孤立性肠系膜上动脉夹层介入治疗五例的护理体会

Interventional therapy of isolated superior mesenteric artery dissection:initial nursing experience in five cases

目的探讨裸支架腔内血管重建术治疗孤立性肠系膜上动脉夹层(SMAD)的围手术期护理。方法对采用裸支架载瘤动脉腔内血管重建术治疗孤立性的5例患者,予完善的术前准备,针对性的术后观察、护理。结果在围手术期精心护理下,4例腹痛症状患者术后3周腹痛消失;5例患者介入治疗均获得成功,术后无并发症发生,随访3至12个月效果满意。结论术前充分准备,术后细致观察、护理,为孤立性SMAD介入治疗提供有价值的护理经验。

Objective To discuss the perioperative nursing care for patients with isolated superior mesenteric artery dissection who received angioplasty with endovascular stent implantation. Methods Angioplasty with endovascular stent implantation was carried out in five cases with acute isolated superior mesenteric artery dissection. Sufficient preoperative preparations, individual and direct postoperative nursing measures, careful postoperative observation were carried out. The clinical results were analyzed. Results Under close observation and intensive care, the abdominal pain disappeared in 4 cases three weeks after the treatment, and interventional procedures were successfully completed in five cases. After the treatment, no complications occurred. The satisfactory clinical results were obtained during the follow-up period of 3 - 12 months. Conclusion Sufficient preoperative preparations and careful postoperative nursing care are very important for patients with isolated superior mesenteric artery dissection who are treated with angioplasty through endovascular stent implantation. （J Intervent Radiol, 2012, 21：516-519）