1例Stanford A型主动脉夹层昏迷患者术后延迟苏醒的护理

Nursing care of a coma patient with Stanford type A aortic dissection with delayed recovery after operation

急性Stanford A型主动脉夹层是一种病死率极高的心血管病危急重症,作者通过回顾1例急性Stanford A型主动脉夹层昏迷患者术后延迟苏醒的护理方案,详细介绍了其护理要点,包括多模式脑监测,实时关注意识变化,做好院内检查风险管理,制定最佳靶向目标体温管理策略,精准血压管理,防止吻合口破裂并且维持脑灌注,多感官促醒护理等,为同类患者的临床护理措施提供参考。经过精心治疗与护理,该患者于术后第4天意识清醒,术后第7天转入普通病房进行进一步治疗。

Acute Stanford type A aortic dissection is a serious cardiovascular disease with high mortality.A case of acute Stanford type A aortic dissection was reviewed,and the nursing scheme of patients with type A aortic dissection in delayed coma during recovery period was introduced in detail.The key points of nursing included multi⁃mode brain monitoring,real⁃time attention to changes in consciousness,risk management of in⁃hospital examination,establishment of optimal targeted body temperature management strategy,accurate blood pressure management,prevention of anastomotic rupture and maintenance of cerebral perfusion,and multi⁃sensory awakening nursing,which provided reference for clinical nursing measures of similar patients.After careful treatment and nursing,the patient was awake on the fourth day after operation,and transferred to a general ward for further treatment on the seventh day.