胸腹主动脉瘤围手术期脑脊液引流对脊髓的保护
被引量：2
摘要
轻瘫及截瘫是胸腹主动脉瘤传统开放手术和腔内隔绝术严重的并发症之一，其发生率为3．6％～12．0％，长期的康复锻炼和护理给患者、家庭、社会增加了沉重负担。目前主要的治疗方法包括脑脊液引流、系统应用糖皮质激素、控制血压、利尿及物理治疗等，其中脑脊液引流被认为是逆转神经损害最为有效的方法。
出处
《中华外科杂志》
CAS
CSCD
北大核心
2007年第23期1639-1641,共3页
Chinese Journal of Surgery
参考文献20
-
1Cheung AT, Pochettino A, McGarvey ML, et al. Strategies to manage paraplegia risk after endovascular stent repair of descending thoracic aortic aneurysms. Ann Thorac Surg,2005,80: 1280-1288.
-
2Weigang E, Hartert M, Siegenthaler MP. Perioperative management to improve neurologic outcome in thoracic or thoracoabdominal aortic stent-grafting. Ann Thorac Surg, 2006, 82 : 1679-1687.
-
3Kawaharada N, Morishita K, Kurimoto Y, et al. Spinal cord ischemia after elective endovascular stent-graft repair of the thoracic aorta. Stockholm: Joint 20 th Annual Meeting of the European Association for Cardio-thoracic Surgery and the 14 th Annual Meeting of the European Society of Thoracic Surgeons, Sweden, 2006.
-
4Sail HJ, Miller CC 3rd, Huynh TT, et al. Distal Aortic Perfusion and Cerebrospinal Fluid Drainage for Thoracoabdominal and Descending Thoracic Aortic Repair. Ann Surg, 2003, 238 : 372- 381.
-
5CoseUi JS, LeMaire SA, Koksoy C, et al. Cerebrospinal fluid drainage reduces paraplegia after thoracoabdominal aortic aneurysm repair: results of a randomized clinical trial. J Vasc Surg,2002,35:631-639.
-
6Bhama JK, Lin PH, Voloyiannis T, et al. Delayed neurologic deficit after endovascular abdominal aortic aneurysm repair. J Vasc Surg, 2003,37:690-692.
-
7Garcia ND, Tehrani H, Morasch M, et al. Spinal cord ischemia following endovascular repair of an infrarenal aortic aneurysm. Ann Vasc Surg, 2002,16:509-512.
-
8Cina CS, Abouzahr L, Arena GO. Cerebrospinal fluid drainage to prevent paraplegia during thoracic and thoracoabdominal aortic aneurysm surgery: a systematic review and meta-analysis. J Vasc Surg, 2004,40:36-44.
-
9Ellozy SH, Carroccio A, Minor M, et al. Challenges of endovascular tube graft repair of thoracic aortic aneurysm : midterm follow-up and lessons learned. J Vasc Surg, 2003,38:676-683.
-
10Winnerkvist A, Anderson RE, Hansson LO, et al. Multilevel somatosensory evoked potentials and cerebrospinal proteins: indicators of spinal cord injury in thoracoabdominal aortic aneurysm surgery. Eur J Cardiothomc Surg, 2007,31: 637-642.
同被引文献9
-
1董翠萍,王红艳,熊静.急性Stanford B型主动脉夹层主动脉腔内隔绝术患者的护理[J].护理学杂志,2007,22(8):44-45. 被引量：16
-
2Xenos E S,Abedi N N,Davenport D L,et al.Meta-analysis of endovascular vs open repair for traumatic descending thoracic aortic rupture[J].J Vasc Surg,2008,48(5):1343-1351.
-
3Nakai M,Shimizu S,Ochi Y,et al.Thoracodorsal artery as a collateral source to the artery of adamkiewicz after endovascular aneurysm repair for descending thoracic aortic aneurysm[J].Eur J Vasc Endovasc Surg,2009,37(5):566-568.
-
4Shibata K,Takamoto S.Novel strategy for spinal cord protection during thoracoabdominal aortic aneurysm surgery using Doppler ultrasonography[J].Kyobu Geka,2004,57(4):276-279.
-
5Wong D R,Coselli J S,Amerman K,et al.Delayed spinal cord deficits after thoracoabdominal aortic aneurysm repair[J].Ann Thorac Surg,2007,83(4):1345-1355.
