摘要
目的:探讨Stanford B型主动脉夹层腔内隔绝术围手术期护理措施。方法:至2012年~2013年第三军医大学心血管内科收治的43例Stanford B型主动脉夹层患者,在局麻下经皮股动脉穿刺完成主动脉腔内隔绝术(Endovascular grafting exclusion,EVGE)。对所有患者进行术前及术后心理护理和健康教育,强化术中护理配合,术后密切观察生命体征和是否发生并发症。结果:手术成功率100%,术后30min发生迷走神经反射1例,1.0h发生血肿1例,1例术后左侧上肢乏力,桡动脉搏动较术前减弱,无感染、内漏、截瘫、死亡等严重并发症。结论:良好的护理措施可以提商主动脉夹层腔内隔绝术手术成功率,降低术后并发症,减少患者痛苦,缩短住院时间,促进患者预后。
Objective:To investigate Stanford B aortic dissection endovascular perioperative care measures. Methods: 2012-2013 43 cases of Stanford B aortic dissection patients admitted to the Third Military Medical University,Department of Cardiology, and under local anesthesia to complete percutaneous femoral artery puncture aortic endovas cular(Endovascular grafting exclusion,EVGE). All patients preoperative and postoperative psychological care and health education, strengthening care with surgery,after close observation of vital signs and whether complications. Results: The success rate of 100% ,30 min after the occurrence of vagal reflex one case,1.0hheraatoma one case,one case of the left upper extremity weakness after surgery, compared with preoperative radial artery pulse weakened, infection, leakage, paraplegia, Conclusion:A good nursing interventions can improve endovascular aortic dissection surgery success rate and reduce postoperative complications, reduce patient pain, shorter hospital stays, improve patient prognosis.
出处
《药物与人》
2014年第9期275-275,共1页
Medicine & People
关键词
主动脉夹层
腔内隔绝术
护理
Aortic disseetion
Endovaseular grafting exclusion
Nursing