摘要
目的：探讨手术室护理干预在破裂腹主动脉瘤急救中的作用,提高破裂腹主动脉瘤患者救治率。方法：回顾性分析1999年4月至2007年6月期间我院收治的28例肾动脉下破裂腹主动脉瘤患者的临床资料,其中男20例,女8例;年龄35-78岁,平均65岁。所有患者均行急诊手术治疗。结果：28例破裂腹主动脉瘤患者手术全部成功,无一例术中死亡;术后30d内死亡10例,死亡率35.7%,死亡原因为出血性休克所致的急性肾功能衰竭4例、多器官功能衰竭3例、呼吸循环衰竭3例。结论：手术治疗是对破裂腹主动脉瘤急救的唯一有效治疗,加强手术室护理干预能够有效提高破裂腹主动脉瘤患者的救治率。
Objective：The goal of this review was to investigate the effection of the nursing care in operating room in improving the remedy rate of abdominal aortic aneurysm.Methods：In the studies reviewed,we analysed the clinical data of 28 rupture abdominal aortic aneurysm patients in West China Hospital,Sichuan University from April 1999 to June 2007.In these patients,male is 20 and female is 8,from age 35-78 and average age is 65.All the patients underwent emergency operation.Results：All the operations succeeded and nobdy died;The 30-day operative mortality was 35.7%（n=10）,the causes of death including acute renal failure（ARF）from hemorrhagic shock（n=4）,multiple organ failure（n=3）,circulatory failure（n=3）.Conclusions：Operation is the only effective management,and to improve the remedy rate of the rupture abdominal aortic aneurysm,it is beneficial that emphasis the nursing care in operating room.
出处
《华西医学》
CAS
2008年第2期372-373,共2页
West China Medical Journal
关键词
手术室护理干预
腹主动脉瘤
破裂
救治率
nursing care in operating room
abdominal aortic aneurysm
rupture
remedy rate
