一例腹主动脉瘤腔内修复术后支架感染行腋-双股动脉旁路术的护理配合

A case study of nursing cooperation in axillobifemoral bypass surgery treating stent-graft infectionafter endovaseular repair of abdominal aortic aneurysm

目的总结腹主动脉瘤腔内修复术后支架感染行腋-双股动脉旁路术的护理配合。方法对1例腋-双股动脉旁路术治疗腹主动脉瘤腔内修复术后支架感染的病例进行回顾性分析，总结护理对策及手术配合要点。结果经过医护默契配合及做好感染防护，3d后，患者神志清，体温37．5-38．5℃，脉搏100-120次／min、血压108／69mmHg（1mmHg=0．133kPa），手术顺利完成，术后患者人工血管通畅、足背动脉搏动良好。结论腋-双股动脉旁路术手术持续时间长、手术配合要求高，通过多切口管理、预防血栓形成以及观察下肢缺血再灌注损伤，根据潜在并发症实施针对性护理措施是配合手术成功的要点。

Objective To summarize the nursing cooperation of axillobifemoral bypass surgery treating stent graft infection after endovascular aortic repair of abdominal aortic aneurysm. Methods To review a case of stent graft infection after endovascular aortic repair of abdominal aortic aneurysm and summarize the nursing cooperation of this patient retrospectively. Results After the medical care tacit cooperation and the infection protection, the procedure was successfully completed. The artificial blood vessels of the patient were unobstructed after the operation, and the pulse of both dorsalis pedis arteries was strong. Conclusions Axillobifemoral bypass surgery poses the characteristicsof long duration and complex. Designation of appropriate nursing measures, such as multi-incision management, thrombosis preventing and prevention of ischemia based on potential complications, are essentials of successful operation