Standford B型主动脉夹层实施带膜支架胸主动脉腔内修复术患者围术期护理效果观察

Effect observation of perioperative nursing of patients suffering from thoracic endovascular aneurysm repair for Standford type B aortic dissection

目的观察Stanford B 型主动脉夹层行带膜支架胸主动脉腔内修复术治疗的患者围术期护理效果.方法：选取90 例StanfordB 型主动脉夹层行带膜支架胸主动脉腔内修复术患者,均实施为期6-26 个月的临床随访,分析总结围术期护理及手术效果.结果：患者均顺利完成手术,无移植物错放、移位、瘤体破裂及截瘫等并发症;术后死亡1 例（术后1 d 死于心肌梗死）,逆行性A 型主动脉夹层2 例,经保守治疗2 周后出院,内漏2 例,经处理无严重影响;术后随访未见迟发内漏,患者无不适主诉.结论：做好胸主动脉腔内修复术的围手术期护理,对于提高手术效果、降低术后并发症意义重大.

Objective:To investigate effects of perioperative nursing of patients suffering from thoracic endovascular aneurysm repair for Standford type B aortic dissection. Methods: 90 cases suffering from thoracic endovascular aneurysm repair for Standford type B aortic dissection were selected and followed up for 6-26 months. The effects of perioperative nursing and the operation were ana-lyzed and summarized. Results:All the patients successfully completed the operation, had no graft misplaced, shift, aneurysm rupture and complications like paraplegia. After the operation, 1 case died due to myocardial infarction 1d after the operation, 2 cases of retro-grade type A aortic dissection were given the conservative treatment and discharged 2 weeks later, and 2 cases of leakage were treated without any serious influence. During the 6-26 months follow-up, no delayed endoleaks and patient discomforts were observed. Con-clusions:Perioperative nursing for the patients suffering from thoracic endovascular aneurysm repair can improve the operation effect, and reduce the postoperative complications of great probability of significance.