急性A型主动脉夹层患者择期手术的术前安全管理  

Preoperative safety management for patients with acute type A aortic dissection

作　　者：郭敏[1] 李亚丽[1] 杨柳[1] 弓华[1] 周广真 张君玲[1] 

机构地区：[1]河南省胸科医院心血管外科,郑州市450008

出　　处：《中华护理教育》2016年第5期384-386,共3页Chinese Journal of Nursing Education

摘　　要：对86例择期手术的急性A型主动脉夹层患者进行术前安全管理,主要包括减轻皮肤护理、导尿过程对患者的刺激,强调患者卧位排便并保持通畅,遵医嘱应用止疼镇静药并做好副作用的风险防范,环境温度降低时要及时给患者保暖并监测血压,积极给予心理支持。经上述管理,所有患者均安全度过术前期获得手术机会,术后未发生切口感染。This paper introduces the practice of preoperative safety management for 86 patients with acute type A aortic dissection. The key points in nursing were skin care,no-pain catheterization,defecation intervention,use of analgesic sedative drugs and prevention of side effects,monitoring of blood pressure and psychological support. All patients underwent opertation successfully without postoperative wound infection.

关 键 词：动脉瘤 夹层 手术前护理 安全管理 

分 类 号：R473.6[医药卫生—护理学]