住院患者腹主动脉瘤破裂的急救与围手术期护理体会  

THE EXPERIENCES OF FIRST AID AND PERIOPERATIVE NURSING IN INPATIENTS WITH RUPTURED ABDOMINAL AORTIC ANEURYSM

作　　者：贺立辉 黄侃[1] 彭静君[1] 吴泽宇[1] 

机构地区：[1]广东省人民医院/广东省医学科学院,广东广州510080

出　　处：《现代医院》2014年第12期86-87,90,共3页Modern Hospitals

基　　金：广东省自然科学基金(编号:S2013010016212)

摘　　要：目的探讨住院患者腹主动脉瘤破裂的术前急救与围手术期护理体会。方法回顾性分析24例住院腹主动脉瘤破裂患者的临床资料。结果腹主动脉瘤破裂的治疗关键在于早发现、早诊断、早手术;术前尽快做好术前准备,术后主要做好循环系统的维护、下肢远端血循环的观察、呼吸道和胃肠道护理,预防及早期发现感染、出血等并发症,并及时处理,可提高抢救成功率,降低死亡率。结论为了提高腹主动脉瘤破裂的存活率,破裂前及早诊断,尽早手术,及时急救,合理周密的护理尤为重要。Objective To investigate our experiences of first aid and perioperative nursing in inpatients with ruptured abdominal aortic aneurysm. Methods The clinical data of 24 inpatients with ruptured abdominal aortic an- eurysm were analyzed retrospectively. Results The key point in the treatment of ruptured abdominal aortic aneurysm is early detection, early diagnosis and timely operation. Besides, early preoperative preparation pre - operation, maintain stabilization of circulation system, closely observation of lower limb blood supply, satisfactory nursing of re- spiratory and gastrointestinal system, prevention and early detection of post - operation complications such as infection and bleeding are all needed for the improvement of survival rate of ruptured abdominal aortic aneurysm. Conclusion In order to improve the survival rate of ruptured abdominal aortic aneurysm, early diagnosis, early operation and timely emergency care and satisfactory perioperative nursing are particularly important.

关 键 词：腹主动脉瘤 破裂 急救 护理 

分 类 号：R543.16[医药卫生—心血管疾病]