主动脉夹层术前病情监测与护理干预

Preoperative condition monitoring and nursing intervention of aortic dissection

目的减少主动脉夹层(aortic dissection,AD)破裂的发生,增加患者的依从性,减少患者的死亡率。方法总结2015年6月至2016年6月宜宾市第一人民医院收治的28例AD患者术前病情监测要点,依据疼痛、心理、血压、心率等指标进行干预。结果在28例患者中死亡2例,其余均顺利接受手术,术后安全出院。结论通过术前病情监测、精心的护理干预,可以增加患者依从性,有效地减少AD破裂的危险,为手术赢得时间,减少急性期AD患者的死亡率。

objectives To reduce the rupture of aortic dissection （AD）, improve patient＇s compliance and reduce patient＇s mortality. Methods 28 cases of AD patients admitted in Yibin First People＇s Hospital from June 2015 to June 2016 were analyzed, and the main monitoring points of the patient＇s condition before surgery were analyzed. The patients were treated according to the following indicators： pain, psychology, blood pressure, heart rate and so on. Results Among 28 patients, 2 patients died, and the rest were successfully underwent surgery. Conclusions Monitoring patient＇s condition before surgery combined with careful nursing intervention and improving patient＇s compliance, can effectively reduce the risk of AD rupture, win time for surgery, and reduce the mortality of patients in acute stage.