1例经皮球囊扩张治疗主动脉缩窄的护理

A Case Report of Successful Nursing in the Application of Percutaneous Balloon Dilation to Aortic Coarctation

主动脉缩窄是较常见的主动脉先天性畸形。采用放射介入技术根治该畸形为一种新尝试。本文结合一例经皮球囊扩张治疗主动脉缩窄的病人分别阐述:术前护理侧重于周密的准备工作,包括胃肠道准备、建立静脉通道、备好各种监测及抢救措施等;术后护理则着重于术后24小时内的各种变化,如心律失常的诊治、伤口的加压、血栓形成的可能及造影剂的反应等。

Aortic coarctation is a common malformation of the congenital diseases of aorta. Balloon angioplasty is a new technique to treat it. The pereoperative nursing such as the preperation of stomach and intestines, setting transfusion tubes and the preperation of monitors are very important. Equally important is the postoperative care for the first 24 hours after the operation, such as arrhythmia, bleeding on the wound, thrombosis, reaction to contrast medium.