外伤性主动脉夹层行腔内隔绝术的效果观察及护理

Nursing care to patients with endovascular exclusion for traumatic aortic dissection aneurysm

目的探讨外伤性主动脉夹层患者实施腔内隔绝术的护理要点。方法对34例由本院急诊科转入本科室行腔内隔绝术的外伤性主动脉夹层患者,实施包括疼痛护理、血压的观察、心理护理、胸部合并伤及骨折的护理,穿刺口出血和感染及并发症发生的预防等护理措施。结果 34例患者均顺利实施腔内隔绝手术,术后穿刺部位无渗血、无血肿等发生,胸部及肋骨骨折固定良好,住院3～8d后均康复出院。结论做好疼痛护理、有效控制血压、心理护理是腔内隔绝术顺利完成的基础;穿刺口出血和感染及并发症发生的预防是促进患者早日康复的有力保障。

Objective To investigate the nursing measures of endovascular exclusion for traumatic aortic dissection aneurysm. Methods Thirty-four patients with aortic dissection aneurysm because of car accident or falls from elevations admitted to our hospital from January 2016 to November 2018 were enrolled in the study. Nursing measures for effective analgesia, blood pressure control, thoracic injury, limb fracture and postoperative nursing were retrospectively analyzed. Results The 34 patients were successfully treated with endovascular exclusion. There was no bleeding, hematoma or displacement at the puncture site after the operation. All patients with chest and rib fractures were well fixed without fracture complications. Conclusion Accurate identification of the nature of pain, good control of blood pressure, combined injury care and postoperative care of intracavitary isolation are the strong guarantee to promote early recovery of patients.