【摘要】 目的 探讨血管内治疗颅内动脉瘤围手术期并发症的原因及护理对策。 方法 对2007年3月-2011年1月收治的365例采用血管内治疗动脉瘤患者中22例围手术期出现并发症者的临床资料进行回顾性分析。 结果 22例患者围手术期出现并发症，占6%。动脉瘤破裂再出血6例，其中发生于术前2例，术中3例，术后1例；脑血管痉挛 10例；脑血管血栓形成 4例，穿刺部位血肿 2例。 结论 血管内治疗颅内动脉瘤围手术期，采取预见性护理措施预防及观察主要并发症的发生和正确处理并发症，可降低其病死率和致残程度。
【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:
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Rosenorn J, Eskesen V, SchmidtK, et al. The risk of rebleeding from ruptured intracranial aneurysms[J]. J Neurosurg, 1987, 67(3): 329-332.
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陈立群. 颅内动脉瘤栓塞术中并发症的观察与护理[J]. 中国社区医师, 2010, 28(253): 167-168.
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冯东侠, 周新民, 徐卫东, 等. 超选择性动脉内灌注罂粟碱治疗动脉瘤夹闭术后症状性脑血管痉挛[J]. 中国脑血管病杂志, 2007, 4(6): 250-253.
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韩凤伟, 杨玉香, 呼铁民, 等. 循证护理在预防颅内动脉瘤破裂再出血中的应用[J]. 现代护理, 2011, 8(6): 84-85.
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冯正健, 伍益, 黄戈, 等. 颅内动脉瘤的血管内治疗[J]. 河北医学, 2010, 16(12): 1481-1482.
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洪显钗, 吴雪洁, 张建丽. 颅内动脉瘤支架辅助弹簧圈栓塞的围手术处理[J]. 心脑血管病防治, 2009, 8(9): 318-319.
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高凤兰, 宋敏, 冀雅杰. 血管内介入治疗颅内动脉瘤并发症的观察与护理[J]. 中国实用医药, 2009, 4(2): 186-187.
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蔡明玉, 何亮, 王立富, 等. 颅内动脉瘤介入栓塞术的围手术期护理[J]. 现代医学, 2011, 39(4): 467-469.
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曾雪燕, 曾满凤. 1例颅内动脉瘤栓塞术后多种并发症的观察及护理[J]. 中国当代医药, 2011, 18(22): 130-131.
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王美香. 介入治疗颅内动脉瘤围手术期护理[J]. 华北煤炭医学院学报, 2011, 13(4): 533-534.
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万付梅. 电解可脱性弹簧圈栓塞治疗颅内动脉瘤38例围术期护理[J]. 2011, 17(20): 50-51.
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王亚琴. 颅内动脉瘤介入治疗手术期护理[J]. 中国医药指南, 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. 陈立群. 颅内动脉瘤栓塞术中并发症的观察与护理[J]. 中国社区医师, 2010, 28(253): 167-168.
- 3. 冯东侠, 周新民, 徐卫东, 等. 超选择性动脉内灌注罂粟碱治疗动脉瘤夹闭术后症状性脑血管痉挛[J]. 中国脑血管病杂志, 2007, 4(6): 250-253.
- 4. 韩凤伟, 杨玉香, 呼铁民, 等. 循证护理在预防颅内动脉瘤破裂再出血中的应用[J]. 现代护理, 2011, 8(6): 84-85.
- 5. 冯正健, 伍益, 黄戈, 等. 颅内动脉瘤的血管内治疗[J]. 河北医学, 2010, 16(12): 1481-1482.
- 6. 洪显钗, 吴雪洁, 张建丽. 颅内动脉瘤支架辅助弹簧圈栓塞的围手术处理[J]. 心脑血管病防治, 2009, 8(9): 318-319.
- 7. 高凤兰, 宋敏, 冀雅杰. 血管内介入治疗颅内动脉瘤并发症的观察与护理[J]. 中国实用医药, 2009, 4(2): 186-187.
- 8. 蔡明玉, 何亮, 王立富, 等. 颅内动脉瘤介入栓塞术的围手术期护理[J]. 现代医学, 2011, 39(4): 467-469.
- 9. 曾雪燕, 曾满凤. 1例颅内动脉瘤栓塞术后多种并发症的观察及护理[J]. 中国当代医药, 2011, 18(22): 130-131.
- 10. 王美香. 介入治疗颅内动脉瘤围手术期护理[J]. 华北煤炭医学院学报, 2011, 13(4): 533-534.
- 11. 万付梅. 电解可脱性弹簧圈栓塞治疗颅内动脉瘤38例围术期护理[J]. 2011, 17(20): 50-51.
- 12. 王亚琴. 颅内动脉瘤介入治疗手术期护理[J]. 中国医药指南, 2011, 9(24): 388-389.
