外伤性颈动脉-海绵窦瘘患者行可脱球囊微导管介入术的围手术期护理

Perioperative nursing of traumatic carotid- cavernous fistula by intervention

目的探讨外伤性颈动脉-一海绵窦瘘（TCCF）患者介入手术围手术期的观察及护理要点。方法对18例TCCF患者行介入手术过程中予充分的心理准备、眼部护理、围手术期病情的观察和并发症的预防护理。结果所有患者成功栓塞，突眼、血管杂音等症状出现缓解，其中1例术中出现球囊破裂予弹簧栓再栓塞瘘口，2例出现血管痉挛及时处理缓解，2例术后出现再灌注综合征经降压处理后症状消失。结论介入栓塞是TCCF的有效治疗手段，充分做好围手术期的准备，加强观察及护理对提高治疗效果、减少并发症的发生具有重大意义。

Objective To investigate the nursing of traumatic carotid-cavernous fistula（TCCF）by intervention. Methods 18 patients with TCCF by intervention were given nursing measures including psychological preparation, eye care, disease observation and complications care. Results All patients gained successful embolization, and the symptoms of proptosis and vascular murmur in patients were alleviated. One case received spring embolism because of balloon rupture. The symptoms of vascular spasm in two patients were alleviated with timely treatment. Hyperperfusion syndrome was relieved after lowering blood pressure in two patients. Conclusions The intervention embolization is an effective treatment of TCCF. Good nursing could improve the efficacy and reduce the incidence of complications.