摘要
目的探讨电解可脱性微弹簧圈栓塞颅内动脉瘤的介入手术的术前访视、手术配合和护理、术后并发症的防治。方法重点介绍介入护士在手术中的配合和护理方法。结果术78例患者栓塞成功76例。中动脉瘤破裂3例,经快速栓塞、中和肝素、降低血压后成功止血,未遗留神经功能障碍症状;重度脑血管痉挛11例在泵入或加大尼莫同泵入速度(2.5~5 mL/h)后9例栓塞成功,另2例未成功改为开颅动脉瘤夹闭术。术后脑梗塞7例,穿刺部位血肿1例。结论介入术中医务人员密切配合和细致护理有利于缩短手术时间、减少并发症、提高手术成功率。
Objective Micro electrolysis can take of sexual spring coil embolization of intracranial aneurysms interventional surgery preoperative supervision,operation cooperation and nursing,the prevention and therapy of postoperative complications.Methods Emphasis on the intervention in coordination and nursing methods.Results Embolism successful y in 76 cases,78 cases of patients.Intraoperative aneurysm rupture 3 cases,By the rapid embolism,successful hemostasis after neutralization heparin,lower blood pressure,No legacy nerve dysfunction,11 cases of severe cerebral vasospasm,In pumping or increase the nim with pumping speed(2.5 ml/h to 5 ml/h),9 cases after embolization is successful,The other 2 cases failed to aneurysm GaBiShu craniotomy.Postoperative cerebral infarction in 7 cases,Puncture hematoma in 1 case.Conclusion Interention in close coordination with the medical staf and careful nursing is beneficial to shorten operation time,reduce complications and improve the success rate of surgery.
作者
梁尚恩
刘健
周量
LIANG Shang-en;LIU Jian;ZHOU Liang(Department of Interventional Radiology,The First People's Hospital of Neijiang,Neijiang 641000,Sichuan,China;Department of Neurosurgery,The First People's Hospital of Neijiang,Neijiang 641000,Sichuan,China)
关键词
弹簧圈
介入栓塞术
颅内动脉瘤
并发症
配合
Spring coil
Endovascular embolization
Intracranial aneurysm
Complications
Coordination
