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颅内微小破裂动脉瘤血管内栓塞治疗护理观察

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摘要 目的探讨微小动脉瘤血管内治疗手术的观察及护理配合要点。方法分析神经外科行动脉瘤血管内治疗的20名患者临床资料。结果20例病人中总共19例致密栓塞，其中18例术后3～6个月再次入院行DSA检查未发现动脉瘤复发，2例因其他原因死亡；经回顾性分析结果显示瘤体深度及体颈比例与患者结局呈正相关，相关系数分别为0．901（P〈0．05）、0．658（P〈0．05）；动脉瘤形态与手术时间呈现正相关（相关系数为0．68，P〈0．05），提示动脉瘤越不规整，则需花的手术时间则越多；随之将影响术后转普通病房还是重症医学科的选择，相关系数分别为0．52（P〈0．05）、0．632（P〈0．05）。结论微小动脉瘤血管内栓塞是安全的、可靠的，但对护理配合要求高，需配合医师充分评估动脉瘤形态，记录手术角度及路径，配合医师完成术中微导管塑型，配合弹簧圈填塞过程，密切观察，发现术中动脉瘤再破裂情况，同时需重视术后护理。
作者 苏艳玲 希奉菊 陈琳 何雪华 林锦乐
机构地区 广东省深圳市宝安区人民医院介入科
出处 《实用临床医药杂志》 CAS 2013年第A01期129-131,共3页 Journal of Clinical Medicine in Practice
关键词 颅内微小动脉瘤 血管内治疗 护理配合
分类号 R739.41 [医药卫生—肿瘤]
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参考文献7

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二级参考文献10

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实用临床医药杂志
2013年 第A01期

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