solitaire ab支架机械取栓治疗急性颅内动脉闭塞的围术期护理.docVIP

Solitaire AB支架机械取栓治疗急性颅内动脉闭塞的围术期护理 　　【摘要】 目的：探讨Solitaire AB支架机械取栓治疗急性颅内动脉闭塞的围术期护理方法和效果。方法：笔者所在医院2013年2月-2015年2月收治的60例急性颅内动脉闭塞患者采取Solitaire AB支架机械取栓治疗，积极开展围术期护理，包括术前建立绿色通道，术后观察病情，控制血压，预防并发症，康复训练等。结果：本组59例患者均取栓成功，因症状性脑出血死亡1例；术后mRs评分0分20例，1分21例，2分9例，3分5例，5分3例，6分1例。结论：积极开展术前急救工作，密切观察术中及术后病情变化情况，注意控制血压，预防并发症，早期进行吞咽、语言、肢体功能训练，促使病情迅速恢复，对Solitaire AB支架机械取栓治疗急性颅内动脉闭塞效果的提升具有一定意义。 　　【关键词】 急性颅内动脉闭塞； 机械取栓； 围术期护理 　　doi：10.14033/j.cnki.cfmr.2017.6.033 文献标识码 B 文章编号 1674-6805（2017）06-0059-03 　　Perioperative Nursing Care of Patients with Acute Intracranial Arterial Occlusion Treated by Solitaire AB Stent/SONG Yuan-yuan，ZHOU Gui-zhen.//Chinese and Foreign Medical Research，2017，15（6）：59-61 　　【Abstract】 Objective：To investigate the perioperative nursing methods and effect of Solitaire AB stent mechanical thrombectomy in the treatment of acute intracranial arterial occlusion.Method：60 cases of acute intracranial artery occlusion in our hospital from February 2013 to February 2015 were treated with Solitaire AB stent mechanical thrombectomy，and actively carried out perioperative nursing，including preoperative establishment of easy access，postoperative observation，blood pressure control，prevention of complications，rehabilitation training etc.Result：In this group，59 patients were successfully removed， 　　1 case died of symptomatic cerebral hemorrhage；postoperative mRs score 0 point of 20 cases，1 point of 21 cases，2 points of 9 cases，3 points of 5 cases，5 points of 3 cases，6 points of 1 case.Conclusion：Actively carring out emergency work before surgery，observing intraoperative and postoperative changes closely，paying attention to control blood pressure，prevention of complications，early swallowing and limb function，language training，can promote disease recovery rapidly，has certain significance to effects of the Solitaire AB stent mechanical thrombectomy treatment. 　　【Key words】 Acute intracranial arterial occlusion； Mechanical thrombectomy； Perioperative nursing care 　　First-author’s