胸主动脉瘤腔内隔绝术的术后早期监护与干预  

Early monitoring and intervention after the endovascular exclusion in patients with aneurysm of thoracic aorta

作　　者：黄利娥[1] 余娜[1] 李彩云[1] 何丽仪[1] 黄顺伟[1] 刘晓英[1] 

机构地区：[1]中山大学附属第一医院SICU,广州510080

出　　处：《现代护理》2006年第9期830-831,共2页Modern Nursing

摘　　要：目的 探讨胸主动脉瘤腔内隔绝术的术后早期监护与干预.方法回顾分析2001年1月～2005年8月外科重症监护室（SICU）收治的47例胸主动脉瘤腔内支架隔绝术患者的临床资料.结果47例患者在SICU监护期间严密监测循环系统、呼吸系统以及术后出血的情况,做好心理护理、生活护理措施.除3例患者因术前已有动脉瘤破裂,术后出现失血性休克,经抢救无效而死亡,2例因术后病情危重家属放弃治疗而自动出院外,其余患者均救治成功,平稳后转回普通病房治疗.结论胸主动脉瘤腔内隔绝术为一项较新的技术,手术的成功与否有赖于术后早期的监护与干预,维护循环系统、呼吸系统的稳定及预防术后的出血对患者术后的康复至关重要.Objective To explore intensive care after the endovascular exclusion in patients with aneurysm of thoracic aorta. Methods The data of forty-seven patients with aneurysm of thoracic aorta from Jan 2001 to Aug 2005 were retrospectively analyzed. Results In the period of SICU, with mental and life nursing, all the patients was given intensive care in circulation, respiratory and bleeding situation. Except three cases discharging for aneurysm rupture pre-surgery, died of hemorrhayic shock after operation. Two cases disclaimed treatment for the worst condition of disease. Others underwent thought the operation and shifted in ordinary ward. Conclusions The endovascular exclusion in aneurysm of thoracic aorta is a new technique. Whether succeed or not depends on intensive care in circulation,respiratory and preventing from bleeding after surgery. It is quite important of patient recovery.

关 键 词：胸主动脉瘤 腔内隔绝术 监护 护理 

分 类 号：R473.6[医药卫生—护理学]