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1例主动脉夹层累及髂总动脉患者支架置入术的护理

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摘要 患者男性,55岁,因突发胸痛6h于2007年9月日3:00经急诊收入院。患者6h前打麻将时突觉胸骨后剧烈疼痛,感胸闷,伴后背部疼痛,心悸、大汗。急查血压110/70mmHg(1mmHs=0.133kPa),心电图无明显异常,CT报告为主动脉自锁骨下动脉至双侧髂动脉夹层(Debakey Ⅲ型)。入院后予硝普纳20ug,/min持续泵入,控制血压110/70mmHg、心率60次/min左右,患者胸骨后疼痛有所缓解。17:00出现左下肢麻木、疼痛,左下肢血压测不出,足背动脉无搏动,皮温低。在逐渐调节硝普纳至200ug/min泵入时,疼痛有所缓解。
出处 《中华现代护理杂志》 2009年第13期1281-1282,共2页 Chinese Journal of Modern Nursing
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  • 1韩清萍.主动脉夹层动脉瘤48h内病房的急救管理[J].现代护理,2006,12(6):514-514. 被引量:6
  • 2晁艳茹.主动脉夹层患者18例的健康教育[J].齐鲁护理杂志,2006,12(05A):865-866. 被引量:3
  • 3黄霭莲.主动脉夹层瘤患者围手术期的健康教育[J].护理实践与研究,2006,3(7):46-47. 被引量:1
  • 4Parodi JC, Palmaz JC, Barl HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg, 1991,5 :491 - 494.
  • 5M′es′zaros I, M′orocz J, Szl′avi J,et al. Epidemiology and clinicopathology of aortic dissection. A Population-based longitudinal study over 27 years.Chest, 2000, 117:1271-1278.
  • 6Kudaka M,Koja K ,Kuniyoshi Y,et al.Two-stage operation for multiple aneurysms of the Thoracic aorta 、abdominal aorta and left common iliac artery in an octogenarian. Ann Thorac Cardiovasc Surg,1999,5:133-136.
  • 7Frahm C, Widmer MK, Brossmann J, et al . Bilateral leg ischemia due to descending aortic dissection: combined treatment with femoro-femoral cross-over bypass and unilateral aorto-iliac stenting. Cardiovasc Intervent Radiol,2002 ,25:444-446.
  • 8Kato N, Sakuma H, Takeda K,et al. Relief of acute lower limb ischemia with percutaneous fenestration of intimal flap in a patient with type Ⅲ aortic dissection--a case report. Angiology, 1993 ,44:755-759.
  • 9Singh RS, Danikas D, Goldenkranz R.Type B aortic dissection with rupture of the left common iliac artery: a case report. Am Surg ,2002,68:49-51.
  • 10Bergamini TM, Rachel ES, Kinney EV,et al . External iliac arteryto-internal iliac artery endograft: a novel approach to preserve pelvic inflow in aortoiliac stent grafting. J Vasc Surg, 2002 ,35:120-124.

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