Moore-Gibbs Ashley, Bither Cindy
Advanced Heart Failure Program, Medstar Washington Hospital Center, 110 Irving Street, Adv HF Program, Washington, DC 20010, USA.
Advanced Heart Failure Program, Medstar Washington Hospital Center, 110 Irving Street, Adv HF Program, Washington, DC 20010, USA.
Crit Care Nurs Clin North Am. 2015 Dec;27(4):565-75. doi: 10.1016/j.cnc.2015.07.005. Epub 2015 Sep 12.
Heart transplantation is a recommended and curative treatment option for patients with advanced heart failure symptoms despite receiving optimal medical and device therapy. The availability of donor organs limits the number of patients able to receive a heart transplant. The overall outcome of patients able to receive a heart transplant is determined by the successful delivery of essential nursing care. Understanding the specific interventions and therapies unique to this patient population is critical to their care. This article reviews considerations for the intensive care unit clinician in the management of heart transplant patients in this setting.
对于尽管接受了最佳药物和器械治疗仍有晚期心力衰竭症状的患者，心脏移植是一种推荐的、可治愈的治疗选择。供体器官的可用性限制了能够接受心脏移植的患者数量。能够接受心脏移植的患者的总体预后取决于基本护理的成功实施。了解该患者群体特有的具体干预措施和治疗方法对其护理至关重要。本文综述了在这种情况下，重症监护病房临床医生在管理心脏移植患者时应考虑的因素。
