CAJ | 학술논문

目的探讨电解可脱性微弹簧圈栓塞颅内动脉瘤的介入手术的术前访视、手术配合和护理、术后并发症的防治。方法重点介绍介入护士在手术中的配合和护理方法。结果术78例患者栓塞成功76例。中动脉瘤破裂3例，经快速栓塞、中和肝素、降低血压后成功止血，未遗留神经功能障碍症状；重度脑血管痉挛11例在泵入或加大尼莫同泵入速度（2.5~5 mL/h）后9例栓塞成功，另2例未成功改为开颅动脉瘤夹闭术。术后脑梗塞7例，穿刺部位血肿1例。结论介入术中医务人员密切配合和细致护理有利于缩短手术时间、减少并发症、提高手术成功率。
목적탐토전해가탈성미탄황권전새로내동맥류적개입수술적술전방시、수술배합화호리、술후병발증적방치。방법중점개소개입호사재수술중적배합화호리방법。결과술78례환자전새성공76례。중동맥류파렬3례，경쾌속전새、중화간소、강저혈압후성공지혈，미유류신경공능장애증상；중도뇌혈관경련11례재빙입혹가대니막동빙입속도（2.5~5 mL/h）후9례전새성공，령2례미성공개위개로동맥류협폐술。술후뇌경새7례，천자부위혈종1례。결론개입술중의무인원밀절배합화세치호리유리우축단수술시간、감소병발증、제고수술성공솔。
Objective Micro electrolysis can take of sexual spring coil embolization of intracranial aneurysms interventional surgery preoperative supervision, operation cooperation and nursing, the prevention and therapy of postoperative complications. Methods Emphasis on the intervention in coordination and nursing methods. Results Embolism successful y in 76 cases, 78 cases of patients. Intraoperative aneurysm rupture 3 cases, By the rapid embolism, successful hemostasis after neutralization heparin, lower blood pressure, No legacy nerve dysfunction,11 cases of severe cerebral vasospasm, In pumping or increase the nim with pumping speed (2.5 ml/h to 5 ml/h), 9 cases after embolization is successful, The other 2 cases failed to aneurysm GaBiShu craniotomy. Postoperative cerebral infarction in 7 cases, Puncture hematoma in 1 case.Conclusion Interention in close coordination with the medical staf and careful nursing is beneficial to shorten operation time, reduce complications and improve the success rate of surgery.