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超声引导注射凝血酶治疗假性动脉瘤的护理

Nursing of pseudoaneurysm patient streated by ultrasound-guided thrombin injection
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摘要 超声引导下对10例(12个囊)假性动脉瘤囊腔内局部注射凝血酶封闭治疗,在术前、术中、术后制定和实施详细的护理计划。协助医生顺利完成手术,重点观察患者的体温、呼吸、脉搏和血压变化情况。术后观察患者足背动脉搏动是否存在,治疗部位是否再出现搏动性包块。注射后假性动脉瘤囊腔内花色血流信号立即消失,取而代之者为凝血块高回声,出现“瀑布效应”,治愈率100%,患者的体温、呼吸、脉搏和血压正常,无明显并发症。笔者认为:介入超声治疗假性动脉瘤安全、有效、简便、易行,加强护理是治疗成功的保证。 In the treatment of pseudoaneurysmsby injecting thrombin locally into the sac under the guidance of ultrasound,a periop-erative nursing plan wasmade in great detailsto cooperate with doctorsin the smooth completion of operationsand observe mainly the body temperature,respiration,pulse and blood pressure.After operation,pulsesof dorsal arterial of foot and pulse lumpsat the punctured spot were observed.After injection,signalsof colorful blood stream in pseudoaneurysmsdisappeared immediately and in-stead,high coagulum hyperechoescame into being,which wasnamed'waterfall effect'.The cure rate of thrombin in sealing pseudoa-neurysm cavity reached100%.The body temperature,respiration,pulse and blood pressure kept normal,without complications.The authorssuggested that interventional ultrasound-guided therapy in treating pseudoaneurysm issafe,effective and simple and intense nursing isa guarantee for the success.
作者 卓泉 王军
出处 《南方护理学报》 2004年第1期14-15,共2页 Nanfang Journal of Nursing
关键词 超声引导 假性动脉瘤 凝血酶 封闭治疗 护理 aneurysm,pseudo interventional ultrasound thrombin nursing
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参考文献8

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