Observation and Nursing of Perioperative Complications for Patients Undergoing Endovascular Treatment for Intracranial Aneurysms_West China Medical Journal

Authors：

LI Wei , LAN Bin

Department of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

Keywords：

動脈瘤; 血管內治療; 并發癥; 護理

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【摘要】　目的　探討血管內治療顱內動脈瘤圍手術期并發癥的原因及護理對策。　方法　對2007年3月-2011年1月收治的365例采用血管內治療動脈瘤患者中22例圍手術期出現并發癥者的臨床資料進行回顧性分析。　結果　 22例患者圍手術期出現并發癥，占6%。動脈瘤破裂再出血6例，其中發生于術前2例，術中3例，術后1例；腦血管痙攣 10例；腦血管血栓形成 4例，穿刺部位血腫 2例。　結論　血管內治療顱內動脈瘤圍手術期，采取預見性護理措施預防及觀察主要并發癥的發生和正確處理并發癥，可降低其病死率和致殘程度。
【Abstract】　Objective　 To study and discuss the reasons for and clinical nursing of perioperative complications for patients undergoing endovascular treatment for intracranial aneurysms.　Methods　 Twenty-two of 365 aneurysm patients who had undergone endovascular treatment between March 2007 and January 2010 in our hospital had perioperative complications. We retrospectively analyzed their clinical data.　Results　 Twenty-two patients had perioperative complications, accounting for about 6%. The aneurysm was ruptured in 6 cases, which occurred before surgery in 2 patients, during the surgery in 3, and after the surgery in 1. There were 10 cases of cerebrovascular spasm, 4 cases of cerebrovascular thrombosis, and 2 cases of puncture site hematoma.　Conclusion　 During the perioperative period of endovascular treatment for intracranial aneurysms, prognostic prevention measures, observation of the occurrence of major complications and proper management of complications can effectively reduce mortality and the degree of disability.

Citation： LI Wei,LAN Bin. Observation and Nursing of Perioperative Complications for Patients Undergoing Endovascular Treatment for Intracranial Aneurysms. West China Medical Journal, 2011, 26(12): 1884-1886. doi: Copy

1.	Rosenorn J, Eskesen V, SchmidtK, et al. The risk of rebleeding from ruptured intracranial aneurysms[J]. J Neurosurg, 1987, 67(3): 329-332.
2.	陳立群. 顱內動脈瘤栓塞術中并發癥的觀察與護理[J]. 中國社區醫師, 2010, 28(253): 167-168.
3.	馮東俠, 周新民, 徐衛東, 等. 超選擇性動脈內灌注罌粟堿治療動脈瘤夾閉術后癥狀性腦血管痙攣[J]. 中國腦血管病雜志, 2007, 4(6): 250-253.
4.	韓鳳偉, 楊玉香, 呼鐵民, 等. 循證護理在預防顱內動脈瘤破裂再出血中的應用[J]. 現代護理, 2011, 8(6): 84-85.
5.	馮正健, 伍益, 黃戈, 等. 顱內動脈瘤的血管內治療[J]. 河北醫學, 2010, 16(12): 1481-1482.
6.	洪顯釵, 吳雪潔, 張建麗. 顱內動脈瘤支架輔助彈簧圈栓塞的圍手術處理[J]. 心腦血管病防治, 2009, 8(9): 318-319.
7.	高鳳蘭, 宋敏, 冀雅杰. 血管內介入治療顱內動脈瘤并發癥的觀察與護理[J]. 中國實用醫藥, 2009, 4(2): 186-187.
8.	蔡明玉, 何亮, 王立富, 等. 顱內動脈瘤介入栓塞術的圍手術期護理[J]. 現代醫學, 2011, 39(4): 467-469.
9.	曾雪燕, 曾滿鳳. 1例顱內動脈瘤栓塞術后多種并發癥的觀察及護理[J]. 中國當代醫藥, 2011, 18(22): 130-131.
10.	王美香. 介入治療顱內動脈瘤圍手術期護理[J]. 華北煤炭醫學院學報, 2011, 13(4): 533-534.
11.	萬付梅. 電解可脫性彈簧圈栓塞治療顱內動脈瘤38例圍術期護理[J]. 2011, 17(20): 50-51.
12.	王亞琴. 顱內動脈瘤介入治療手術期護理[J]. 中國醫藥指南, 2011, 9(24): 388-389.

1. 　Rosenorn J, Eskesen V, SchmidtK, et al. The risk of rebleeding from ruptured intracranial aneurysms[J]. J Neurosurg, 1987, 67(3): 329-332.
2. 　陳立群. 顱內動脈瘤栓塞術中并發癥的觀察與護理[J]. 中國社區醫師, 2010, 28(253): 167-168.
3. 　馮東俠, 周新民, 徐衛東, 等. 超選擇性動脈內灌注罌粟堿治療動脈瘤夾閉術后癥狀性腦血管痙攣[J]. 中國腦血管病雜志, 2007, 4(6): 250-253.
4. 　韓鳳偉, 楊玉香, 呼鐵民, 等. 循證護理在預防顱內動脈瘤破裂再出血中的應用[J]. 現代護理, 2011, 8(6): 84-85.
5. 　馮正健, 伍益, 黃戈, 等. 顱內動脈瘤的血管內治療[J]. 河北醫學, 2010, 16(12): 1481-1482.
6. 　洪顯釵, 吳雪潔, 張建麗. 顱內動脈瘤支架輔助彈簧圈栓塞的圍手術處理[J]. 心腦血管病防治, 2009, 8(9): 318-319.
7. 　高鳳蘭, 宋敏, 冀雅杰. 血管內介入治療顱內動脈瘤并發癥的觀察與護理[J]. 中國實用醫藥, 2009, 4(2): 186-187.
8. 　蔡明玉, 何亮, 王立富, 等. 顱內動脈瘤介入栓塞術的圍手術期護理[J]. 現代醫學, 2011, 39(4): 467-469.
9. 　曾雪燕, 曾滿鳳. 1例顱內動脈瘤栓塞術后多種并發癥的觀察及護理[J]. 中國當代醫藥, 2011, 18(22): 130-131.
10. 　王美香. 介入治療顱內動脈瘤圍手術期護理[J]. 華北煤炭醫學院學報, 2011, 13(4): 533-534.
11. 　萬付梅. 電解可脫性彈簧圈栓塞治療顱內動脈瘤38例圍術期護理[J]. 2011, 17(20): 50-51.
12. 　王亞琴. 顱內動脈瘤介入治療手術期護理[J]. 中國醫藥指南, 2011, 9(24): 388-389.

West China Medical Journal

Observation and Nursing of Perioperative Complications for Patients Undergoing Endovascular Treatment for Intracranial Aneurysms

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