主动脉夹层43例的分期护理  

The Nursing by Stages on Patients with Aortic Dissection

作　　者：黄芳梅[1] 蔡立慧[1] 钟晓珊[1] 许琼[1] 陈彩芳[1] 方少意[1] 

机构地区：[1]广东汕头大学医学院第一附属医院心血管科,广东汕头515041

出　　处：《中国误诊学杂志》2005年第14期2617-2619,共3页Chinese Journal of Misdiagnostics

摘　　要：目的:探讨主动脉夹层患者不同时期的观察重点和护理。方法:严密观察疼痛、血压的变化及压迫的症状,做好止痛、镇静、降压等对症治疗的护理,指导患者饮食、活动、排泄等日常生活,做好出院指导,防止主动脉夹层复发。结果:43例经过及时的诊断、治疗、密切的观察和护理,32例(74.4%)好转或治愈出院,自动出院6例(13.9%),5例(11.6%)死亡。其中6例做支架术,1例复发。结论:对主动脉夹层患者进行严密病情观察和护理有助于降低患者急性期的病死率,心理护理和健康教育的效果在防止患者发生意外、再次发生主动脉夹层起到重要作用。Objective ：To explore the key stage of observation and nursing methods on Arotic Dissection（AD） patients. Method：The different nursing methods were performed on 43 patients with AD：the following methods was taken： 1）to strictly observe fatal symptoms, pain changing, blood pressure;2） to instruct patients how to take activities and to prevent the complication on subacute stages;3）to make a good health care when leaving hospital and to prevent the recurrence of AD. Result ：32 AD （74.4%）patients were improved their symptoms or cured by our nursing care. Conclusion ：It is helpful to decrease mortality of AD by these strict observation and nursing care by stages.

关 键 词：动脉瘤 夹层/护理 

分 类 号：R543.16[医药卫生—心血管疾病]