Objective : To explore nursing strategy about severe pulmonary hypertension associated with congenital heart disease after cardiac surgery in neonatal period. Methods:155 patients with severe pulmonary hypertension associated with congenital heart disease after cardiac surgery were treated in our department from January 2005 to Octoher 2010, through the intensive care, changing neonates' lung compliance, decreasing pulmonary vascular resistance and pulmonary hypertension , increasing pulmonary blood flow , improving the proportion of pulmonarv ventilation to blood flow , increasing pulmonary arterial oxygen pressure, improving patient's hypoxia, improving heart function, and strengthening the lower respiratory care to decrease the incidence of pulmonary complications. we could prevent pulmonary hypertension and avoid the occurrence of pulmonary hypertension crisis. Results:127 patients were cured,3 patients died,25 patients gave up treatment and left hospital because of financial condition, the average hospital stay was 22 days, the average time of using the breathing machine was 4 days. Conclusion : The postoperative nursing care of severe pulmonary hypertension associated with congenital heart disease after cardiac surgery was difficult and dangerous, comprehensive and standardized nursing care was essential to improve the success rate of surgery, reduce the operative mortality greatly and improve the quality of life.%目的:探讨新生儿期先天性心脏术后合并重度肺动脉高压的护理策略.方法:2005年1月～2010年10月我科共收治155例新生儿先天性心脏病术后并发重度肺动脉高压的患儿,通过严密监护加强护理,改变患儿肺顺应性,降低肺血管阻力和肺动脉高压,提高肺血流量,改善肺通气-血流比例,提高肺动脉血氧压力,改善患儿缺氧状态,改善心功能,加强呼吸道护理,降低了肺部并发症的发生,避免了肺高压危象的发生.结果:治愈127例,死亡3例,25例因经济原因放弃治疗出院.平均住院时间22 d,平均使用呼吸机时间4 d.结论:新生儿期先天性心脏术后合并重度肺动脉高压患儿,术后护理难度大、危险高,全面、规范的护理对提高手术成功率至关重要,大大降低了手术死亡率和提高了生存质量.
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