急性ＳｔａｎｆｏｒｄＢ型胸主动脉夹层的临床护理体会.docVIP

急性S t a n f o r d 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6 4 6 0 0 0 ） 目的探讨血管腔内隔绝术治疗急性S t a n f ord B型胸主动 脉夹层患者的临床护理要点。方法我科2 0 0 8年1月至2 0 1 4年1 0月收 治3 0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3 0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1 0 0 %。结论对S t a n f ord 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 R 2 文献标号 A 2095-7165argraftex(2 0 1 5 ) 0 7 — 0 0 0 1 — 02Endova s c 2095-7165 argraftex c 1 u s i o n i n t h e t reatmentof uteStanfordtypeBCl inicalnursingo uteStanfo rdtypeBCl inicalnursingo horacicaoFt icdi s s e c t ionChenNi,Zho horacicao n g W u , ChenMuhu, Yan g F a nEme r g e ncydepa r tmentofAffi 1 iatedHospi talofLuzhouM e d i c a 1 C o 1 1 ege,LuzhouCt i y o f C i c h u a nPr o v i nee, 646000, Ch in aAbst ractObj ect iv eToexp 1 orethema i npoin t s o f c 1 in ical n u r s ingofendovascularexclus iont r e a t m e n t i n p a t i e n t s w i thacuteStanfordtyp e B a o r t icdi s s e c t ion. Methods S u r g i c a t r e a tmentof ourdepar tment in2008Jan u a r yto 2 0 1 4 0 c to b e r w e r e t r e a ted30caseechoit eonser^onnurs ingcareofpa t iera ti ve, p o s to p e r a ti ve,chologicalnurs i n g , b a s ir s i n g , a i m i n g a tt h e s p e c i a 1 ty ofde m o n i toringandheal theduca t ion.Ress30casesweresuccessful 1 y i m p 1anttent, t hediseasewascon trolled,e c o v e r y , lyearsurvivaloflOO%. Conclusi o n e x c 1 u s i o n i n thet r e a tmen tofSt a n f ordty p e B a o r t icdi s s e c t ionpa t ient s c a v ity, psychologicalnurs ing, basicnursis u a r yto 2 0 1 4 0 c to b e r w e r e t r e a ted30case echoi t eons er^onnurs ingcareofpa t i era ti ve, p o s to p e r a ti ve, chologicalnurs i n g , b a s i r s i n g , a i m i n g a tt h e s p e c i a 1 ty ofd e m o n i toringandheal theduca t ion. Res s30casesweresuccessful 1 y i m p 1 ant tent, t hediseasewascon trolled, e c o v e r y , lyearsurvivaloflOO%. Conclus i o n e x c 1 u s i o n i n thet r e a tm