复杂型A型主动脉夹层患者再次手术的围术期护理

Perioperative nursing of patients with re-operation of complex type A aortic dissection

目的探讨再次行全主动脉弓替换加支架"象鼻"手术围术期的护理经验。方法回顾性分析和总结28例再次行全主动脉弓替换加支架"象鼻"手术患者的围术期护理体会。结果 28例患者手术均成功,无1例患者死亡。结论加强术前评估,加强体位及皮肤管理,物品准备充分,加强术中血液回收,减少血液流失,加强温度管理对保证再次行全主动脉弓替换加支架"象鼻"手术顺利完成具有重要的意义。

Objective To investigate the nursing experience of caring patients with second total aortic arch replacement with stent“trunk”.Method The nursing data of 28 patients undergoing total aortic arch replacement with stent＆quot;trunk＆quot;were analyzed to summarize the perioperative nursing experience.Results The operations were successful in all 28 patients.None of them died. Conclusion The nursing measures such as strengthened preoperative evaluation,strengthened body position and skin management, preparation of articles,strengthened blood recollection during operation to reduce blood loss and enhanced temperature monitoring are key to the success of total aortic arch replacement with stent＆quot;trunk＆quot;.