Solitaire AB支架机械取栓治疗急性颅内动脉闭塞的围术期护理

摘要

Objective To summarize the perioperative nursing of acute intracranial arterial occlusion treated with mechanical thrombectomy with Solitaire AB stent.Methods Fifty-three cases of acute intracranial arterial occlusion were treated with mechanical thrombectomy with Solitaire AB stent.Before the operation,emergency green passage was established and after the operation,the nursing measures included close observation of conditions,intensified basic nursing,control and management of blood pressure and medication,prevention from the complications by reperfusion injury and early rehabilitative training.Results The mechanical thrombectomy with Solitaire AB stent was successful for all the 53 patients.The occlusions in the blood vessels of 44 cases were fully removed and those in 9 cases were partially removed,3 treated with stent for stenosis.Conclusion The nursing points for acute intracranial arterial occlusion treated with mechanical thrombectomy with Solitaire AB stent include preoperative effective preparation, close observation of the disease conditions such as changes in their consciousness and blood pressure,prevention from reperfusion injury and early rehabilitative training.%目的：总结Solitaire AB支架机械取栓治疗急性颅内动脉闭塞的效果及护理要点。方法对53例急性颅内动脉闭塞患者采用Solitaire AB支架机械取栓治疗，术前建立卒中急救绿色通道，术后严密观察病情，加强基础护理，做好血压及药物治疗的控制和管理，防止再灌注损伤等并发症的发生，早期进行康复训练。结果53例患者均取栓成功，44例闭塞血管均完全开通，9例血管未能完全开通，其中3例因为再通后仍存在管腔狭窄而放置支架。结论快速有效地完善术前准备，密切观察病情，尤其是意识和血压的变化，注意患者有无再灌注损伤，以及早期康复训练是Solitaire AB支架机械取栓治疗急性颅内动脉闭塞的护理重点。