Perioperative Care for Full Thoracoscopic Bipolar Radiofrequency Ablation of Simple Atrial Fibrillation_West China Medical Journal

Authors：

CHEN Miao ¹ , JIANG Tao ² , ZENG Ling ¹

1. Department of Cardiovascular Surgery, West China Hospital , Sichuan University, Chengdu, Sichuan 610041, P. R. China; 2. Department of Cardiovascular Surgery, Hospital Affiliated to Luzhou Medical College, Luzhou, Sichuan 646000, P. R. China;

Corresponding?author：

Keywords：

胸腔鏡; 單純性房顫; 圍手術期; 護理

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目的　探討全胸腔鏡下Box Lesion雙極射頻消融術治療單純性房顫的圍手術期護理方法與要點。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（雙側肺靜脈+左心房后壁隔離）治療的6例心房纖顫患者，術前做好心理疏通及各項手術準備；術后采取各項對癥措施加強呼吸道、心律、引流、疼痛等監測與護理。結果　6例患者均在術后即刻轉復為竇性心律，無死亡，無并發癥發生，術后7 d均順利出院。出院后4周復查均為竇性心律。結論　全胸腔鏡下行Box-lesion雙極射頻房顫術是治療單純性房顫的有效手段，嚴密的觀察及精心護理是手術順利施行和疾患治愈的重要因素。

Citation： CHEN Miao,JIANG Tao,ZENG Ling. Perioperative Care for Full Thoracoscopic Bipolar Radiofrequency Ablation of Simple Atrial Fibrillation. West China Medical Journal, 2012, 27(8): 1237-1239. doi: Copy

1.	李巖, 孟旭, 崔永強. 56例微創外科治療單純性心房顫動的臨床經驗[J].心肺血管病雜志, 2008, 27(3): 129-132.
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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. 射頻消融房室結改良術心電監護分析[J]. 中華護理雜志, 1998, 33(10): 562-564.
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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例微創外科治療單純性心房顫動的臨床經驗[J].心肺血管病雜志, 2008, 27(3): 129-132.
2. 　李妍, 俞賢珍, 呂春華. 陣發性心房顫動患者經導管射頻消融治療的護理[J]. 護理學雜志, 2009, 7(5): 31-32.
3. 　楊占云, 王麗, 魏蔚. 心胸外科手術中單肺通氣的研究與進展[J]. 中國組織工程研究與臨床康復, 2008, 12(5): 945-948.
4. 　曹克將, 陳椿. 抗心律失常藥物的應用進展[J]. 中國實用內科雜志, 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. 射頻消融房室結改良術心電監護分析[J]. 中華護理雜志, 1998, 33(10): 562-564.
8. 　周微微, 任衛東. 房顫發生機制研究進展[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.

West China Medical Journal

Perioperative Care for Full Thoracoscopic Bipolar Radiofrequency Ablation of Simple Atrial Fibrillation

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