<h3>歲末年初，新型冠狀病毒來勢洶洶。人們在生理和心理上承受了很大的壓力。胸悶、心悸成了各個年齡段出現(xiàn)的問題。要不要來醫(yī)院，來醫(yī)院感染冠狀病毒怎么辦？對于房顫患者，前期已行射頻消融術(shù)的患者，是否也無所適從呢？這幅是不是很熟悉，是的，這是我們房顫患者做三維射頻消融術(shù)的場景。</h3> <h3>住院期間為你恢復(fù)了正常的心臟節(jié)律，那并不帶代表一勞永逸，出院后也要重視。那術(shù)后患者注意事項？隨訪內(nèi)容？隨訪頻率？如何隨訪？ 我們將一一闡述。 </h3> <h3 style="text-align: center;"><b><i><font color="#167efb"> 注意事項 </font></i></b><br></h3> <section style="margin-top: 10px; margin-bottom: 10px; max-width: 100%; overflow-wrap: break-word !important;"><section style="padding-top: 2px; padding-bottom: 2px; max-width: 100%; overflow-wrap: break-word !important;"><section style="padding: 10px; max-width: 100%; width: 328px; overflow-wrap: break-word !important;"><section style="max-width: 100%; overflow-wrap: break-word !important;"><section style="max-width: 100%; font-size: 14px; line-height: 2; overflow-wrap: break-word !important;"><p style="text-align: left; max-width: 100%; clear: none; min-height: 1em; overflow-wrap: break-word !important;"><strong style="max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; font-size: 16px; overflow-wrap: break-word !important;"><font color="#ed2308">一.術(shù)后飲食管理</font></span></strong></h3></section></section></section><section style="max-width: 100%; overflow-wrap: break-word !important;"><section style="max-width: 100%; font-size: 14px; line-height: 2; overflow-wrap: break-word !important;"><p style="color: rgb(111, 106, 106); text-align: left; max-width: 100%; clear: none; min-height: 1em; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(249, 110, 87); overflow-wrap: break-word !important;">?</span> 消融術(shù)后<strong style="max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(11, 10, 10); overflow-wrap: break-word !important;">6周內(nèi)宜清淡、溫涼、軟食，</span></strong>如<span style="max-width: 100%; font-size: 14px; overflow-wrap: break-word !important;">牛奶</span>、<span style="max-width: 100%; font-size: 14px; overflow-wrap: break-word !important;">藕粉</span>、軟飯、面條、餛飩等。</h3><p style="color: rgb(111, 106, 106); text-align: left; max-width: 100%; clear: none; min-height: 1em; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(249, 110, 87); overflow-wrap: break-word !important;">?</span> <strong style="max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(11, 10, 10); overflow-wrap: break-word !important;">避免入口的食物過硬，</span></strong>如米飯、堅果、骨頭、魚刺等，也<strong style="max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(11, 10, 10); overflow-wrap: break-word !important;">不宜食用刺激性、過燙食物</span></strong>。<br style="max-width: 100%; overflow-wrap: break-word !important;"></h3><p style="color: rgb(111, 106, 106); text-align: left; max-width: 100%; clear: none; min-height: 1em; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(249, 110, 87); overflow-wrap: break-word !important;">?</span> 術(shù)后可適當(dāng)<strong style="max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(11, 10, 10); overflow-wrap: break-word !important;">進(jìn)食富含鉀離子的水果</span></strong>，如香蕉、蘋果、橙子等，有助于維持心肌細(xì)胞膜穩(wěn)定，可能減少術(shù)后房顫早期復(fù)發(fā)。</h3><p style="color: rgb(111, 106, 106); text-align: left; max-width: 100%; clear: none; min-height: 1em; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(249, 110, 87); overflow-wrap: break-word !important;">?</span> 如術(shù)后<strong style="max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(11, 10, 10); overflow-wrap: break-word !important;">6周恢復(fù)良好，可恢復(fù)正常飲食。</span></strong></h3><p style="text-align: left; max-width: 100%; clear: none; min-height: 1em; overflow-wrap: break-word !important;"><span style="color: rgb(249, 110, 87); max-width: 100%; overflow-wrap: break-word !important;">?</span><font color="#6f6a6a"> 術(shù)后服用</font><span style="max-width: 100%; overflow-wrap: break-word !important;"><span style="color: rgb(11, 10, 10); font-weight: bold; max-width: 100%; overflow-wrap: break-word !important;">華法林的患者更需特別注意飲食種類</span><span style="max-width: 100%; overflow-wrap: break-word !important;"><font color="#6f6a6a">。</font></span></span><span style="max-width: 100%; letter-spacing: 0px; overflow-wrap: break-word !important;"><strong style="color: rgb(111, 106, 106); max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; letter-spacing: 0px; color: rgb(11, 10, 10); overflow-wrap: break-word !important;">減弱華法林作用的食物</span></strong><font color="#6f6a6a">（</font><font color="#6f6a6a">如動物肝臟、綠葉蔬菜、花菜、胡蘿</font><font color="#6f6a6a">卜等）；</font><span style="color: rgb(11, 10, 10); max-width: 100%; letter-spacing: 0px; overflow-wrap: break-word !important;"><strong style="max-width: 100%; overflow-wrap: break-word !important;">增強(qiáng)華法林作用的食物</strong></span><font color="#6f6a6a">（魚油、</font><font color="#6f6a6a">葡萄柚、芒果</font><font color="#6f6a6a">等</font><font color="#6f6a6a">）</font><font color="#6f6a6a">。