Experience of Cooperation of Surgical Nurses in Hybrid Surgery for Complex Cerebral and Spinal Vascular Diseases_West China Medical Journal

Authors：

CHEN Hua , ZHENG Jing , XU Li ,  GONG Renrong.

Operating Room, West China Hosiptal, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

GONG Renrong., Email: Chenghuahx@126.com

Keywords：

神经外科; 杂交手术; 护理

DOI：

10.7507/1002-0179.20130186

Video：

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目的　总结神经外科复杂脑脊髓血管病杂交手术的护理配合经验。方法　回顾分析2011 年4 月－2012 年5月华西医院手术室完成的 56例神经外科杂交手术的临床资料，总结神经外科杂交手术的护理配合经验。结果　所有手术均顺利进行，未出现明显危及患者安全的情况。结论　神经外科Hybrid手术治疗复杂脑脊髓血管病较普通手术更为安全有效。但手术护理准备及配合更为复杂，在手术室布局、手术流程方面需要医护协调专门进行优化。有神经外科专业经验的护士经过一段时间专门培训后担任手术巡回及器械护士更有利于手术的顺利、安全进行。

Citation： CHEN Hua,ZHENG Jing,XU Li,GONG Renrong.. Experience of Cooperation of Surgical Nurses in Hybrid Surgery for Complex Cerebral and Spinal Vascular Diseases. West China Medical Journal, 2013, 28(4): 585-588. doi: 10.7507/1002-0179.20130186 Copy

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11.	宋秀棉, 高静, 何丽．一站式杂交零手术高值耗材库在血管外科的运行与管理 [J]．解放军护理杂志, 2011, 28(6A): 72-74.
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1. 　马丽娜, 王红. 静脉延长管在小儿手术输液时的巧用[J]．护士进修杂志, 2007, 22 (23): 2118.
2. 　侯红利. Bentall 联合全弓置换及远端血管内支架象鼻手术的护理配合[J]．贵州医药, 2011, 35(6): 566-567.
3. 　赵继宗, 王硕, 袁葛, 等. 手术中脑血管造影在治疗脑血管疾病中的应用[J]. 中华医学杂志, 2006, 86(15): 1044-1047．.
4. 　Reicher B, Poston RS, M ehraMR, et al. Simultaneous “hybrid” percutaneous coronary intervention and m inimally invasive surgical bypass grafting: feasibility, safety, and clinical outcomes[J]. Am Heart J, 2008, 155(4): 661- 667.
5. 　李雪, 张伟国, 张连阳, 等．杂交手术室规范化管理在多发伤中的应用[J]. 介入放射学杂志, 2011, 20(7): 577-579．.
6. 　管金平, 苗进, 李强, 等. 一站式杂交手术治疗动脉硬化闭塞症复杂病变[J]．中国现代手术学杂志, 2009, 13(5): 376-380.
7. 　韩春雷, 张旭．杂交手术室建设[J]. 科学管理, 2011, 26(9): 84-87.
8. 　Yamakawa K, Kiyama S, Murayama Y, et al. Incidence and neurological outcomes of aneurysm rupture during interventional neuroradiology procedures in a hybrid operating suite[J]. J Anesth, 2012, 26(4): 592-594.
9. 　Murayama Y, Arakawa H, Ishibashi T, et al. Combined surgical and endovascular treatment of complex cerebrovascular diseases in the hybrid operating room[J/OL]. J Neurointerv Surg, 2012, [2012-06-02]. http://jnis.bmj.com/content/early/2012/06/01/neurintsurg-2012-010382.full? sid=48888c4e-ec7f-465a-a577-4d726bd5bbb4. [published online ahead of print June 2, 2012].
10. 　Ng I. Integrated intra-operative room design[J]. Acta Neurochir, 2011, 109 (Suppl): 199-205.
11. 　宋秀棉, 高静, 何丽．一站式杂交零手术高值耗材库在血管外科的运行与管理 [J]．解放军护理杂志, 2011, 28(6A): 72-74.
12. 　景在平, 陈泉．“杂交“手术在主动脉扩张疾病治疗中的运用及其价值[J]．外科理论与实践, 2007, 12(1): 4-6.
13. 　胡光东．放射外科与立体定向放射治疗脑血管畸形的现状与进展[J]．国际神经病学神经外科杂志, 2012, 39(1): 58-62.
14. 　张明芳．血管外科“杂交“手术的进展[J]. 中国普通外科杂志, 2009, 18(6): 629-631.
15. 　李玉青, 郭清旭, 荆素卿, 等. 血管外科成立联合手术室的做法与体会[J]. 护理管理杂志, 2011, 5, 11(5): 319.

West China Medical Journal

Experience of Cooperation of Surgical Nurses in Hybrid Surgery for Complex Cerebral and Spinal Vascular Diseases

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