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DeBakeyⅢ型主动脉夹层腔内修复联合血管旁路移植术的护理

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摘要 目的总结腔内修复联合血管旁路移植术治疗DeBakeyⅢ型主动脉夹层的护理经验。方法回顾分析29例行腔内修复联合血管旁路移植术治疗DeBakeyⅢ型主动脉夹层的患者临床护理资料,着重分析护理方法。结果29例患者手术均获成功,3.4%(1/29)患者术后4 h后发生瘤体破裂死亡,6.9%(2/29)患者发生内漏,3.4%(1/29)患者截瘫,41.3%(12/29)患者出现不同程度的躁动和谵妄,72%(21/29)患者发热。28例患者经及时的治疗和精心的护理,恢复良好,痊愈出院。结论术前、术后做好患者心理护理,及时缓解疼痛,严密控制各种诱发危险因素;密切观察术后患者的生命体征、瞳孔变化、肢体活动及血运情况,防止伤口感染;做好躁动和谵妄患者的安全护理,对提高手术成功率和患者的生活质量具有积极的意义。
出处 《岭南心血管病杂志》 2012年第1期74-75,84,共3页 South China Journal of Cardiovascular Diseases
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