</font><font color="#6f6a6a"> </font><font color="#6f6a6a"> </font> <font color="#6f6a6a"> </font> <font color="#6f6a6a"> </font> <font color="#6f6a6a"> </font> <font color="#6f6a6a"> </font><font color="#6f6a6a"> </font> <font color="#6f6a6a"> </font> <font color="#6f6a6a"> </font><font color="#6f6a6a"> </font> <font color="#6f6a6a"> </font> <font color="#6f6a6a"> </font> <font color="#6f6a6a"> </font> <font color="#6f6a6a"> </font> <font color="#6f6a6a"> </font> <font color="#6f6a6a"> </font><font color="#ed2308"> 二.</font></span><strong style="letter-spacing: 0.5984px; font-size: 16px; max-width: 100%; overflow-wrap: break-word !important;"><font color="#ed2308">術(shù)后運(yùn)動管理</font><font color="#f96e57"> </font><font color="#f96e57"> </font></strong><span style="color: rgb(249, 110, 87); letter-spacing: 0.5984px; max-width: 100%; overflow-wrap: break-word !important;">? </span><span style="color: rgb(111, 106, 106); letter-spacing: 0.5984px;">出院后</span><strong style="color: rgb(111, 106, 106); letter-spacing: 0.5984px; max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(11, 10, 10); overflow-wrap: break-word !important;">2周避免劇烈穿刺下肢劇烈運(yùn)動，避免游泳，洗澡盡量采用淋浴，避免盆浴</span></strong><span style="color: rgb(111, 106, 106); letter-spacing: 0.5984px;">。保持穿刺部位干凈和干燥。 </span><font color="#010101" style="color: rgb(111, 106, 106); letter-spacing: 0.5984px;"><strong style="font-size: 14px; letter-spacing: 0.5984px; max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; overflow-wrap: break-word !important;">運(yùn)動量過少及過多均增加房顫發(fā)作的風(fēng)險</span></strong><strong style="font-size: 14px; letter-spacing: 0.5984px; max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; overflow-wrap: break-word !important;">，<span style="max-width: 100%; letter-spacing: 0px; overflow-wrap: break-word !important;">適當(dāng)?shù)幕顒佑兄诨謴?fù)機(jī)體功能</span></span></strong><span style="font-size: 14px; max-width: 100%; letter-spacing: 0px; overflow-wrap: break-word !important;">，如短時間散步、慢跑等，<strong style="max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; letter-spacing: 0px; overflow-wrap: break-word !important;">應(yīng)避免長時間、高強(qiáng)度的運(yùn)動</span></strong>。 </span></font></h3></section></section></section></section></section></section></section> <h3 style="text-align: left;"><b><font color="#ed2308">三.術(shù)后用藥管理 </font><span style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; letter-spacing: 0.5984px; text-align: justify; white-space: normal;"><font color="#ed2308"> </font><font color="#6f6a6a"> 1.抗凝藥物（</font><font color="#ed2308">華法林、達(dá)比加群、利伐沙班</font><font color="#6f6a6a">） </font></span><span style="color: rgb(111, 106, 106); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; letter-spacing: 0.5984px; text-align: justify; white-space: normal; max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(11, 10, 10); overflow-wrap: break-word !important;">華法林</span></span><span style="color: rgb(111, 106, 106); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; letter-spacing: 0.5984px; text-align: justify; white-space: normal;">需規(guī)律監(jiān)測</span><span style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; letter-spacing: 0.5984px; text-align: justify; white-space: normal; max-width: 100%; color: rgb(11, 10, 10); overflow-wrap: break-word !important;"><span style="max-width: 100%; overflow-wrap: break-word !important;">INR，</span></span><span style="color: rgb(111, 106, 106); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; letter-spacing: 0.5984px; text-align: justify; white-space: normal;">評估華法林用量是否達(dá)標(biāo)，應(yīng)維持在</span><span style="color: rgb(111, 106, 106); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; letter-spacing: 0.5984px; text-align: justify; white-space: normal; max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(11, 10, 10); overflow-wrap: break-word !important;">2-3之間</span></span><span style="color: rgb(111, 106, 106); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; letter-spacing: 0.5984px; text-align: justify; white-space: normal;">。