使用电解脱弹簧圈经皮封堵冠状动脉-肺动脉瘘的护理  

Nursing for percutaneous transcatheter closure of coronary-pulmonary artery fistula using guglielmi detachable coils

作　　者：袁亿里[1] 毛燕君[1] 张峥[1] 胡亚琴[1] 朱康玲[1] 

机构地区：[1]上海长海医院影像医学科导管室,上海200433

出　　处：《当代医学》2011年第30期106-107,共2页Contemporary Medicine

摘　　要：目的探讨冠状动脉-肺动脉瘘介入治疗手术护理的特点。方法回顾性分析2007年1月至2010年4月收治的7例冠状动脉-肺动脉瘘使用电解脱弹簧圈栓塞治疗患者的介入护理,包括病情观察、并发症护理、用药护理等方面。结果 7例冠状动脉-肺动脉瘘栓塞术中6例患者术后瘘口完全堵塞,无一例死亡及并发症,1例患者因冠状动脉瘘瘘道血管迂曲严重,行外科手术治疗。结论经导管介入治疗冠状动脉瘘具有良好的临床疗效及安全性,护理人员术中细致的病情观察、熟练的手术配合、敏捷的病情判断都有利于提高手术的成功率。Objective To discuss the nursing measurements in percutaneous transcatheter closure of coronary-pulmonary artery fistula using guglielmi detachable coils. Methods Seven cases with coronary-pulmonary artery fistula underwent percutaneous transcatheter closure using guglielmi detachable coils from January 2007 to April 2010. Nursing measures were retrospectively summarized included clinical observation, complication care and medication administration, etc. Results Six cases were carried out successfully, 1 case failed for tortuous vessel and received an operation. Conclusion Percutaneous transcatheter closure of coronary-pulmonary artery fistula using guglielmi detachable coils is feasible and safe in anatomically suitable vessels. Appropriate care method is the fundamental guarantee of these success procedures.

关 键 词：冠状动脉-肺动脉瘘 电解可脱性弹簧圈 护理 

分 类 号：R473.5[医药卫生—护理学]