颈椎后纵韧带骨化症术后患者椎动脉假性动脉瘤迟发大出血一例的急救与护理  

First Aid and Nursing Care for A Patient with Delayed Massive Hemorrhage of Vertebral Artery Pseudoaneurysm after Cervical Spine Surgery for Ossification of Posterior Longitudinal Ligament

作　　者：黎燕[1] 张兰君[1] 张玉 解艳红[2] LI Yan;ZHANG Lanjun;ZHANG Yu;XIE Yanhong(Department of Orthopedics,Zhejiang Hospital,Hangzhou 310000,Zhejiang Province,China;Department of Geriatrics,Zhejiang Hospital)

机构地区：[1]浙江医院骨科,浙江杭州310000 [2]浙江医院老年科

出　　处：《军事护理》2023年第7期113-116,共4页MILITARY NURSING

摘　　要：目的总结1例颈椎后纵韧带骨化症(ossification of the posterior longitudinal ligament of cervical spine,OPLL)术后患者椎动脉假性动脉瘤迟发大出血抢救成功的护理体会。方法回顾性分析并总结某院收治的1例OPLL患者的临床资料。结果患者成功止血,康复出院,随访3个月无并发症发生。结论前路椎体骨化物复合体前移融合术(anterior controllable antedispl acement fusion,ACAF)是治疗多节段OPLL的良好选择,但在围术期应注意早期识别椎动脉损伤可能导致的出血症状,做好大出血窒息抢救预案,为患者赢得抢救的黄金时间。Objective To summarize the nursing experience of successfully rescuing a patient with delayed massive hemorrhage of vertebral artery pseudoaneurysm after cervical spine surgery for OPLL.Methods Retrospective analysis was conducted to summarize the clinical data of an OPLL patient admitted to a hospital.Results The patient was successfully hemostasized,and discharged with recovery.No complications occurred during the 3-month follow-up.Conclusions The anterior controllable antedisplacement fusion of vertebral ossified complex is a good choice for treating multi-segment OPLL.Special attention should be paid to early recognition of bleeding symptoms caused by vertebral artery injury during the perioperative period.The rescue plan for massive bleeding and suffocation should be prepared to win the golden time for rescuing the patients.

关 键 词：椎动脉损伤 假性动脉瘤 迟发性出血 急症护理 

分 类 号：R473.6[医药卫生—护理学]