相关实验视频
Updated: Jun 28, 2026

07:27
Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
概括
儿科心脏手术患者的恶性鼻综合征通常发生在术后,特别是在先天性心脏缺陷的心房修复后. 植入心脏起器对于治疗严重心律失常和预防致命结果至关重要.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 心脏外科手术 心脏外科手术
- 电子生理学 电子生理学
背景情况:
- 病鼻综合征 (SSS) 是一种影响心率调节的心律失常.
- 先天性心脏缺陷,如大动脉转移和心房隔膜缺陷,通常需要复杂的手术修复.
- 手术后心律不整是儿科患者心脏手术后的一个已知的并发症.
研究的目的:
- 审查心脏手术后患有恶性鼻综合征的儿科患者的临床过程和预后.
- 在这个人群中确定SSS的风险因素和常见表现.
- 评估心脏外科手术后SSS的管理策略和结果.
主要方法:
- 在心脏手术后对16名患有SSS的婴儿和儿童进行了回顾性评估.
- 分析手术程序,SSS诊断的时间和观察到的心律失常的类型.
- 对治疗干预措施的评估,包括临时和永久的起器插入.
- 结果的相关性,包括死亡率,与管理策略.
主要成果:
- 在心脏手术后的16名儿科患者中诊断出SSS,最常见的是经过广泛的心房重建手术以转移大动脉和心房隔膜缺陷.
- 在75%的病例中,SSS在手术后立即检测到.
- 动脉节律失调 (12名患者) 和节律失调 (12名患者) 都很常见,其中4名患者出现了孤立的节律失调.
- 两名患者因心律不整而死亡,其中一名患者的 suture 触及鼻腔节点.
- 在5名患者中,需要永久性起器植入.
结论:
- 病鼻综合征是小儿心脏手术后的严重并发症,特别是在复杂的心房手术后.
- 细致的手术技术,仔细注意鼻腔节点及其血液供应,可以防止SSS.
- 霍尔特监测对于诊断患有心律失常的患者至关重要.
- 适用于症状性动脉节律失常或不充分的逃生节律,以改善预后.
相关概念视频
Cardiac Catheterization II: Right Heart Catheterization
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
Mitral Regurgitation I: Introduction
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
Aortic Regurgitation III: Medical Management
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Rheumatic Heart Disease I: Introduction
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
Cardiomyopathy V: Interprofessional Care
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...

