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目的探讨腹主动脉瘤患者的围手术期护理思路。方法回顾性分析75例腹主动脉瘤患者的临床资料,总结术前确保患者生命体征平稳、预防腹主动脉瘤破裂的护理重点,在术后加强对患者各身体机能的密切监测,做好各项术后并发症的临床护理。结果本次研究的75例患者均痊愈出院,术后并发心律失常、心力衰竭8例,轻微脑栓塞6例,肾功能不全4例,对所有患者采取相应的治疗及护理措施后,临床症状均得到明显改善。术后随访4个月~2年内,未发生死亡及与手术相关的并发症状,临床护理效果显著。结论临床上在对腹主动脉瘤患者进行围手术期护理时,应当在术前做好对患者的生命体征监测、预防瘤体破裂、实施心理护理;在术后做好预防并发症状、开展用药指导、预防切口感染等措施,从而使患者的护理满意度得到明显的提升。
Objective To investigate perioperative nursing ideas in patients with abdominal aortic aneurysm. Methods The clinical data of 75 patients with abdominal aortic aneurysm were retrospectively analyzed. The key points of care to ensure stable vital signs and prevent the rupture of abdominal aortic aneurysm before operation were summarized. Close monitoring was performed on the patients’ body functions after operation, Clinical Nursing of Postoperative Complications. Results All the 75 patients in this study were discharged. There were 8 cases of arrhythmia, heart failure, 6 cases of mild cerebral embolism and 4 cases of renal insufficiency. All the patients were treated with the corresponding care and nursing measures, and all the clinical symptoms Obvious improvement. During the follow-up period of 4 months to 2 years, no complications related to surgery and death occurred, and the clinical nursing effect was significant. Conclusion In the perioperative nursing of abdominal aortic aneurysm patients, we should do a good job in the patient’s vital signs before surgery to prevent rupture of the tumor, the implementation of psychological care; to prevent postoperative complications and carry out medication Guidance, prevention of incision infection and other measures, so that the patient’s nursing satisfaction has been significantly improved.