【摘要】：目的:探討Pipeline密網(wǎng)支架植入術(shù)治療顱內(nèi)復(fù)雜動(dòng)脈瘤的護(hù)理。方法 :所有患者均經(jīng)MRI及DSA造影明確診斷為顱內(nèi)動(dòng)脈大型、巨大復(fù)雜動(dòng)脈瘤。在充分抗聚藥物準(zhǔn)備后,全麻下DSA三維旋轉(zhuǎn)造影,選擇合適工作角度,通過(guò)Marksman導(dǎo)管釋放Pipeline支架覆蓋動(dòng)脈瘤頸部。術(shù)后繼續(xù)抗血小板聚集治療。6個(gè)月返院復(fù)查造影。結(jié)果:本組13例患者均順利行Pipeline密網(wǎng)支架植入術(shù),術(shù)后均未發(fā)生術(shù)后抗凝、抗血小板聚集相關(guān)并發(fā)癥或死亡;出院時(shí)改良Rankin評(píng)分0分12例,1分1例。結(jié)論 :對(duì)于Pipeline密網(wǎng)支架植入術(shù)治療顱內(nèi)復(fù)雜動(dòng)脈瘤的患者,術(shù)前熟悉手術(shù)方案并備好介入材料、術(shù)中嚴(yán)密監(jiān)測(cè)患者生命體征并配合手術(shù)操作者完成患者全身肝素化、術(shù)后對(duì)缺血事件的判斷評(píng)估及科學(xué)的�？谱o(hù)理規(guī)范均是保證手術(shù)成功和患者良好預(yù)后的關(guān)鍵。
[Abstract]:Objective: to explore the nursing care of complex intracranial aneurysm treated with Pipeline dense mesh stent implantation. Methods: all patients were diagnosed as large and complex intracranial artery aneurysm by MRI and DSA. After adequate preparation of antipolymeric drugs, DSA three-dimensional rotating angiography under general anesthesia, select the appropriate working angle, and release Pipeline stents through Marksman catheter to cover the neck of the aneurysm. Antiplatelet aggregation treatment continued after operation. 6 months back to the hospital for reexamination. Results: all the 13 patients underwent Pipeline stent implantation without postoperative anticoagulation, antiplatelet aggregation related complications or death, and the modified Rankin score was 0 in 12 cases and 1 in 1 case. Conclusion: for patients with complex intracranial aneurysm treated with Pipeline dense mesh stent implantation, familiar with the surgical plan and preparation of interventional materials before operation, closely monitoring the vital signs of the patients during the operation and cooperating with the surgical operator to complete the whole body heparin of the patients, the judgment and evaluation of ischemic events after operation and the scientific nursing standards are the key to ensure the success of the operation and the good prognosis of the patients.
【作者單位】： 南方醫(yī)科大學(xué)南方醫(yī)院神經(jīng)外科;
【基金】：廣東省科技計(jì)劃項(xiàng)目(編號(hào):2013B022000064) 廣東省醫(yī)學(xué)科研基金項(xiàng)目(編號(hào):C2016062)
【分類(lèi)號(hào)】：R473.6

【相似文獻(xiàn)】

相關(guān)期刊論文 前3條

1 張惠,鮑旭東,李松毅,舒華忠,羅立民;基于Pipeline體系結(jié)構(gòu)的三維PACS圖像終端系統(tǒng)[J];中國(guó)醫(yī)療器械雜志;2002年02期

2 尹東;鄭曉青;梁昌詳;劉斌;王巧民;昌耘冰;詹世強(qiáng);;應(yīng)用Viper和Pipeline微創(chuàng)系統(tǒng)治療腰椎退行性疾病[J];中國(guó)矯形外科雜志;2014年01期

3 ;[J];;年期

相關(guān)會(huì)議論文 前10條

1 ;Study of Ultrasonic Anti-Fouling with Different Fluid and Pipeline Parameters[A];第二屆全國(guó)壓電和聲波理論及器件技術(shù)研討會(huì)摘要集[C];2006年

