CAJ | 학술논문

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。
목적：총결Solitaire AB지가궤계취전치료급성로내동맥폐새적효과급호리요점。방법대53례급성로내동맥폐새환자채용Solitaire AB지가궤계취전치료，술전건립졸중급구록색통도，술후엄밀관찰병정，가강기출호리，주호혈압급약물치료적공제화관리，방지재관주손상등병발증적발생，조기진행강복훈련。결과53례환자균취전성공，44례폐새혈관균완전개통，9례혈관미능완전개통，기중3례인위재통후잉존재관강협착이방치지가。결론쾌속유효지완선술전준비，밀절관찰병정，우기시의식화혈압적변화，주의환자유무재관주손상，이급조기강복훈련시Solitaire AB지가궤계취전치료급성로내동맥폐새적호리중점。
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.