DSA介导下硬化治疗头颈部静脉畸形的护理问题及对策

DSA-guided sclerotherapy for cephalo-cervical venous malformations: nursing issues and countermeasures

目的总结头颈部静脉畸形在DSA介导下硬化治疗护理经验。方法回顾分析2008年1月至2010年12月DSA介导下硬化治疗的60例头颈部静脉畸形患者的临床资料。结果硬化治疗的59例患者治疗过程顺利,1例患者术中出现轻度的刺激性咳嗽,经过对症处理后消失,均无发生严重并发症。结论介入室护士针对性地观察可能发生的问题、严密的监护、细致的护理,可减少DSA下硬化治疗头颈部静脉畸形出现不测情况的风险,同时增加患者和家属的满意度,使此项新技术能够顺利开展。

Objective To summarize the nursing experience in treating patients with cephalo-cervical venous malformations by using DSA-guided sclerotherapy. Methods During the period from Jan. 2008 to Dec. 2010, a total of 60 patients with cephalo- cervical venous malformations received DSA- guided sclerotherapy at authors＇ hospital. The clinical data were retrospectively analyzed and the importance of the nursing care was discussed. Results Of the 60 patients, the sclerotherapy was successfully accomplished in 59 and mild irritant coughing occurred in one, which disappeared immediately after symptomatic medication. No severe complications occurred in all patients. Conclusion This new technique for cephalo- cervical venous malformations can be smoothly and successfully accomplished and at the same time the clinical risk can be significantly reduced if the following nursing measures are strictly carried out： careful observation for the occurrence of possible complications, close monitoring of the clinical conditions, painstaking nursing care, etc.