17例胸主动脉腔内修复并左锁骨下动脉“烟囱”术患者的围手术期护理  

Perioperative nursing of 17 patients with left subclavian artery reconstructed by chimney technique during thoracic endovascular aortic repair

作　　者：王丽[1] 翁艳敏[1] 傅巧美[1] 商弢[1] 

机构地区：[1]南京大学医学院附属鼓楼医院血管外科,南京市210008

出　　处：《中华护理杂志》2015年第7期816-819,共4页Chinese Journal of Nursing

基　　金：国家临床重点专科建设项目

摘　　要：报告了17例胸主动脉腔内修复并左锁骨下动脉"烟囱"术患者的护理。本组6例术前左上肢缺血患者术后均得到改善,其中5例双侧收缩压差小于20mmHg(ImmHg=0.133kPa),1例左前臂肤色恢复正常;本组2例发生头痛,1例出现左下肢麻木,1例出现左上肢肿胀,9例出现腔内修复术后综合征,均得到良好处理后症状消退。认为注意观察左上肢的血压及其血液循环情况,评估左椎动脉供血区神经功能情况,鉴别腔内修复术后综合征与感染的表现等是做好这类患者护理工作的关键。This paper summarizes the perioperative nursing of 17 patients with left subclavian artery reconstructed by chimney technique during thoracic endovascular aortic repair. Six patients with left upper extremity ischemia were improved after treatment,among which,five patients＇ bilateral differences of systolic blood pressure were less than 20mmHg and one patient＇s color of left limb recovered to the normal level. After operation,headache was found in two cases,left upper limb swelling in one case,left lower limb parasthesia in one case,andpost endovascular repair syndrome in nine cases. All symptoms were relieved after timely treatment. It is suggested that intensive observation of blood pressure and circulation of left upper extremity,assessment of nervousfunctionsinthe left vertebral artery supply area ,differentiating post endovaseular repair syndrome and infection are key points in perioperative nursing.

关 键 词：主动脉瘤 胸 动脉瘤 夹层 血管成形术 护理 

分 类 号：R473.6[医药卫生—护理学]