可脱性球囊栓塞治疗外伤性直接型颈动脉海绵窦瘘的护理体会

Nursing care for patients receiving detachable balloon embolization for Barrow type A traumatic carotid cavernous fistulae

目的总结可脱性球囊栓塞治疗外伤性直接型颈动脉海绵窦瘘的护理经验。方法回顾性分析18例外伤性直接型颈动脉海绵窦瘘患者术前、术中、术后护理方法。结果介入治疗外伤性直接型颈动脉海绵窦瘘,无一例发生与护理相关的并发症。结论科学和规范的护理在外伤性直接型颈动脉海绵窦瘘的介入治疗中取得了良好效果,切实有效的护理措施对保证手术成功及促进患者的康复具有重要意义。

Objective to summarize the nursing experience for patients with Barrow type A traumatic carotid cavernous fistula（TCCF） receiving detachable balloon embolization therapy. Methods A total of 18 patients with TCCF（Barrow type A） were treated with detachable balloon embolization. The perioperative and in- operation nursing care measures were retrospectively analyzed, and their effectiveness was evaluated.Results All patients were successfully treated with detachable balloon embolization. The vascular murmur disappeared immediately after embolization. The fistula was obstructed in all 16 cases, while the internal carotid artery（ICA） remained totally open. No nursing- related complications occurred in all patients.Conclusion Strictly observing scientific and standard nursing care measures can definitely ensure a successful performance of endovascular intervention for traumatic carotid cavernous fistula, and the patients can achieve an excellent recovery as well. Besides, scientific and standard nursing care can effectively prevent the occurrence of complications.