胸降主动脉瘤伴主动脉右弓右降手术的护理配合  

Nursing cooperation in the operation of descending thoracic aortic aneurysm with right-sided aortic arch and right-sided descending aorta

作　　者：李红[1] 翟跃军[1] 赵子英[1] 

机构地区：[1]首都医科大学附属北京安贞医院手术室,100029

出　　处：《中华现代护理杂志》2010年第31期3764-3766,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨临床少见的右位主动脉弓、右位降主动脉、胸降主动脉瘤外科手术中的护理配合，以提高手术配合质量，减少手术相关并发症的发生。方法针对8例行右弓、右降胸降主动脉瘤手术的病例进行术前准备、麻醉配合、体位管理和皮肤保护、术中配合、术后交接等护理配合。结果8例患者于术后4～7h清醒，无左上肢缺血、无皮肤压伤感染等护理问题。结论术前心理护理、麻醉配合、正确的体位摆放以及充分显露术野和娴熟的手术配合是确保手术顺利进行的关键因素之一。Objective To discuss the nursing cooperation in operation of right-sided aortic arch, right-sided descending aorta, descending thoracic aortic aneurysm, to provide basis for high quality of operative cooperation and complication reducing. Methods To carry out preoperative preparation, anesthesia cooperation, body position management, skin protection, operative cooperation, postoperative relay in 8 patients underwent operation of right-sided aortic arch, right-sided descending aorta, descending thoracic aortic aneurysm. Results 8 patients got consciousness 4-7 hours post operation, there were no left upper limb ischemia and compression injury infection. Conclusions Preoperative mental nursing, anesthesia cooperation, correct body position, sufficient surgery field exposure and expert operative cooperation are the key factors of success operation.

关 键 词：胸降主动脉瘤 右位主动脉弓 右位降主动脉 护理配合 

分 类 号：R473.6[医药卫生—护理学]