基层医院开展脑动脉瘤破裂急性期显微手术的护理体会(附35例报告)

Nursing of microsurgery patients with acute ruptured cerebral aneurysms in primary-level hospitals: A report of 35 cases

目的总结脑动脉瘤破裂急性期显微术患者术后的护理体会,提高抢救的成功率。方法分析2008年3月以来35例颅内动脉瘤急性期患者行动脉瘤夹闭术后的临床护理资料,并结合相关文献进行分析。结果本组29例恢复好,4例差,2例死亡。结论术前做好心理护理,术后严密观察病情,做好呼吸管理和血压控制,预防各种术后并发症等是脑动脉瘤破裂急性期显微手术后的护理重点。

Objective To summarize the nursing experience of microsurgery patients with acute ruptured cerebral aneurisms and raise the success rate of rescue. Methods The clinical nurs- ing data of 35 patients with acute ruptured cerebral aneurisms since March 2008 and relating litera- ture were analyzed retrospectively. Results In the group, 29 patients had good recovery and 4 had bad recovery with 2 deaths. Conclusion Good perioperative psychological nursing, close postopera- tive observation of the progression of disease, sound management of respiration and blood pressure, and preventative measures of complications are important to the nursing of microsurgery patients with acute ruptured cerebral aneurysms.