目的：探讨心脏瓣膜置换同期行射频消融治疗房颤的术中配合和护理要点。方法回顾分析33例接受心脏瓣膜置换手术的患者，同期行射频消融治疗房颤的术中配合和护理过程。结果33例患者手术顺利，术后均安返重症监护室，无死亡病例，术后一年房颤转复率为83.3%。结论认真做好术前常规物品及射频消融仪器的准备，对患者病情进行充分的评估，熟悉手术步骤，掌握特殊仪器的使用方法，及时准确传递手术器械，协助体外循环转流医生及麻醉医生密切观察患者术中生命体征及体温监测，安全用药，是保证手术顺利完成的关键。%ObjectiveTo explore cooperation in operation and nursing points of cardiac valve replacement combined with radiofrequency ablation in treatment with atrial fibrillation.Methods Cooperation in operation and nursing process of 33 patients who were treated with cardiac valve replacement combined with radiofrequency ablation in treatment with atrial fibrillation were retrospectively analyzed.Results33 patients all had successful operations and they were returned to intensive care unit after operation.There was no death case.The success rate of reversing atrial fibrillation of one year after operation was 83.3%. Conclusion Keys to a successful operation were to make careful preparations of preoperative conventional goods and radiofrequency ablation instrument,sufficiently evaluate patients' conditions,grasp using methods of special instruments,transfer surgical instrument promptly and accurately,assist doctors of cardiopulmonary bypass and anesthesia to closely observe intraoperative vital signs and temperature monitoring of patients as well was safe medication.
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