摘要
目的探讨颅内动脉瘤栓塞治疗围术期并发症的原因及护理对策。方法对栓塞治疗中出现并发症的32例颅内动脉瘤的临床资料进行回顾性分析。结果 32例发生症状性脑血管痉挛16例,动脉瘤破裂10例,脑血栓、穿刺部位血肿各3例。发生原因包括血压升高、出血及栓塞导管刺激、术中抗凝效果不佳、术后按压不当或术侧肢体活动频繁未严格制动等。本组经对症处理及有效护理后均临床治愈。结论预见性的采取预防性护理措施,并及时准确地为医生提供有价值的护理信息,医护紧密配合,可提高颅内动脉瘤栓塞治疗的成功率,减少并发症。
Objective To investigate perioperative complications in the embolization treatment of intracranial aneurysms and to propose nursing strategy for prevention. Methods The clinical data of 32 patients with complications during embolization treatment period were retrospectively analyzed. Results Symptomatic cerebral vasospasm occurred in 16 eases, ruptured aneurysm in 10 cases, and cerebral thrombosis and puncture site hematoma each in 3 cases. Causes included high blood pressure, bleeding and embolization catheter stimulating, ineffective of anticoagulation intraoperative, and inappropriate pressing or frequent physical activity of operative side without strict braking. All patients were cured after symptomatic treatment and effective care. Conclusion Predictive preventive care measures, timely and accurate information provided to physicians can improve the success rate of embolization in treatment of intracranial aneurysm and reduce complications.
出处
《临床误诊误治》
2011年第2期88-89,共2页
Clinical Misdiagnosis & Mistherapy
关键词
颅内动脉瘤
栓塞
治疗性
手术后并发症
护理
Intraeranial anenrysm
Embolization, therapeutic
Postoperative complications
Nursing care
