颅内巨大动脉瘤行颅内外动脉搭桥术的手术配合  

Operative cooperation of the intra- extra cranial bypass operation of the intracranial giant aneurysms

作　　者：金鑫[1] 郎红娟[1] 李娟[2] 张娜[1] 于嘉[3] Jin Xin Lang Hongjuan Li Juan Zhang Na Yu Jia(Department of Neurosurgery, Tangdu Hospital, the Fourth Military Medical University, Xi＇an 710038, China)

机构地区：[1]第四军医大学唐都医院护理部,西安710038 [2]第四军医大学唐都医院神经外科手术室,西安710038 [3]第四军医大学唐都医院神经外科,西安710038

出　　处：《中国实用护理杂志》2017年第18期1381-1383,共3页Chinese Journal of Practical Nursing

摘　　要：目的 探讨行颅内外动脉搭桥术治疗颅内巨大动脉瘤手术的配合方法.方法 回顾2014年10月至2016年6月进行的7例颅内外动脉搭桥术治疗颅内巨大动脉瘤的病历,分析术前、术中各项手术配合的护理要点.结果 术后全部患者常规进行全脑血管造影检查提示搭桥血管通畅良好,无围手术期护理并发症.结论 加强多切口管理、主动体温干预、特殊仪器设备的使用和预防血栓形成是配合手术成功的护理要点.Objective To explore the operative cooperation of the intra-extra cranial bypass operation of the intracranial giant aneurysms. Methods A retrospective analysis of 7 patients who had intracranial giant aneurysm and received the intra-extra cranial bypass operation from October 2014 to June 2016. All preoperative and intraoperative nursing points of operative cooperation were analyzed. Results The post-operative digital subtraction angiographies of 7 patients without any perioperative nursing complications showed enough flow in the bypass arteries. Conclusions Operative multi-incision managing, positive temperature intervening, special instruments using and thrombosis preventing play very important roles in the nursing points of the successful operative cooperation.

关 键 词：颅内外动脉搭桥术 手术配合 护理要点 

分 类 号：R472.3[医药卫生—护理学]