CAJ | 학술논문

目的：探讨烟雾病行颅内外血管重建术患者的围术期护理。方法收集2011年3月—2012年12月某院收治的28例因烟雾病行颅内外血管重建术患者，并做好围术期护理，总结探讨其常规护理及并发症处理经验。结果本组23例患者术后临床症状消失，TIA发作和脑出血的发生率明显降低；4例患者术后出现一过性失语同时伴肢体麻木；27例患者病情恢复良好，未出现肺部感染及下肢血栓形成，于2周内康复出院，1例患者术后昏迷并发肺部感染，经及时治疗与护理，于3周好转出院。结论对于烟雾病患者行颅内外血管重建术治疗，加强围术期护理，预防并及时处理并发症，是提高手术成功率、保障患者痊愈的重要环节。
목적：탐토연무병행로내외혈관중건술환자적위술기호리。방법수집2011년3월—2012년12월모원수치적28례인연무병행로내외혈관중건술환자，병주호위술기호리，총결탐토기상규호리급병발증처리경험。결과본조23례환자술후림상증상소실，TIA발작화뇌출혈적발생솔명현강저；4례환자술후출현일과성실어동시반지체마목；27례환자병정회복량호，미출현폐부감염급하지혈전형성，우2주내강복출원，1례환자술후혼미병발폐부감염，경급시치료여호리，우3주호전출원。결론대우연무병환자행로내외혈관중건술치료，가강위술기호리，예방병급시처리병발증，시제고수술성공솔、보장환자전유적중요배절。
Objective To investigate the perioperative nursing for patients undergoing extracranial-intracranial bypass for treatment of Moyamoya disease.Methods Twenty-eight patients with Moyamoya disease who were refractory to maximal medical therapy were recruited in our hospital from March, 2011 to December, 2012, for extracranial-intracranial bypass surgery.Results For the twenty-eight patients with Moyamoya disease, twenty-three had improved in clinical symptoms after EC-IC bypass, the incidence of TIA and cerebral hemorrhage were reduced;postoperative aphasia occurred in four cases;one patient was comatose after operation and complicated with pneumonia.Under appropriate treatment and nursing,twenty-seven patients recovered in two weeks without complications like pneumonia or Deep Venous Thrombosis ( DVT ) .The only patient with complications recovered and was discharged in three weeks under careful nursing.Conclusions For Moyamoya disease patients undergoing EC-IC bypass surgery, timely and intensively perioperative nursing care, prevention and early management of complications, are the key factors of improving clinical outcome and ensuring patient recovery.