■持续的室性心动过速是一种以24小时内多次发生室性心动过速(VT)为特征的疾病,尽管努力阻止心律失常,但仍坚持。在这种情况下,交感神经切除术作为外科手术被认为是一种永久性干预措施,也是药物无效时的最后手段。该过程包括切断或夹住交感神经以防止神经信号的传输。因此,本研究旨在提供1例患者交感神经切断术后护理管理的病例报告。
一名59岁的女性患者被诊断为交感神经切除术后,被送往高监护病房,致心律失常性心肌病引起的持续室性心动过速。基于NANDA的护理问题包括心输出量减少,气体交换减值,活动不容忍。此外,该疾病的护理干预措施包括自我护理管理以及与麻醉师和心脏病专家的合作.干预措施包括心脏护理,气道管理,和活动疗法。还通过视频通话进行了远程护理,以在医院护理后对患者进行监控。
■有计划的护理可有效预防外科手术后常见的并发症。最重要的关键方面是定期维护和监控。病人于术后第三天出院,无呼吸急促的主诉,心悸,逐步恢复活动。
■交感神经切除术可以通过多学科合作成功地用于治疗患者。此外,护士可以强调术后护理管理,以加快康复和提高患者的生活质量。
UNASSIGNED: Incessant Ventricular Tachycardia is a condition characterized by multiple episodes of Ventricular Tachycardia (VT) in 24 hours, persisting despite efforts to stop the arrhythmia. In this condition,
sympathectomy as the surgical procedure is considered a permanent intervention and the last resort when medications prove ineffective. This procedure comprises the cutting or clamping of sympathetic nerves to prevent the transmission of nerve signals. Therefore, this study aims to present a case report of post-
sympathectomy nursing management in a patient with Incessant Ventricular Tachycardia.
UNASSIGNED: A 59-year-old female patient was admitted to the high-care unit with a diagnosis of post-
sympathectomy, Incessant Ventricular Tachycardia due to Arrhythmogenic Cardiomyopathy. Nursing problems based on NANDA included decreased cardiac output, gas exchange impairment, and activity intolerance. Furthermore, the nursing interventions for the condition included self-care management and collaboration with an anesthesiologist and cardiologist. The interventions encompassed cardiac care, airway management, and activity therapy. Tele-nursing was also conducted through video calls to monitor the patient after hospital care.
UNASSIGNED: The planned nursing care was effective in preventing common complications that often occur after the surgical procedure. The most important key aspect is regular maintenance and monitoring. The patient was discharged on the third day after the surgery with no complaints of shortness of breath, palpitations, and gradual resumption of activities.
UNASSIGNED: Sympathectomy procedures could successfully be used to treat patients through multidisciplinary collaboration. Furthermore, nurses could emphasize post-operative care management to expedite recovery and improve patient quality of life.