CAJ | 학술논문

目的总结介入治疗颈内动脉巨大动脉瘤中球囊闭塞试验的重要性以及护理配合的经验.方法对12例采用弹簧圈闭塞颈内动脉方法治疗的患者进行术前、术中及术后的护理,包括心理护理,生命体征监测、并发症预防等.结果经过介入治疗及系统的护理,12例患者术后无病情加重及死亡,患者平均观察9 d后出院.随访4～12个月,其中7例未见不适,4例复查动脉瘤消失,1例患者有不适,DSA复查未见异常.结论对行弹簧圈闭塞颈内动脉方法治疗动脉瘤的患者,介入手术过程中的生命体征的监护、并发症预防及规范的护理程序等均是保证手术完成的关键.
목적 총결개입치료경내동맥거대동맥류중구낭폐새시험적중요성이급호리배합적경험.방법 대12례채용탄황권폐새경내동맥방법치료적환자진행술전、술중급술후적호리,포괄심리호리,생명체정감측、병발증예방등.결과 경과개입치료급계통적호리,12례환자술후무병정가중급사망,환자평균관찰9 d후출원.수방4～12개월,기중7례미견불괄,4례복사동맥류소실,1례환자유불괄,DSA복사미견이상.결론 대행탄황권폐새경내동맥방법치료동맥류적환자,개입수술과정중적생명체정적감호、병발증예방급규범적호리정서등균시보증수술완성적관건.
Objective To discuss the importance of balloon occlusion test before interventional treatment of the intracranial giant intemal carotid artery aneurysms and to sum up the nursing experience in assisting the procedure. Methods Proper perioperative nursing measures were carried out for 12 patients, who suffered from intracranial giant internal carotid artery aneurysm and underwent spring coil occlusion treatment. Nursing measures included mental care, observation of the vital signs, prevention of the complications, etc. Results Neither death nor exacerbation of the condition occurred in all the 12 patients. The patients were discharged from the hospital with a mean hospitalization of nine days. During a follow-up period ranged from 4 months to one year, seven patients had no disagreeable feeling, one patient complained of discomfort but no abnormality was found on follow-up DSA, and disappearance of the aneurysm was observed in 4 patients. Conclusion The monitoring of the vital signs, the prevention of the complications and the standard nursing care are the key points for ensuring a successful operation in treating intracranial giant intemal carotid artery aneurysms with spring coil occlusion.