严重骨盆外伤合并血管损伤应用腹主动脉球囊阻断技术的护理配合  

Nursing assistance during endovascular reconstruction using balloon occlusion of the abdominal aorta for patients with severe pelvic trauma and vascular injury

作　　者：钱维明[1] 杜丽丽[1] 项海燕[1] 

机构地区：[1]浙江大学医学院附属第二医院手术室,杭州市310009

出　　处：《中华护理杂志》2011年第5期478-479,共2页Chinese Journal of Nursing

摘　　要：总结了4例因车祸致严重骨盆外伤合并血管损伤的急诊患者应用腹主动脉球囊阻断技术的护理配合经验。护理配合重点包括:完善术前准备,术中确保动静脉通路畅通,准确观察尿量,密切观察双侧足背动脉的搏动,监测血压的变化,穿刺侧肢体拔管后予有效压迫,观察尿量、局部血肿及肢体皮温。4例患者均安全度过围手术期,痊愈出院。This paper summarizes the experience of nursing assistance during endovascular reconstruction using balloon occlusion of the abdominal aorta for patients with severe pelvic trauma and vascular injury in traffic accidents.Measures of nursing assistance included preoperative preparation,maintaining vascular access,monitoring urine volume,bilateral dorsalis pedis arterial pulses and the change of blood pressure during the operation.Postoperative nursing focused on effective compression on femoral artery after withdrawal of catheter,observation of urine volume,and local hematoma and skin temperature of lower extremities.The four patients got through the perioperative period safely and were discharged with recovery.

关 键 词：多处创伤 骨盆 血管 主动脉 腹 气囊阻塞 护理 

分 类 号：R472[医药卫生—护理学]