血管腔内隔绝术治疗主动脉夹层瘤术后护理很关键急性Stanford B 型胸主动脉夹层的临床护理体会.docVIP

精品论文 参考文献 血管腔内隔绝术治疗主动脉夹层瘤术后护理很关键急性Stanford B 型胸主动脉夹层的临床护理体会 陈 妮，钟 武，陈睦虎，扬 帆（泸州医学院附属医院急诊科 四川 泸州 646000） 　　摘要：目的：探讨血管腔内隔绝术治疗急性Stanford B 型胸主动脉夹层患者的临床护理要点。方法：我科2008 年1 月至2014 年10 月收治30 例急性胸主动脉夹层患者行血管腔内隔绝术治疗，手术时间选择在急性发病1 周以后，对患者实施术前、术后护理，包括心理护理、基础护理、针对性专科病情监测及健康宣教等。结果：30 例患者成功植入覆膜支架，病情均得到控制，恢复良好，随访1 年生存率100％。 　　结论：对主动脉夹层瘤术后护理很关键Stanford B 型胸主动脉夹层患者行腔内隔绝术治疗，做好心理护理、基础护理和针对性的专科护理，是保证手术顺利进行和患者康复的有力保障。 　　关键词：胸主动脉夹层；覆膜支架；腔内隔绝术；护理【中图分类号】 R2 【文献标号】 A 【文章编号】 2095-7165（2015）17-0007-02Endovascular graft exclusion in the treatment of acute Stanford type B Clinical nursing of thoracic aortic dissectionChen Ni, Zhong Wu, Chen Muhu, Yang FanEmergency department of Affiliated Hospital of Luzhou Medical College，Luzhou Ctiy of Cichuan Province,646000，China［Abstract］ Objective:To explore the main points of clinical nursing of endovascular exclusiontreatment in patients with acute Stanford type B aorticdissection. Methods:Surgical treatment of our department in 2008 January to 2014 October were treated 30 cases of acute thoracic aorticdissection underwent endovascular exclusion, the choice of operation time in acute onset 1 weeks later, on nursing care of patientswith preoperative, postoperative, including psychological nursing, basic nursing, aiming at the specialty of disease monitoring and health education.Results：30 cases were successfully implanted stent, the disease was controlled, good recovery,1 year survival of 100%. Conclusion:exclusion in the treatment ofStanford type B aortic dissection patients cavity, psychological nursing, basic nursing and for specialist care, is a strong guaranteeof smooth operation and the rehabilitation of patients.【Key Words】 the thoracic aortic dissection; Coated stent; The lumen isolation technique; nursing 　　主动脉夹层(AD)是指主动脉腔内的血液从内膜的撕裂口进入主动脉中层与外膜间形成的夹层血肿，并沿主动脉壁纵向剥离的严重心血管疾病。胸主动脉夹层（thoracic aortic dissection，TAD）是临床上最危险的主动脉疾病，目前，发病率有逐年上升的趋势［1］。在急诊科病情分级上属急危重症，主要症状是突发剧烈胸背部撕裂性剧痛,如不及时治疗，早期(发病2周内)死亡率高达50％。胸主动脉夹层分型方法以Stanford分型应用最为广泛，凡是累及升主动脉的夹层为A型，仅累及降主动脉为B型