CAJ | 학술논문

目的：探讨Stanford B型主动脉夹层腔内隔绝术的围手术期护理要点。方法回顾性分析22例行胸主动脉腔内修复术的Stanford B型主动脉夹层患者的临床资料，总结护理经验。结果22例患者手术经过顺利，术后出现1例逆行性A型夹层，15例体温过高，予对症治疗后恢复。患者均治愈出院，术后3个月随访，均未出现Ⅰ型内漏。结论术前做好心理护理，控制血压，术后继续控制血压，做好并发症护理，加强饮食及活动指导，是促进患者早期康复出院的关键。
목적：탐토Stanford B형주동맥협층강내격절술적위수술기호리요점。방법회고성분석22례행흉주동맥강내수복술적Stanford B형주동맥협층환자적림상자료，총결호리경험。결과22례환자수술경과순리，술후출현1례역행성A형협층，15례체온과고，여대증치료후회복。환자균치유출원，술후3개월수방，균미출현Ⅰ형내루。결론술전주호심리호리，공제혈압，술후계속공제혈압，주호병발증호리，가강음식급활동지도，시촉진환자조기강복출원적관건。
Objective To investigate the perioperative nursing of patients with Stanford type B aortic dissections treated with endovascular graft exclusion.Method The clinical data of 22 cases undergoing thoracic endovascular aortic repair from February 2011 to August 2013 were retrospectively analyzed to summarize the nursing experience.Results Twenty-two patients survived successfully through operation.One case had retrograde type A dissection after operation,another 15 had hyperthermia,and all of them were cured and discharged due to symptomatic treatment.The postoperative 3 months follow-up showed no type I endoleak.Conclusion Preoperative psychological nursing,postoperative blood pressure control,nursing of complications,strengthening instruction of diet and physical activity,are critical for the promotion of early rehabilitation of patients after discharge.