Rodger Marnie, McRae Marion E, Jaffer Munira, Bailey Barbara, Del Signore Sandra
Cardiovascular Surgery Service, Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network, Toronto, ON M5G 2N2, Canada.
Prog Cardiovasc Nurs. 2009 Dec;24(4):169-80. doi: 10.1111/j.1751-7117.2009.00056.x.
Heart failure is an increasingly common condition in the United States and is associated with high mortality and burden to health care. It is a chronic condition that is characterized by progressive left ventricular enlargement. While medical therapy can slow the progression of left ventricular remodeling, surgical approaches to treatment have been developed to improve the survival and quality of life of heart failure patients. This article reviews the surgical procedures for left ventricular dysfunction and focuses on cardiac support devices as a new therapy for heart failure patients. The nursing care of patients with cardiac support devices will be presented and a case study will highlight practical points to help guide patient care.
心力衰竭在美国是一种日益常见的病症，与高死亡率及医疗负担相关。它是一种以进行性左心室增大为特征的慢性病症。虽然药物治疗可以减缓左心室重构的进展，但已经开发出手术治疗方法以提高心力衰竭患者的生存率和生活质量。本文综述了左心室功能障碍的手术程序，并重点介绍了心脏支持装置作为心力衰竭患者的一种新疗法。将介绍使用心脏支持装置患者的护理，并通过一个案例研究突出有助于指导患者护理的实用要点。
