[1]王孟楠,杨昱.近肾主髂动脉闭塞病变腔内治疗的围手术期护理体会[J].介入放射学杂志,2020,29(02):205-209.
 WANG Mengnan,YANG Yu..Perioperative nursing care for patients with juxtarenal aortoiliac occlusive disease receiving endovascular treatment[J].journal interventional radiology,2020,29(02):205-209.
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近肾主髂动脉闭塞病变腔内治疗的围手术期护理体会()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年02
页码:
205-209
栏目:
护理论坛
出版日期:
2020-03-14

文章信息/Info

Title:
Perioperative nursing care for patients with juxtarenal aortoiliac occlusive disease receiving endovascular treatment
作者:
王孟楠杨昱
Author(s):
WANG Mengnan YANG Yu.
Department of Vascular and Thyroid Surgery, First Affiliated Hospital of China Medical University, Shenyang, Liaoning Province110001, China
关键词:
【关键词】 近肾主髂动脉闭塞腔内治疗围手术期护理
文献标志码:
A
摘要:
【摘要】 目的?探讨近肾主髂动脉闭塞病变(JAIOD)患者腔内治疗的围手术期护理。方法?回顾性分析自 2012年1月至2018年12月中国医科大学附属第一医院血管外科收治的22例近肾主髂动脉闭塞行腔内治疗患者的临床资料,入组患者符合腔内治疗适应证,采用双侧股动脉和肱动脉入路,先给予置管溶栓术,溶栓3 d后造影,开通病变,肾动脉预置球囊保护后,行对吻支架植入术。结果?19例患者开通成功,技术成功率为86.4%。无一例患者围手术期死亡。术后患者症状、ABI及疼痛评分较术前均有明显改善(P<0.01)。所有患者围手术期均给予规范的术前护理,术后护理和出院指导,并着重进行置管溶栓相关护理和术后并发症的观察和护理,及时有效地避免了不良事件的发生。结论?优质的围手术期护理,能够降低患者并发症的发生率,提高患者预后,是需要重视的重要工作。

参考文献/References:

[1] Marrocco-Trischitta MM, Bertoglio L, Tshomba Y, et al. The best treatment of juxtarenal aortic occlusion is and will be open surgery[J]. J Cardiovasc Surg (Torino), 2012, 53: 307-312.
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[3] Setacci C, Galzerano G, Setacci F, et al. Endovascular approach to leriche syndrome[J]. J Cardiovasc Surg (Torino), 2012, 53: 301-306.
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[5] Mangialardi N, Ronchey S, Serrao E, et al. Endovascular management of total juxtarenal aortic occlusive disease in high-risk patients: technical considerations and clinical outcome[J]. J Cardiovasc surg (Torino), 2017, 58: 422-430.
[6] 魏小龙, 吴雅妮, 孙羽东, 等.平肾主动脉-髂动脉闭塞性病变腔内治疗[J].介入放射学杂志, 2016, 25:387-390.
[7] 吴晓萍, 宋?杰, 蒋天鹏, 等.下肢动脉硬化闭塞症血管内治疗的护理[J].介入放射学杂志, 2012, 21:685-687.
[8] Eikelboom JW, Connolly SJ, Bosch J, et al. Rivaroxaban with or without aspirin in stable cardiovascular disease[J]. N Engl J Med, 2017, 377: 1319-1330.
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备注/Memo

备注/Memo:
(收稿日期:2019-02-14)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2020-03-13