Intracranial angioplasty and stenting care.docVIP

 PAGE \* MERGEFORMAT 7 Intracranial angioplasty and stenting care [Keywords:] Acute cerebrovascular disease Acute Cerebrovascular disease is the human toll of the three diseases. Which the highest incidence of cerebral infarction, accounting for about 80% of cerebrovascular disease [1]. Carotid artery or intracranial artery stenosis is caused by ischemic one of the main cerebrovascular disease. I Division in August 2005 -2007 on May intracranial artery stenting angioplasty artery stenosis in 10 cases, care will now report the results as follows. 1 Clinical data 10 patients were male, aged 43 to 71 years. Transient ischemic attack in 2 cases, 8 cases of cerebral infarction in patients under general anesthesia .6 surgery, 4 patients under local anesthesia surgery. 2 Care 2.1 Preoperative preparation 2.1.1 preoperative routine examination Good preoperative liver and kidney function, the coagulation time, ECG and other checks to understand the patient’s general condition, rule out the contrast agent contraindication. 2.1.2 Preoperative postural training to do Supine position to surgery, surgery requires the patient’s body to remain intact, otherwise it will affect the clarity of image, should be straight limb after surgery brake 24h. Nurses should explain the supine patient the importance of guiding patients with preview bed and defecation, after coughing, Zhu Huanzhe pressed his hand wound after defecation, to avoid increased abdominal pressure to reduce surgical complications. 2.1.3 Psychological Care Patients may be for anxiety, tension, fear and other psychological symptomatic nursing. Explain to patients and their families need to stenting, stent performance and method of operation, operation time required to introduce the case of a successful operation to remove the fear of patients psychological, maintain a good attitude, actively cooperate with the surgery. well the day before surgery and iodine allergy testing for bilate