颅内动脉瘤破裂出血患者的护理对策

Nursing Countermeasures for Patients with Rupture Hemorrhage of Intracranial Aneurysm

目的探讨颅内动脉瘤破裂出血患者围手术期的护理对策。方法回顾分析2004年1月～2008年1月在我院接受手术治疗的颅内动脉瘤破裂出血患者28例。结果按Pool手术入路者2例,翼点入路6例;25例行动脉瘤颈夹闭术,其中有7例行动脉瘤包裹术,2例行单纯包裹术,1例行载瘤动脉阻断术;随访2个月～3年,良好者20例,中度残废者5例,重度残废者2例,死亡1例。结论积极的术前、术后护理及并发症的护理,能有效地提高手术疗效,减少并发症的发生。

Objective To investigate the nursing countermeasures for the patients with rupture hemorrhage of intracranial aneurysm. Methods 28 cases with the rupture hemorrhage of intracranial aneurysm treated in our hospital from January 2004 to January 2008 were analyzed retrospectively. Results 2 cases were operated by operative approach of pool, and 6 cases were operated by pterion approach. 25 cases received the operation of aneurysm neck occlusion, and 7 cases of them were with the operation of aneurysm wrapped-up, 2 cases with simple wrapped-up and 1 cases with interruption on artery of aneurysm. All of the patients were followed up for 2 months to 3 years, 20 cases were in good health after operation, 5 cases were handicapped in midrange, 1 cases was handicapped heavily and 1 case was dead. Conclusions The preoperative nursing, postoperative nursing and the care for complications can effectively improve operative effect and reduce the incidence of complications.