摘要
Background Abdominal aortic aneurysm （AAA） is a severe aortic disease with a high death rate. AAA resection and artificial vessel replacement is the main surgical treatments. Nursing of the elderly patients are more difficult as they are usually accompanied by some other diseases. The perioperative nursing experience is summarized in this article. Methods A retrospective study was carded out in 24 elderly patients （over 60 years old） who were diagnosed with infrarenal AAA and received AAA resection and artificial vessel replacement between Jan, 2009 and Jan, 2012 in our hospital. Results All the 24 patients fully recovered and there was no death before discharge. Severe complications were observed in 8 patients： one （4.2%） developed thrombosis of the femoral artery and received embolectomy of the femoral artery; 2 （8.3%） developed respiratory dysfunction; 3 （12.5%） suffered renal dysfunction; 2 （8.3%） suffered incomplete intestinal obstruction. Conclusions It is of great value for improvement of surgical outcome and the patient＇s postoperative recovery to perform good observation and perioperative nursing in time.
Background Abdominal aortic aneurysm （AAA） is a severe aortic disease with a high death rate. AAA resection and artificial vessel replacement is the main surgical treatments. Nursing of the elderly patients are more difficult as they are usually accompanied by some other diseases. The perioperative nursing experience is summarized in this article. Methods A retrospective study was carded out in 24 elderly patients （over 60 years old） who were diagnosed with infrarenal AAA and received AAA resection and artificial vessel replacement between Jan, 2009 and Jan, 2012 in our hospital. Results All the 24 patients fully recovered and there was no death before discharge. Severe complications were observed in 8 patients： one （4.2%） developed thrombosis of the femoral artery and received embolectomy of the femoral artery; 2 （8.3%） developed respiratory dysfunction; 3 （12.5%） suffered renal dysfunction; 2 （8.3%） suffered incomplete intestinal obstruction. Conclusions It is of great value for improvement of surgical outcome and the patient＇s postoperative recovery to perform good observation and perioperative nursing in time.
基金
supported by Science and Technology Planning Project of Guangdong Province(No.2012A030400056)
