颅内动脉瘤介入治疗围术期的护理策略研究  

Perioperative Care for Patients with Interventional Embolization On Intracranial Aneurysms

作　　者：常波[1] 郑卓双[1] 方坚玲[1] 蔡楚红[1] 李宜襄[1] 林卓美[1] 李学东[1] CHANG bo,ZHENG Zhuo-shuang,FANG Jian-ling, et al. （ Department of neurosurgery, the First Affiliated Hospital, Medical College of Shantou University, Shantou 515041, China）

机构地区：[1]汕头大学医学院第一附属医院神经外科,广东汕头515041

出　　处：《医学信息》2011年第3期871-872,共2页Journal of Medical Information

摘　　要：目的探讨颅内动脉瘤介入治疗患者的围手术期护理。方法观察38例颅内动脉瘤介入围术期的病情变化，针对性加强预防措施、及早正确处理颅内动脉瘤及介入手术的并发症。术前做好心理护理和基础护理，防止动脉瘤术前再次破裂；术中予以生命体征监测，术后观察意识、瞳孔及生命体征，通过有效的护理避免出血、血管痉挛等并发症。结果本组成功栓塞36例动脉瘤病人，1例动脉瘤破裂出血死亡，1例因肺内感染死亡。结论围术期密切观察病情及早发现并发症，施行正确的护理措施，可提高介入手术的成功率，减少并发症．提高患者的生存质量。Objective To investigate Perioperative care for 38 cases with treatment of interventional embolization of intracranial aneurysms.nethods： Preventing aneurysms rerupture by enhance preoperative preparation,improve psychological care and basic care,treatment the complications with correct manner. The consciousness, pupil and vital signs were monitored.To avoid bleeding,vasospasm and other complications through effective nursing. Results 36 cases have acquired successful embolization.One died due to intracranial aneurysm re-rupture, and another died of severe lower respiratory tract infection. Conclusion Effective nursing care during perioperative period couht decrease the complication and increase the successful rate of interventional embolization of intracranial aneurysm, especially improve the quality of life of patients.

关 键 词：动脉瘤 介入治疗 围术期 护理 

分 类 号：R735.7[医药卫生—肿瘤;医药卫生—临床医学]