主动脉弓部手术的护理体会

Nursing experience of aortic arch operation

目的总结主动脉弓部手术的护理体会。方法回顾性选取我院2007年1月～2012年4月所行的主动脉弓部手术27例,收集相关临床资料,分析术前、术中,巡回、器械护士的工作要点。结果 27例手术均成功实施。结论主动脉弓部手术需要深低温停循环,手术时间长,病死率高,需要手术室护理人员更扎实的理论基础,更熟练的配合,更灵活的应变能力。

Objective To summarize the nursing experience of aortic arch operation. Methods 27 patients underwent aortic arch operation from Jan 2007 to Apr 2012 were enrolled tothe study. Clinical datum were collected and analyse the work points of operation. Results 5 cases dead, abandoning treatment in 1 case, 18 cases survived after operation （including 1 case underwent re-operation, 2 cases repeatedly hospitalized due to internal fistula and hemoglobinuria）, 1 case need life care. The dead cases have nothing to do with nursing. Conclusion Aortic arch operation requires deep hypothermie circulatory arrest, lasts longer, with higher mortality, so for nursing staff in operation room, it need more.theoretical basis, skilled cooperation and flexi- bility.