Postoperative Care of One Infective Endocarditis Patient with Isolated Kidney on the Right Side_West China Medical Journal

Authors：

 LUOTian-hui ,  ZENGLing

ICU, Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

ZENGLing, Email: zengling510@163.com

Keywords：

Infective endocarditis; Congenital isolated kidney; Valve replacement; Nursing

DOI：

10.7507/1002-0179.20140031

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To discuss the key nursing points for patients with infective endocarditis and congenital isolated kidney after valve replacement. Methods In December 2012, one infective endocarditis patient with isolated kidney underwent heart valve replacement in our hospital. In addition to actively preventing postoperative infection of the heart valve, our nursing focused mainly on the isolated kidney protection and monitoring, and the related complications. Results The surgery was successful, and the isolated kidney was effectively protected. The patient recovered and was discharged from the hospital. Conclusion For patients with congenital isolated kidney with infective endocarditis, patients' urine output per hour and 24 h discrepancy quantity should be closely observed after valve replacement surgery. It is also very important to intervene early and carry out comprehensive protection of the renal function.

Citation： LUOTian-hui, ZENGLing. Postoperative Care of One Infective Endocarditis Patient with Isolated Kidney on the Right Side. West China Medical Journal, 2014, 29(1): 102-105. doi: 10.7507/1002-0179.20140031 Copy

1.	邢琪, 王辉, 任发成, 等. 感染性心内膜炎患者心脏瓣膜置换术麻醉管理体会[J]. 心肺血管病杂志, 2007, 26(3):175-176.
2.	刘上, 车妙琳, 谢波, 等. 急性肾损伤是影响心脏手术后患者长期生存的危险因素[J]. 中华肾脏病杂志, 2011, 27(6):416-422.
3.	蒲护琼, 龚仁蓉, 周洪霞. 急性感染性心内膜炎围手术期护理[J]. 华西医学, 2007, 22(1):147-148.
4.	宋毅, 李然, 谷兴华, 等. 体外循环术中自体血洗涤回输对机体红细胞免疫及肾功能的影响[J]. 中华医学杂志, 2006, 86(32):2293-2296.
5.	寇党培, 边卫, 王准, 等. 心内直视术后早期并发急性肾功能衰竭的危险因素[J]. 天津医药, 2011, 39(6):566-567.
6.	张尔永, 石应康, 程述森, 等. 原发性感染性心内膜炎瓣膜损害的外科治疗[J]. 中国胸心血管外科临床杂志, 1999, 6(2):83-85.
7.	董力, 石应康, 田子朴, 等. 心脏机械瓣膜替换术后低强度抗凝治疗[J]. 中华外科杂志, 2003, 41(4):250-252.
8.	汪莺昱, 王朝晖, 王伟, 等. 成人先天性单肾缺如的临床特征分析[J]. 肾脏病与透析肾移植杂志, 2010, 19(2):111-115.
9.	侯江龙, 董力. 心脏机械瓣膜置换术后的抗凝监测[J]. 华西医学, 2008, 23(3):643-644.
10.	何朝生, 史伟, 梁馨苓, 等. 不同液净化方式治疗心脏手术后急性肾衰竭的疗效比较研究[J]. 中国血液净化, 2004, 3(4):188-191.
11.	赵伟丽. PICCO监测的临床应用及护理[J]. 健康必读杂志, 2012, 2(2):115.
12.	赵海龙, 余是. PICCO监测在危重患者中的应用进展[J]. 中国医药指南, 2012, 10(36):441-443.

1. 邢琪, 王辉, 任发成, 等. 感染性心内膜炎患者心脏瓣膜置换术麻醉管理体会[J]. 心肺血管病杂志, 2007, 26(3):175-176.
2. 刘上, 车妙琳, 谢波, 等. 急性肾损伤是影响心脏手术后患者长期生存的危险因素[J]. 中华肾脏病杂志, 2011, 27(6):416-422.
3. 蒲护琼, 龚仁蓉, 周洪霞. 急性感染性心内膜炎围手术期护理[J]. 华西医学, 2007, 22(1):147-148.
4. 宋毅, 李然, 谷兴华, 等. 体外循环术中自体血洗涤回输对机体红细胞免疫及肾功能的影响[J]. 中华医学杂志, 2006, 86(32):2293-2296.
5. 寇党培, 边卫, 王准, 等. 心内直视术后早期并发急性肾功能衰竭的危险因素[J]. 天津医药, 2011, 39(6):566-567.
6. 张尔永, 石应康, 程述森, 等. 原发性感染性心内膜炎瓣膜损害的外科治疗[J]. 中国胸心血管外科临床杂志, 1999, 6(2):83-85.
7. 董力, 石应康, 田子朴, 等. 心脏机械瓣膜替换术后低强度抗凝治疗[J]. 中华外科杂志, 2003, 41(4):250-252.
8. 汪莺昱, 王朝晖, 王伟, 等. 成人先天性单肾缺如的临床特征分析[J]. 肾脏病与透析肾移植杂志, 2010, 19(2):111-115.
9. 侯江龙, 董力. 心脏机械瓣膜置换术后的抗凝监测[J]. 华西医学, 2008, 23(3):643-644.
10. 何朝生, 史伟, 梁馨苓, 等. 不同液净化方式治疗心脏手术后急性肾衰竭的疗效比较研究[J]. 中国血液净化, 2004, 3(4):188-191.
11. 赵伟丽. PICCO监测的临床应用及护理[J]. 健康必读杂志, 2012, 2(2):115.
12. 赵海龙, 余是. PICCO监测在危重患者中的应用进展[J]. 中国医药指南, 2012, 10(36):441-443.

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West China Medical Journal

Postoperative Care of One Infective Endocarditis Patient with Isolated Kidney on the Right Side

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