弹簧圈闭塞颈内动脉治疗颅内巨大动脉瘤的护理

Nursing assistance for spring coil occlusion for the treatment of intracranial giant internal carotid artery aneurysms

目的总结介入治疗颈内动脉巨大动脉瘤中球囊闭塞试验的重要性以及护理配合的经验。方法对12例采用弹簧圈闭塞颈内动脉方法治疗的患者进行术前、术中及术后的护理,包括心理护理,生命体征监测、并发症预防等。结果经过介入治疗及系统的护理,12例患者术后无病情加重及死亡,患者平均观察9d后出院。随访4～12个月,其中7例未见不适,4例复查动脉瘤消失,1例患者有不适,DSA复查未见异常。结论对行弹簧圈闭塞颈内动脉方法治疗动脉瘤的患者,介入手术过程中的生命体征的监护、并发症预防及规范的护理程序等均是保证手术完成的关键。

Objective To discuss the importance of balloon occlusion test before interventional treatment of the intracranial giant internal carotid artery aneurysms and to sum up the nursing experience in assisting the procedure.Methods Proper perioperative nursing measures were carried out for 12 patients, who suffered from intracranial giant internal carotid artery aneurysm and underwent spring coil occlusion treatment.Nursing measures included mental care, observation of the vital signs, prevention of the complications, etc.Results Neither death nor exacerbation of the condition occurred in all the 12 patients.The patients were discharged from the hospital with a mean hospitalization of nine days.During a follow-up period ranged from 4 months to one year, seven patients had no disagreeable feeling, one patient complained of discomfort but no abnormality was found on follow-up DSA, and disappearance of the aneurysm was observed in 4 patients.Conclusion The monitoring of the vital signs, the prevention of the complications and the standard nursing care are the key points for ensuring a successful operation in treating intracranial giant internal carotid artery aneurysms with spring coil occlusion.