1例产褥期合并急性 StanfordB 型患者的手术护理
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v6i5.10117
Abstract
1例产褥期合并急性StanfordB型主动脉夹层破裂患者的介入手术护理要点。启动胸痛管理,妇产科、胸心血管外科、心血管内科、麻醉科及手术室对该患者进行多学科急会诊,在全身麻醉下行胸主动脉夹层腔内隔绝术。手术经过多学科相互协作配合后,成功植入覆膜支架一枚,术中团队协作、控制手术感染、严格体温控制是手术成功的关键。
Keywords
产褥期；主动脉夹层；术中护理
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[15] 李红迪,汪萍,权国红.专科化分组管理在手术室护理质量控制中的应用[J].齐鲁护理杂志,2019,25(16):128-130.
[2] NASIELLJ,LINDQVISTPG.Aorticdissection in pregnancy: The incidence of a life-threatening disease[J].Eur J Obstet Gynecol Reprod Biol,2010,149(1):120-121.
[3] KAMEL H,ROMAN M J,Pitcher A,et al.Pregnancy and the risk of aortic dissection or rupture:A cohort-crossover anal ysis[J].Circula tion,2016,134(7):527-533.
[4] MESZAROS I,MOROCZ J,SZLAVI J,et al.Epidemiology and clinicopathology of aorticdissection [J].Chest,2000,117(5):1271-1278.
[5] 中国医师协会心血管外科分会大血管外科专业委员会,急性主动脉综合征诊断与治疗规范中国专家共识(2021版)[J].中华胸心血管外科杂志,2021,(37)5:257-269.
[6] GilesKA,Beck AW,Lala S,et al.Implications of sec-ondary aortic intervention after thoracic endovascularaorticrepair for acute and chronic type B dissection[J].J VascSurg,2019,69(5):1367-1378.
[7] RimmerL,MellorS,Harky A,et al.Pernicious pregnan-cy: TypeBaorticdissectionin pregnantwomen[J].JCard Surg,2021,36 (4):1232-1240.
[8] Usai MV,Nugroho NT,0berhuber A,et a1.Influence of TEVAR on blood pressure in subcute type Baorticdissection (TBAD)patientswith refractory and non-refractory arterial hypertension[J].Int Angiol,2021,40(1):60-66.
[9] 龚凤球,马育璇,林世清,等.综合保温措施在腹部器官联合移植手术中的应用[J].中华护理杂志,2006,41(8):756-757.
[10] JACOBS SE,MORLEY CJ,INDER TE,etal.Whole-body hypot hermia for term and near-term newborns with hypoxicischemic encephalopathy:a randomized controlled trial[J].Arch Pediatr Adolesc Med,2011,165(8):692.
[11] 夏强.亚低温治疗对急诊心跳骤停患者复苏后优化治疗的疗效分析[J].临床急诊杂志,2020,16(11):880-882.
[12] 中华医学会放射学分会护理工作组介入手术室医院感染控制和预防临床实践专家共识[J].介入放射学杂志,2022,31(6):531-537.
[13] 朱小琪,祝春梅.标准化手术患者转运流程在提高手术患者安全中的应用[J].护理实践与研究,2017,14(15):78-79.
[14] 蒋艳妮,杜少兰,朱波,等.胸痛中心急诊绿色通道护理流程对提高主动脉夹层患者治疗效果的作用[J].临床医学研究与实践,2019,4(8):150-151.
[15] 李红迪,汪萍,权国红.专科化分组管理在手术室护理质量控制中的应用[J].齐鲁护理杂志,2019,25(16):128-130.
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