-
6Jeong Y B,Choi W J,Han S H,et al.Cerebral epidural hematoma following cerebrospinal fluid drainage during thoracoabdominal aortic repair[J].Acta Anaesthesiol Scand,[2009-04-24].[Epub ahead of print].
-
7钟海,吴泳钧,吴惠玉.107例腔内隔绝术治疗主动脉夹层的围术期护理[J].护理实践与研究,2009,6(23):50-52. 被引量：5
-
8邵恒,杨志刚,唐思诗,陈静,邓雯,彭礼清.DebakeyⅢ型主动脉夹层腔内隔绝术后移植物及血管特征的双源CT血管成像研究[J].生物医学工程学杂志,2011,28(5):867-871. 被引量：3
-
9景昊,张凤伟.主动脉夹层诊断与治疗现状[J].中华实用诊断与治疗杂志,2012,26(2):110-113. 被引量：27
引证文献2
-
1孙徐妹,王小艺,盛冬美,费新萍,李海燕.脑脊液引流预防胸腹主动脉瘤腔内隔绝术后脊髓缺血损伤的效果及护理[J].解放军护理杂志,2010,27(15):1163-1164. 被引量：4
-
2黄丽凌,黄艺林,申铁梅,杨轶.1例主动脉夹层腔内修复术后持续脑脊液引流的护理体会[J].当代护士（下旬刊）,2020,27(2):157-159. 被引量：1
二级引证文献5
-
1卢惠敏,张雷,张甦明,丁瑞芳,张丽君,郭小兰,冯翔.去分支技术治疗胸腹主动脉瘤患者的围术期护理[J].解放军护理杂志,2015,32(19):45-48. 被引量：4
-
2谭俊华,白晓霞.手术室护士工作投入程度与护理质量的相关性及相关影响因素分析[J].实用医院临床杂志,2018,15(1):154-156. 被引量：23
-
3邹秋红,李海燕,钱火红,冯睿,冯家煊.复杂主动脉夹层行腔内修复术加动脉旁路术患者一例的观察与护理[J].解放军护理杂志,2018,35(16):61-64. 被引量：5
-
4张馨,胡小懿,龚磊磊.脑脊液外引流术围手术期的护理进展[J].中西医结合护理（中英文）,2018,4(11):220-222.
-
5刘盼盼.心理护理与精准护理干预对主动脉夹层动脉瘤患者围手术期的影响[J].中国冶金工业医学杂志,2023,40(5):537-538.
-
1尹存平,梅志军,陆清声,包俊敏,景在平,魏小龙.脑脊液引流在胸降及胸腹主动脉瘤腔内修复术中对截瘫的预防保护[J].外科理论与实践,2011,16(2):137-139. 被引量：7
-
2何涛.脑脊液引流在早期颅内破裂动脉瘤治疗中的应用[J].中外医疗,2015,34(11):50-51.
-
3邓国华,王焕玲.影响隐球菌脑膜炎预后的相关因素探讨[J].中华全科医师杂志,2003,2(1):27-28. 被引量：2
-
4周新荣.西沙必利治疗糖尿病胃轻瘫29例[J].医药导报,1999,18(4):225-225. 被引量：2
-
5张莹,黄品同,申屠伟慧,刘春媚.颈动脉超声造影诊断胃癌颈动脉癌栓1例[J].中华超声影像学杂志,2012,21(11):1011-1011.
-
6赵彩红,生晨,王倩,骆淑萍,邹以席,黄方炯.胸腹主动脉瘤手术后脑脊液引流的观察与护理[J].中国医药,2011,6(2):247-248. 被引量：4
-
7邹以席,郭江涛,黄方炯.胸腹主动脉瘤手术脑脊液引流15例临床观察[J].中华实用诊断与治疗杂志,2011,25(5):506-507. 被引量：2
-
8孟亮,包文.杂交手术在治疗主动脉夹层中的应用现状[J].新疆医学,2012,42(12):1-4. 被引量：1
-
9褚光,任伟,许波,王舜尧.综合疗法治疗重型颅脑损伤68例[J].蚌埠医学院学报,2005,30(3):262-263. 被引量：4
-
10王尚芳.脑室体外引流治疗大量脑室出血的护理体会[J].健康大视野（医学版）,2005,13(11):14-14.