2 A Glover;P.Eng;;The Application of X100 to Gas Pipeline Projects[A];石油天然氣用高性能鋼技術(shù)論壇——油氣開(kāi)采、儲(chǔ)運(yùn)的戰(zhàn)略需求對(duì)鋼鐵材料的新挑戰(zhàn)會(huì)議論文集[C];2011年

3 張帆;肖博元;湯養(yǎng)浩;羅旗榮;;Agitator tank device and drag reduction agent evaluation[A];Proceedings of the 9th National Conference on Rheology[C];2008年

4 ;Acoustic Emission Sound Source Localization for crack in the pipeline[A];Proceedings of 2010 Chinese Control and Decision Conference[C];2010年

5 ;STUDY OF PNEUMATIC CAPSULE TRANSPORTATION PIPELINE DRIVEN BY ELECTROMAGNETIC FORCE[A];2006年中國(guó)機(jī)械工程學(xué)會(huì)年會(huì)暨中國(guó)工程院機(jī)械與運(yùn)載工程學(xué)部首屆年會(huì)論文集[C];2006年

6 朱慶杰;陳艷華;劉廷權(quán);代兆立;;Finite element analysis of fluid-structure interaction in buried liquid-conveying pipeline[A];Proceedings of the 9th National Conference on Rheology[C];2008年

7 ;Weak Electricity Pipeline Management System Development Based on Seam Framework[A];Information Technology and Computer Science—Proceedings of 2012 National Conference on Information Technology and Computer Science[C];2012年

8 Wang Lina;Wang Jian;Gao Xianwen;Wang Mingshun;;Summary of Detection and Location for Oil and Gas Pipeline Leak[A];第25屆中國(guó)控制與決策會(huì)議論文集[C];2013年

9 ;Perturbation Analysis of Instability for Non-uniform Cylindrical Shells with Initial Imperfection[A];Proceedings of the 2011 Chinese Control and Decision Conference（CCDC）[C];2011年

10 ;TIME COMPRESSION TECHNIQUE OF COLLABORATIVE LOGISTICS BASED ON PIPELINE[A];2006年中國(guó)機(jī)械工程學(xué)會(huì)年會(huì)暨中國(guó)工程院機(jī)械與運(yùn)載工程學(xué)部首屆年會(huì)論文集[C];2006年

相關(guān)重要報(bào)紙文章 前2條

1 閻慶松;生物類(lèi)似藥時(shí)代來(lái)臨[N];醫(yī)藥經(jīng)濟(jì)報(bào);2014年

2 閆慶松;在研新藥整體規(guī)模增幅顯著[N];醫(yī)藥經(jīng)濟(jì)報(bào);2014年

相關(guān)碩士學(xué)位論文 前10條

1 牛潤(rùn)梅;8通道Pipeline ADC的研究[D];電子科技大學(xué);2015年

2 邴兆航;基于LMS自適應(yīng)濾波技術(shù)的雙通道時(shí)間交織Pipeline ADC的設(shè)計(jì)[D];哈爾濱工業(yè)大學(xué);2016年

3 朱馬;基于均衡化算法的12bit高速低功耗Pipeline ADC研究[D];電子科技大學(xué);2016年

4 Yergaliyeva Indira（麗娃）;埋地天然氣管線的地震損傷與易損性評(píng)估[D];哈爾濱工業(yè)大學(xué);2014年

5 劉俊逸;高速高精度pipeline ADC測(cè)試的研究[D];西安電子科技大學(xué);2013年

6 張聰;10位Pipeline ADC電路設(shè)計(jì)與研究[D];復(fù)旦大學(xué);2013年

7 張福泉;高速低功耗數(shù)字校正Pipeline ADC的研究設(shè)計(jì)[D];吉林大學(xué);2010年

8 張杰;14位40MSPS帶運(yùn)放共享技術(shù)的低功耗Pipeline ADC研究與設(shè)計(jì)[D];重慶大學(xué);2014年

9 唐立軍;Pipeline ADC行為模型建模與仿真[D];電子科技大學(xué);2009年

10 廖寶斌;14比特50M采樣率的Pipeline ADC設(shè)計(jì)研究[D];電子科技大學(xué);2013年

，

本文編號(hào)：2497537