</span><span style="color: rgb(111, 106, 106); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; letter-spacing: 0.5984px; text-align: justify; white-space: normal; max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(11, 10, 10); overflow-wrap: break-word !important;">新型抗凝藥（達(dá)比加群、利伐沙班）</span></span><span style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; letter-spacing: 0.5984px; text-align: justify; white-space: normal; max-width: 100%; color: rgb(136, 136, 136); overflow-wrap: break-word !important;">則相對簡便</span><span style="color: rgb(111, 106, 106); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; letter-spacing: 0.5984px; text-align: justify; white-space: normal;">，與食物、藥物相互作用也較少。 </span><span style="color: rgb(111, 106, 106); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; letter-spacing: 0.5984px; text-align: justify; white-space: normal;">服</span><span style="color: rgb(111, 106, 106); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; letter-spacing: 0.5984px; text-align: justify; white-space: normal;">用抗凝劑期間需注意有無牙齦出血、皮膚淤斑，小便發(fā)紅、黑便等</span><span style="color: rgb(111, 106, 106); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; letter-spacing: 0.5984px; text-align: justify; white-space: normal; max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(11, 10, 10); overflow-wrap: break-word !important;">出血征象</span></span><span style="color: rgb(111, 106, 106); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; letter-spacing: 0.5984px; text-align: justify; white-space: normal;">，如有異常，及時電話或微信聯(lián)系復(fù)診。</span></b></h3><p style="text-align: left; max-width: 100%; clear: both; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; letter-spacing: 0.5984px; white-space: normal; overflow-wrap: break-word !important;"><b><span style="color: rgb(111, 106, 106); max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(11, 10, 10); overflow-wrap: break-word !important;">服藥3月一定</span></span><font color="#6f6a6a">經(jīng)醫(yī)生評估后決定是否停用抗凝藥。 2.抗心律失常藥物 （</font><font color="#ed2308">胺碘酮 心律平</font><font color="#6f6a6a">） </font><span style="color: rgb(111, 106, 106); letter-spacing: 0.5984px;">術(shù)后3月內(nèi)您可能仍然會</span><span style="color: rgb(111, 106, 106); letter-spacing: 0.5984px; max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(11, 10, 10); overflow-wrap: break-word !important;">感覺到心悸，甚至短陣房顫復(fù)發(fā)的感覺，</span></span><span style="color: rgb(111, 106, 106); letter-spacing: 0.5984px;">這種現(xiàn)象是</span><span style="color: rgb(111, 106, 106); letter-spacing: 0.5984px; max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(11, 10, 10); overflow-wrap: break-word !important;">正常的</span></span><span style="color: rgb(111, 106, 106); letter-spacing: 0.5984px;">，但不代表手術(shù)失敗，不必過于擔(dān)心。術(shù)后</span><span style="color: rgb(111, 106, 106); letter-spacing: 0.5984px; max-width: 100%; overflow-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(11, 10, 10); overflow-wrap: break-word !important;">服用3個月左右抗心律失常藥</span></span><span style="color: rgb(111, 106, 106); letter-spacing: 0.5984px;">有助于預(yù)防心律失常發(fā)生</span><span style="color: rgb(111, 106, 106); letter-spacing: 0.5984px;">。</span></b></h3> <h3><i><font color="#167efb"><b> 隨訪內(nèi)容</b></font></i></h3> <h3>1.心電圖（普通心電圖、動態(tài)心電圖）；2.抗心律失常藥物應(yīng)用（胺碘酮）；3.抗凝藥物應(yīng)用（華法林、達(dá)比加群、利伐沙班）；4.有無出血情況（皮膚粘膜出血、嘔血、便血等）。 </h3> <h3><i><font color="#167efb"><b> 隨訪頻率</b></font></i></h3> <h3>1.術(shù)后第3個月、術(shù)后第6個月、術(shù)后1年。2.每次來均行普通心電圖檢查；術(shù)后3個月至隨訪期之間有癥狀，隨時行心電圖檢查；3.1年時行動態(tài)心電圖檢查；4.1年后每半年行普通心電圖和動態(tài)心電圖檢查。</h3> <h3><i><font color="#167efb"><b> 隨訪方式</b></font></i></h3> <h3>來院隨訪（隨身攜帶門診病歷、住院病歷）、微信電話隨訪。</h3> <h3>當(dāng)下期間，疫情阻擋了你來院復(fù)查的步伐。不知道怎么服藥、不知道你的不適癥狀是否和心臟有關(guān)、不知道皮膚粘膜的小量出血厲害與否。不必驚慌，請致電或微信聯(lián)系。當(dāng)你出現(xiàn)頭暈、頭痛或關(guān)節(jié)疼痛，有可能和抗凝藥物引起的大出血有關(guān)，及時致電并來院就診。</h3> <p>我們心三科全體醫(yī)護(hù)人員在這里熱忱為你排憂解難，無論線上、線下，隨（微）信而動。 附帶微信二維碼，我們將會持續(xù)推出科普類小文章為您答疑解惑。 </p> <p>科室電話：029—33785983</p> <p>蔡萍主任：13991007796</p> <p>李妮妮責(zé)任總：17792752932</p> <p><b style="color: rgb(22, 126, 251);"><i> 心血管內(nèi)三科：李妮妮</i></b></p> <p><a href="http://www.kamkm888.com/2quyfehs?share_from=self" target="_blank">如何早發(fā)現(xiàn)、早診斷房顫？</a></p> <p><a href="http://www.kamkm888.com/2qdkxats?share_from=self" target="_blank">關(guān)于冠狀動脈造影的那些事</a></p>