CAJ | 학술논문

目的探讨颅内动脉瘤破裂出血患者围手术期的护理对策.方法回顾分析2004年1月～2008年1月在我院接受手术治疗的颅内动脉瘤破裂出血患者28例.结果按Pool手术入路者2例,翼点入路6例;25例行动脉瘤颈夹闭术,其中有7例行动脉瘤包裹术,2例行单纯包裹术,1例行栽瘤动脉阻断术;随访2个月～3年,良好者20例,中度残废者5例,重度残废者2例,死亡1例.结论积极的术前、术后护理及并发症的护理,能有效地提高手术疗效,减少并发症的发生.
목적 탐토로내동맥류파렬출혈환자위수술기적호리대책.방법 회고분석2004년1월～2008년1월재아원접수수술치료적로내동맥류파렬출혈환자28례.결과 안Pool수술입로자2례,익점입로6례;25례행동맥류경협폐술,기중유7례행동맥류포과술,2례행단순포과술,1례행재류동맥조단술;수방2개월～3년,량호자20례,중도잔폐자5례,중도잔폐자2례,사망1례.결론 적겁적술전、술후호리급병발증적호리,능유효지제고수술료효,감소병발증적발생.
Objective To investigate the nursing countermeasures for the patients with rapture hemorrhage of intracranial aneurysm. Methods 28 cases with the rupture hemorrhage of intracraniai aneurysm treated in our hospital from January 2004 to January 2008 were analyzed retrospectively. Results 2 cases were operated by operative approach of pool, and 6 cases were operated by pterion approach. 25 cases received the operation of aneurysrn neck occlusion, and 7 cases of them were with the operation of aneurysm wrapped-up, 2 cases with simple wrapped-up and 1 cases with interruption on artery of aneurysm. All of the patients were followed up for 2 months to 3 years, 20 cases were in good health after operation, 5 cases were handicapped in midrange, 1 cases was handicapped heavily and 1 case was dead. Conclusions The preoperative nursing, postoperative nursing and the care for complications can effectively improve operative ef-fect and reduce the incidence of complications.