巨大脑动静脉畸形分次栓塞术并发症的原因分析及护理干预  

The causes and the nursing interventions of the complications due to repeated embolization therapy for huge cerebral arteriovenous malformations

作　　者：孙玲芳[1] 孙鸽[1] 

机构地区：[1]苏州大学附属第一医院介入科,江苏省215006

出　　处：《介入放射学杂志》2010年第5期417-419,共3页Journal of Interventional Radiology

摘　　要：目的探讨巨大脑动静脉畸形(AVM)分次栓塞术并发症的原因及护理干预措施。方法总结我科17例巨大脑AVM患者共行54次栓塞治疗的资料,分析并发症产生的原因,制定相应的护理措施,采取及时、必要的护理干预,减少、避免各种并发症的发生,防止出现严重后果。结果 17例患者中,1例患者接受3次治疗后2个月再次发生畸形血管团破裂出血而放弃治疗;1例患者术中并发脑血管痉挛,经解痉治疗后恢复,未遗留神经功能缺损;2例患者出现一过性眩晕、头痛、自然缓解;1例患者出现紧张、恐惧、烦躁难以配合手术,予静脉基础麻醉,顺利完成治疗。其余病例未出现并发症。结论并发症的预见性护理干预是巨大脑AVM分次栓塞治疗取得成功的重要保障,使患者获得最佳的治疗和护理,显著减少、避免了并发症的发生。Objective To investigate the causes of the complications occurred after repeated embolization therapy for huge cerebral arteriovenous malformations and to discuss their nursing interventions. Methods A total of 54 embolization procedures were performed in 17 patients with huge cerebral arteriovenous malformations. The clinical data were retrospectively analyzed. The causes of complications were carefully examined and the preventive measures were discussed. The prompt and necessary nursing interventions were formulated in order to prevent the complications or serious consequences. Results Among the total 17 patients, one patient gave up the treatment because of the cerebral hemorrhage which occurred two months after receiving 3 times of embolization therapy. One patient experienced cerebral vascular spasm during the procedure, which was relieved after antispasmodic medication and no neurological deficit was left behind. Two patients developed transient dizziness and headache, which were alleviated spontaneously. One patient presented with nervousness, fear and irritability, which made him hard to cooperate with the operation and the basis intravenous anesthesia was employed. No complications occurred in the remaining cases. Conclusion The predictive nursing interventions for the prevention of complications are very important for obtaining a successful repeated embolization therapy for huge cerebral arteriovenous malformations, which will ensure that the patients can get the best treatment and the complications can be avoided.

关 键 词：动静脉畸形 脑 介入干预 栓塞 护理 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R473.74[医药卫生—临床医学]