血管内栓塞治疗颅内动脉瘤护理体会.doc

血管内栓塞治疗颅内动脉瘤护理体会.doc血管内栓塞治疗颅内动脉瘤护理体会摘要:目的探讨血管内栓塞治疗颅内动脉瘤的临床护理方法与效果。方法选取我院于 2013 年4 月~ 2014 年4 月收治的颅内动脉瘤患者 98 例作为临床研究对象, 对患者的临床资料进行回顾性分析。结果 98例患者中, 6 例患者发生动脉瘤破裂再出血,其中有 1 例死亡,其他 4 例患者行开颅血肿清除术之后获得痊愈; 4 例患者出现一侧肢体偏瘫,在经过积极的治疗之后病情好转。其他患者均康复出院。结论对行血管内栓塞术的颅内动脉瘤患者施行围手术期的护理干预, 能够预防再出血及术后并发症的发生。关键词:血管内栓塞;颅内动脉瘤;护理 Abstract : Objective To investigate the clinical nursing method and effect of endovascular embolization in treatment of intracranial The clinical data of 98 patients with intracranial aneurysms treated in our hospital from April 2014 to April 2013 were retrospectively The 98 patients ,6 patients had a rupture and bleeding , and 1 patients died , and the other 4 patients were cured after craniotomy hematoma removal ;4 patients suffered from limb paralysis , and the condition improved after active patients were discharged from Perioperative nursing intervention for patients with intracranial aneurysms undergoing endovascular embolization can prevent the occurrence of re bl eeding and plications. Key words : Endovascular embolization ; Intracranial aneurysms ; Nursing 颅内动脉瘤是神经外科中比较常见的脑血管意外, 发病部位多在颅内动脉管壁,患者多为中老年女性[1] 。颅内动脉瘤的发病原因目前尚不明确, 一般认为其致病原因有两种, 一种是先天性因素, 即先天动脉发育不良;另一种是后天性因素,即动脉硬化、感染、创伤等。 1 资料与方法 一般资料选取我院于 201 3年4 月~ 201 4年4 月收治的颅内动脉瘤患者 98 例作为临床研究对象。本次研究中,男患者 42 例,女患者 56 例; 年龄为 30~ 66岁, 平均年龄( ± )岁; 病情: 颈内动脉瘤 29 例,大脑动脉瘤