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80例急性主动脉夹层患者行三分支支架植入术的术后护理
引用本文:林雁娟,许乐,黄惜珍,徐小翠,叶青扬. 80例急性主动脉夹层患者行三分支支架植入术的术后护理[J]. 中华护理杂志, 2012, 47(4): 304-306
作者姓名:林雁娟  许乐  黄惜珍  徐小翠  叶青扬
作者单位:350001,福州市 福建医科大学附属协和医院心脏外科
摘    要:总结了80例急性Stanford A型主动脉夹层动脉瘤患者行三分支支架植入术的术后护理经验。对患者进行严密的监护,密切观察心率、心律、呼吸、血压、意识状态和肾功能,维持水电解质、酸碱平衡和血流动力学的稳定,积极预防及处理已发生的急性肾功能衰竭、神经功能障碍、大出血等并发症。本组均治愈出院。

关 键 词:主动脉瘤  支架  手术后医护

Postoperative care of 80 patients with acute aortic dissection treated by open triple-branched stent graft placement
LIN Yan-juan , XU Le , HUANG Xi-zhen , XU Xiao-cui , YE Qing-yang. Postoperative care of 80 patients with acute aortic dissection treated by open triple-branched stent graft placement[J]. Chinese Journal of Nursing, 2012, 47(4): 304-306
Authors:LIN Yan-juan    XU Le    HUANG Xi-zhen    XU Xiao-cui    YE Qing-yang
Affiliation:LIN Yan-juan,XU Le,HUANG Xi-zhen,XU Xiao-cui,YE Qing-yang
Abstract:This paper summarizes the experience of postoperative care of 80 patients with acute Stanford type A aortic dissection treated by open triple-branched stent graft placement.The key points in nursing were close observation of heart rate,heart rhythm,respiration,blood pressure,consciousness and renal function,maintaining fluid,electrolyte and acid-base balance,and hemodynamic stability,active prevention and treatment of postoperative complications such as acute renal failure,neurologic dysfunction,and bleeding.All the patients were cured and discharged from the hospital.
Keywords:Aortic Aneurysm  Stent  Postoperative Care
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