22例Stanford B型主动脉夹层腔内隔绝术的围手术期护理  

Perioperative nursing of 22 patients with Stanford B type aortic dissections treated with endovascular graft exclusion

作　　者：柯丽燕[1] 申屠敏姣[1] 白瑾[1] 

机构地区：[1]浙江省人民医院,浙江杭州310014

出　　处：《现代临床护理》2014年第4期47-49,共3页Modern Clinical Nursing

摘　　要：目的探讨Stanford B型主动脉夹层腔内隔绝术的围手术期护理要点。方法回顾性分析22例行胸主动脉腔内修复术的Stanford B型主动脉夹层患者的临床资料,总结护理经验。结果 22例患者手术经过顺利,术后出现1例逆行性A型夹层,15例体温过高,予对症治疗后恢复。患者均治愈出院,术后3个月随访,均未出现Ⅰ型内漏。结论术前做好心理护理,控制血压,术后继续控制血压,做好并发症护理,加强饮食及活动指导,是促进患者早期康复出院的关键。Objective To investigate the perioperative nursing of patients with Stanford type B aortic dissections treated with endovascular graft exclusion.Method The clinical data of 22 cases undergoing thoracic endovascular aortic repair from February 2011 to August 2013 were retrospectively analyzed to summarize the nursing experience.Results Twenty-two patients survived successfully through operation.One case had retrograde type A dissection after operation,another 15 had hyperthermia,and all of them were cured and discharged due to symptomatic treatment.The postoperative 3 months follow-up showed no type I endoleak.Conclusion Preoperative psychological nursing,postoperative blood pressure control,nursing of complications,strengthening instruction of diet and physical activity,are critical for the promotion of early rehabilitation of patients after discharge.

关 键 词：主动脉夹层 腔内隔绝 围手术期 护理 

分 类 号：R473.6[医药卫生—护理学]