主动脉夹层覆膜支架腔内隔绝术的手术配合

Nursing cooperation in endovascular aneurysm repair treatment for aortic dissection

目的总结主动脉夹层瘤覆膜支架腔内隔绝术的术中护理配合要点。方法术前做好患者的心理护理及术前准备;术中正确摆放体位、配合造影、加强全身肝素化护理;做好导管、支架的准确传递和管理;密切观察患者的生命体征及肾功能、肢体血液循环的改变;患者复苏后管理等。结果 35例手术在手术医师、护士、麻醉师、技术员的密切配合下顺利完成,全程生命监护操作及记录良好,无手术器械传递错误,无因不良配合而引起手术失败。结论完善的术前准备、良好的护理配合、团队的分工合作等是主动脉夹层动脉瘤腔内隔绝术成功不可缺少的重要因素之一。

Objective To summarize the main points of nursing cooperation in endovascular aneurysm repair treatment for aortic dissection. Methods Preoperative psychological care and the other preparations were carefully conducted. During the operation, the patient＇s body was correctly placed. Active cooperation with the performance of angiography and close observation during heparinization were carried out. The proper delivery of catheter and stent to the operator was carefully done. Close observation for the patient＇s vital signs, the renal function and the changes of limb blood supply were made. Results Under close cooperation of the operators, nurses, anesthesiologists and technicians, the surgery was successfully accomplished in 35 patients. The monitoring of vital signs during the entire performance of operation was well executed. No surgical instruments delivery errors or surgery failure due to unsuitable cooperation occurred. Conclusion Perfect preoperative preparation, strict nursing cooperation and team cooperation are the key points to ensure a successful endovascular aneurysm repair for aortic dissection.