桡动脉感染性假性动脉瘤切除并内瘘成型术的围手术期护理

摘要

目的：总结桡动脉感染性假性动脉瘤切除并内瘘成型术的围手术期护理方法。方法：选择我院2008年1月~2013年12月治疗的桡动脉感染性假性动脉瘤患者46例,总结临床治疗和护理方法。结果：术后平均随访12个月,46例瘤切除并Ⅰ期内瘘成型术,46例均内瘘成熟后血流能满足血液透析需要。结论：术前强调规范的心理护理和预防瘤体破裂,术后加强并发症的观察并进行护理干预和指导,保证内瘘通畅,让患者在瘤切除同时行Ⅰ期内瘘成型术,可有效使用内瘘行血液透析从而提高患者的生活质量和生存率。%Objective:To discuss the effective care method of preoperative anti-fracturing of radial artery infective pseudoaneurysm and internal fistula plas-tic unblocking of postoperative maintenance Phase I. Methods:46 radial artery infective pseudoaneurysm patients received tumor excision and internal fistula plastic operation Phase I from January 2008 to December 2013 were selected for retrospective analysis of perioperative care. Results:Within the average fol-low-up visit period of 12 months after operation,in the 46 patients after maturity of internal fistula could meet the demand of hematodialysis. Conclusion:The regulated psychological care and prevention of tumor body fracturing were emphasized operation,the observation of complication was strengthened and care interference and guidance were made after operation to guarantee the unblocking of internal fistula and make the best efforts to make the patients receive tumor excision wile receiving internal fistula plastic operation Phase I,and the blood vessel available for the hematodialysis could effectively improve the pa-tients′life quality and survival rate.