颈动脉内膜剥脱术术前和术后护理.docVIP

颈动脉内膜剥脱术术前及术后的护理 [摘要]目的 脑 HYPERLINK /zuzhong_4616/ \o 医学百科：卒中 卒中是当今人类第三致死原因，同时脑 HYPERLINK /treatment/subject/zf/index.shtml \t _blank HYPERLINK /zhongfeng_5299/ \o 医学百科：中风 中风后的高致残率不仅严重影响病人的生存质量，而且给家庭和社会增添很的经济和 HYPERLINK /xinli_118096/ \o 医学百科：心理 心理负担［1］ HYPERLINK /jingdongmaineimoqiechushu_127350/ \o 医学百科：颈动脉内膜切除术 颈动脉内膜切除术是将动脉内膜切开并剥离增厚的内膜而使 HYPERLINK /xueguan_47247/ \o 医学百科：血管 血管再通的 HYPERLINK /cooperate/tu/yx/ss/index.shtml \t _blank 手术［2］。颈 HYPERLINK /dongmaineimoqiechushu_126484/ \o 医学百科：动脉内膜切除术 动脉内膜切除术的首要目的是预防脑卒中的 HYPERLINK /fasheng_16282/ \o 医学百科：发生 发生，是有效预防 HYPERLINK /quexuexingnaozuzhong_37499/ \o 医学百科：缺血性脑卒中 缺血性脑卒中再发的 HYPERLINK /fangfa_119090/ \o 医学百科：方法 方法［3］。方法 收集2011年6月～2013年3月，10 例患者在全麻下手术行颈总动脉及(或)颈内动脉切开，剥脱动脉内膜，再将血管重新缝合。结果 2例患者治愈，5例患者症状明显减轻，3例患者症状减轻，恢复良好，均达到预期目的。结论 通过手术解除患者颅外颈动脉狭窄，预防缺血性卒中，被认为是预防脑 HYPERLINK /zuzhong_4616/ \o 医学百科：卒中 卒中的首选治疗方法。 [Summary] purpose of stroke is the third cause of death in humanity today, while the high disability rate of cerebral apoplexy which not only affect the patients quality of life and add to family and social economic and psychological burden on [1] carotid endarterectomy is the arterial intimal thickening of the intima cut and split and revascularization surgery [2]. Carotid artery endarterectomys primary purpose is to prevent the occurrence of stroke is an effective method to prevent recurrence of ischemic stroke [3]. June 2011 ~2013 collection in March, 10 cases in surgery under general anesthesia in patients with common carotid artery and (or) internal carotid artery cut, stripping of artery intima, then reuse the vascular suture. Results in 2 patients cured, 5 patients symptoms significantly reduce, alleviate the symptoms of 3 patients and restore good will serve the intended purpose. Conclusions of extracranial carotid artery stenosis in patients with surgically lifted, prevention of ischemic stroke, is considered to be the preferred treatment for stroke prevention. [关键词] 颈动脉内膜 剥脱术 护理 [Keywords] carotid enda