, 7(5): 31-32. |
| 3. | 楊占云, 王麗, 魏蔚. 心胸外科手術(shù)中單肺通氣的研究與進(jìn)展[J]. 中國組織工程研究與臨床康復(fù), 2008, 12(5): 945-948. |
| 4. | 曹克將, 陳椿. 抗心律失常藥物的應(yīng)用進(jìn)展[J]. 中國實用內(nèi)科雜志, 2007, 27(1): 14-17. |
| 5. | Massie BM, Fisher SG, Deedwania PC, et al. Effect of am iodarone on clinical status and leftventricu lar function in patients with congestive heart failure[J]. Circulation, 1996, 93(21): 2128-2134. |
| 6. | Doval HC, Nul DR, Grancelli HO, et al. Randomised trial of low-dose am iodarone in severe congestive heart failure Grupo-de Estudio de la Sobrevida en la Insuficiencia Cardiaca en Argentina (GESICA) [J]. Lancet, 1994, 344(8921): 493-498. |
| 7. | 李淑榮, 李潔, 梅靜, 等. 射頻消融房室結(jié)改良術(shù)心電監(jiān)護(hù)分析[J]. 中華護(hù)理雜志, 1998, 33(10): 562-564. |
| 8. | 周微微, 任衛(wèi)東. 房顫發(fā)生機(jī)制研究進(jìn)展[J]. 心臟雜志, 2003, 15(6): 558-559. |
| 9. | Scherf D. Studies on auricular tachycardia caonitine administ ration[J]. Proc Soc Exp Biol NY , 1947 , 64 : 233 - 239. |
| 10. | Garratt CJ, Duytschaever M, Killian M, et al. Repetitive electrical remodeling by paroxysms of atrial fibrillation in he goat: no cumulatice effect on inducibility or stability of atrial fibrillation [J]. J Cardiovasc Electrophysil, 1999, 10: 1101-1108. |
| 11. | Haissaguerre M, Jais P, Shah DC, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins[J]. N Engl J Med , 1998, 339 : 659-666. |
| 12. | Everett TH 4th, Olgin JE. Basic mechanisms of atrial fibrillation[J]. Cardiol Clin, 2004, 22(1): 9-20. |
| 13. | Sonmez B, Ergun D, Naci Y, et al. A fatal complication due to radiofrequency ablation for atrial fibrillation: atrio-esophageal fistula[J]. Ann Thorac Surg, 2003, 76(1): 281-283. |
| 14. | Cooper JM, Sapp JL, Usha T, et al. Ablation with an internally irrigated radiofrequency catheter:learning how to avoid steam pops[J]. Heart Rhythm, 2004, 1(3): 329-333. |
- 1. 李巖, 孟旭, 崔永強. 56例微創(chuàng)外科治療單純性心房顫動的臨床經(jīng)驗[J].心肺血管病雜志, 2008, 27(3): 129-132.
- 2. 李妍, 俞賢珍, 呂春華. 陣發(fā)性心房顫動患者經(jīng)導(dǎo)管射頻消融治療的護(hù)理[J]. 護(hù)理學(xué)雜志, 2009, 7(5): 31-32.
- 3. 楊占云, 王麗, 魏蔚. 心胸外科手術(shù)中單肺通氣的研究與進(jìn)展[J]. 中國組織工程研究與臨床康復(fù), 2008, 12(5): 945-948.
- 4. 曹克將, 陳椿. 抗心律失常藥物的應(yīng)用進(jìn)展[J]. 中國實用內(nèi)科雜志, 2007, 27(1): 14-17.
- 5. Massie BM, Fisher SG, Deedwania PC, et al. Effect of am iodarone on clinical status and leftventricu lar function in patients with congestive heart failure[J]. Circulation, 1996, 93(21): 2128-2134.
- 6. Doval HC, Nul DR, Grancelli HO, et al. Randomised trial of low-dose am iodarone in severe congestive heart failure Grupo-de Estudio de la Sobrevida en la Insuficiencia Cardiaca en Argentina (GESICA) [J]. Lancet, 1994, 344(8921): 493-498.
- 7. 李淑榮, 李潔, 梅靜, 等. 射頻消融房室結(jié)改良術(shù)心電監(jiān)護(hù)分析[J]. 中華護(hù)理雜志, 1998, 33(10): 562-564.
- 8. 周微微, 任衛(wèi)東. 房顫發(fā)生機(jī)制研究進(jìn)展[J]. 心臟雜志, 2003, 15(6): 558-559.
- 9. Scherf D. Studies on auricular tachycardia caonitine administ ration[J]. Proc Soc Exp Biol NY , 1947 , 64 : 233 - 239.
- 10. Garratt CJ, Duytschaever M, Killian M, et al. Repetitive electrical remodeling by paroxysms of atrial fibrillation in he goat: no cumulatice effect on inducibility or stability of atrial fibrillation [J]. J Cardiovasc Electrophysil, 1999, 10: 1101-1108.
- 11. Haissaguerre M, Jais P, Shah DC, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins[J]. N Engl J Med , 1998, 339 : 659-666.
- 12. Everett TH 4th, Olgin JE. Basic mechanisms of atrial fibrillation[J]. Cardiol Clin, 2004, 22(1): 9-20.
- 13. Sonmez B, Ergun D, Naci Y, et al. A fatal complication due to radiofrequency ablation for atrial fibrillation: atrio-esophageal fistula[J]. Ann Thorac Surg, 2003, 76(1): 281-283.
- 14. Cooper JM, Sapp JL, Usha T, et al. Ablation with an internally irrigated radiofrequency catheter:learning how to avoid steam pops[J]. Heart Rhythm, 2004, 1(3): 329-333.