国际医药卫生导报2019，Vol.25Issue(1)：69-72,4.DOI:10.3760/cma.j.issn.1007-1245.2019.01.020
急性脑梗死患者机械取栓围手术期的护理
Perioperative nursing care for patients with acute cerebral infarction undergoing mechanical tethered operation
崔静舒 1何小青 1郭巧容 1卢清朗 1郭倪妹1
作者信息
- 1. 湛江中心人民医院神经内二科 524000
- 折叠
摘要
Abstract
Objective To improve the clinical care level introducing the nursing observation points of perioperative period of mechanical thrombectomy for patients with acute cerebral infarction.Methods The perioperative nursing experience of 48 patients with acute cerebral infarction who underwent mechanical thrombectomy at our hospital since 2016 was retrospectively summarized.Results Among the 48 cases,2 cases had unsuccessful thrombectomy because of the excessive flexion in the middle of the path,and the other 46 patients underwent stent thrombectomy successfully.After thrombectomy,angiography showed that 40 patients (83.33％) were re-canalized;and after 1 week's treatment,34 patients (70.83％) had obvious improvement in exercise and speech function,and six cases (12.50％) got no obvious clinical effect because of the severity.One patient had a brain hyperperfusion syndrome 2 days after the operation,but was cured and discharged.The overall treatment effect was satisfactory.Conclusions Acute cerebral infarction is acute and serous and has high mortality and disability rate.Mechanical thrombectomy and perioperative standard nursing,such as disease condition observation,preoperative preparation,appropriate position after thrombectomy,maintaining airway patency,blood pressure control,and prevention of intracranial hemorrhage,brain hyperperfusion,deep vein thrombosis of lower extremities,etc.,can improve re-canalization rate and prognosis and reduce complications after thrombectomy.关键词
急性脑梗死/机械取栓/围手术期/护理Key words
Acute cerebral infarction/Mechanical thrombectomy/Perioperative period/Nursing care引用本文复制引用
崔静舒,何小青,郭巧容,卢清朗,郭倪妹..急性脑梗死患者机械取栓围手术期的护理[J].国际医药卫生导报,2019,25(1):69-72,4.
