摘要
目的探讨去分支技术治疗胸腹主动脉瘤的围术期护理方法,以减少并发症的发生,提高手术的成功率。方法回顾性分析并总结2007年8月至2013年3月,第二军医大学长海医院收治的7例采用去分支技术治疗胸腹主动脉瘤患者的临床资料。结果 7例患者均手术顺利,术后随访2年,2例患者术后出现左肾动脉闭塞肾衰竭,1例患者术后3d发生弥散性血管内凝血(disseminated intravascular coagulation,DIC),1例患者发生Ⅲ型内漏。结论术前精心的护理准备、术中器械护士熟练默契的配合、术后细致有效的监测和护理是手术成功的关键。
Objective To discuss the peroperative nursing experience of debranching technique for patients with thoracoabdominal aortic aneurysm ,in order to reduce the incidence of complications ,and increase the operation success rate .Methods Clinical data of seven patients with thoracoabdominal aortic aneurysm treated by debranching technique between August 2007 to March 2013 were analyzed retrospectively .Re-sults All the operations were successfully performed .With two years of followed up ,two cases had renal dysfunction because of renal artery occlusion ,one patient has DIC three days after surgery ,and 1 case withⅢ type endoleak .Conclusion The thoughtful nursing preparation ,great cooperation with nurses ,effective monitoring and nursing after surgery are the keys to the success of operation .
出处
《解放军护理杂志》
CSCD
2015年第19期45-48,共4页
Nursing Journal of Chinese People's Liberation Army
基金
国家自然科学基金青年项目(81200225)
第二军医大学青年基金(2010QN11)
长海医院"1255"科研探索项目(CH125541200)
关键词
去分支技术
胸腹主动脉瘤
围术期护理
debranching technique
thoracoabdominal aortic aneurysm
peroperative nursing
