腹主动脉瘤腔内隔绝术围手术期护理

目的:探讨腹主动脉瘤腔内隔绝术围手术期护理方法,为完善腹主动脉瘤腔内隔绝术围手术期护理提供参考。方法:通过对我院2004年6月～2009年5月收治的10例腹主动脉瘤患者护理实践的回顾,总结腹主动脉瘤腔内隔绝术术前护理和术后护理的护理重点、护理难点。结果:10例患者成功植入移植物,术后发热3例,发生肺部感染1例,动脉栓塞1例,经及时诊治后康复出院。结论:对腹主动脉瘤患者的护理应特别注重血压的监测,有效控制血压,防止因血压过高而发生瘤体破裂;同时,要做好患者的心理护理,并预防感染。

Perioperative nursing of endovascular exclusion of abdominal aortic aneurysm

Objective To discuss the endovascular exclusion of abdominal aortic aneurysm perioperative care approach,to provide a reference for perioperative nursing to improve abdominal aortic aneurysm endovascular graft exclusion.Method Nursing care practice of 10 cases with abdominal aortic aneurysm in our hospital between June 2004 to May 2009 was collected,the focus and difficulties of preoperative and postoperative nursing care of the abdominal aortic aneurysm endovascular graft exclusion were reviewed and summarized.Results Ten patients were successfully implanted grafts,among them,3 cases had postoperative fever,1 case had pulmonary infection and 1 case with arterial embolization.They all rehabilitated by the timely diagnosis and treatment.Conclusion The care of patients with abdominal aortic aneurysm should special emphasize on blood pressure monitoring,effective controling of blood pressure,in order to prevent aneurysm rupture occurred because the high blood pressure.At the same time,we must do psychological care to patients,and prevent infection.