重度主动脉瓣狭窄患者瓣环径多种方法测量前后的护理  

NURSING FOR VARIOUS MEASUREMENT OF AORTIC ANNULUS DIAMETERS IN PATIENTS WITH SEVERE AORTIC STENOSIS

作　　者：陈琴[1] 王贤主[1] 张志玲[1] 黄京芳[1] 邓慧仪[1] 周红[1] 

机构地区：[1]广东省深圳市孙逸仙心血管医院,518020

出　　处：《中国煤炭工业医学杂志》2014年第7期1150-1153,共4页Chinese Journal of Coal Industry Medicine

摘　　要：目的通过有效的护理干预,使多排螺旋CT成像质量达到优,比较不同的方法对重度主动脉瓣狭窄患者瓣环径测值的差别,探讨最优测量手段。方法 64例重度主动脉瓣狭窄患者,分别行二维经胸超声心动图(TTE)、二维经食管超声心动图(TEE)、多排螺旋CT(MSCT)及三维成像测量主动脉瓣环径。结果 64例患者通过护理干预,61例患者行多排螺旋CT(MSCT),一次成功,图像的质量优良,3例失败,1周后重做成功,图像的质量良。MSCT显示主动脉瓣环为椭圆形结构,TTE及TEE方法仅提供一个瓣环值。结论主动脉瓣环为椭圆形形态,瓣环径的测量应采用三维MSCT方法。MSCT检查前、检查中、检查后的护理是保证检查的成功,保证图像的质量的清晰度,确保测量的精确度。Objective To determine the most accurate method by comparing different methods for aortic an- nulus measurement in patients with severe aortic stenosis, using effective nursing intervention tomake MSCT quality of imaging be well. Methods In 64 patients with severe aortic stenosis, 2D transthoracic echocardiography （TTE）, 2D transesophageal eehocardiography{ TEE）, and 3D multislice computed tomo- graphy（MSCT） were performed to determine aortic annulus diameters. Results There were 61 patients＇ imagings achieved diagnosis purpose, 3 patients repeat checked and be succeed after one week in 64 pa- tients. MSCT imaging of the aortic annulus had an oval shape, TTE and TEE provided only one diameter of the aortic annulus. Conclusions Aortic annulus is an oval shape, MSCT 3D imaging should be used to evaluate aortic annulus diameters. Effective nurse plays an important role in protecting quality of imaging and accurate measurement.

关 键 词：主动脉瓣环 主动脉瓣狭窄 多排螺旋X线计算机体层成像 护理 

分 类 号：R473.5[医药卫生—护理学]