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肾动脉瘤腔内治疗的护理体会

         

摘要

Objective To discuss the standardized clinical nursing measures for patients receiving endovascular treatment of renal artery aneurysms. Methods The clinical data of 9 patients with renal artery aneurysm, who were admitted to authors' hospital during the period from Jan. 2010 to Aug. 2011 and received endovascular treatment, were retrospectively analyzed. The related nursing points as well as the nursing measures were summarized. Results A total of 9 cases with renal artery aneurysm were treated with interventional management, including embolization (n = 6), stent implantation (n = 2) and stent implantation together with coil embolization (n = 1). The mean hospitalization time was (10 ± 2) days. Postoperative retention of urine was observed in one patient and postoperative retroperitoneal hemorrhage occurred in another patient. Neither nursing-related nor operation-related complications occurred. Conclusion Standardized perioperative nursing care for patients with renal artery aneurysm can surely help enhance the patient's tolerance to the surgery, and effectively prevent the complications.(J Intervent Radiol, 2012, 21: 430-432)%目的 探讨肾动脉瘤血管腔内治疗的临床护理规范措施.方法 回顾解放军总医院血管外科自2010年1月 - 2011年8月收治的肾动脉瘤患者的临床资料,总结肾动脉瘤规范护理观察要点及相应处理措施.结果 本组共9例患者,其中6例行栓塞术,2例行支架植入术,1例行支架植入术联合弹簧圈栓塞.患者平均住院(10 ± 2)d,1例出现术后尿潴留,1例术后腹膜后出血其余患者未发生与医疗及护理相关并发症.结论 加强肾动脉瘤的规范化护理有助于提高患者手术耐受性,能有效预防并发症的发生.

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