13例全胸腹主动脉置换术后脊髓损伤患者的护理

doi:10.3761/j.issn.0254-1769.2023.19.015

中华护理杂志 ›› 2023, Vol. 58 ›› Issue (19): 2405-2408.DOI: 10.3761/j.issn.0254-1769.2023.19.015

13例全胸腹主动脉置换术后脊髓损伤患者的护理

李永刚(), 吴荣, 马艳, 黄雨佳, 张辰()

100037 北京市中国医学科学院阜外医院成人外科恢复室一区（李永刚，吴荣，黄雨佳），手术室（马艳），护理部（张辰）

收稿日期:2022-12-16 出版日期:2023-10-10 发布日期:2023-10-12
通讯作者: 张辰，E-mail：zhizhizc@126.com
作者简介:李永刚：男，硕士，主管护师，E-mail：qq515223648@126.com
基金资助:
中国医学科学院阜外医院护理部专项基金(HLB2020007)

Nursing care of 13 patients with spinal cord injury after total thoracoabdominal aortic replacement

LI Yonggang(), WU Rong, MA Yan, HUANG Yujia, ZHANG Chen()

Received:2022-12-16 Online:2023-10-10 Published:2023-10-12

摘要/Abstract

摘要：

总结13例全胸腹主动脉置换术后脊髓损伤患者的护理经验。护理要点如下：提升平均动脉压和防止一过性低血压，预防体温异常引起的脊髓氧耗增加，预防呼吸肌无力和肺部感染等引起的低氧血症，加强脑脊液压力监测及引流护理，做好体液平衡和肾功能监测，预防皮肤压力性损伤及切口感染。经过精心的治疗和护理，出院时3例发生永久性脊髓损伤，10例部分或完全康复。

关键词: 脊髓损伤, 全胸腹主动脉置换术, 护理

Abstract:

To summarize the nursing experience of 13 patients with spinal cord injury after total thoracoabdominal aortic replacement. The mainly nursing points are as follows：to raise mean arterial pressure and prevent transient hypotension，to prevent the increased spinal cord oxygen consumption caused by abnormal body temperature，to prevent hypoxemia caused by respiratory muscle weakness and lung infection，to intensify cerebrospinal fluid pres-sure monitoring and drainage nursing，to finish fluid balance and renal function monitoring，to prevent the skin pressure injury and wound infection. After careful treatment and nursing care，permanent spinal cord injury occurred in 3 cases and partial or complete recovery occurred in 10 cases at discharge.

Key words: Spinal Cord Injury, Total Thoracoabdominal Aortic Replacement, Nursing Care

李永刚, 吴荣, 马艳, 黄雨佳, 张辰. 13例全胸腹主动脉置换术后脊髓损伤患者的护理[J]. 中华护理杂志, 2023, 58(19): 2405-2408.

LI Yonggang, WU Rong, MA Yan, HUANG Yujia, ZHANG Chen. Nursing care of 13 patients with spinal cord injury after total thoracoabdominal aortic replacement[J]. Chinese Journal of Nursing, 2023, 58(19): 2405-2408.

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13例全胸腹主动脉置换术后脊髓损伤患者的护理

Nursing care of 13 patients with spinal cord injury after total thoracoabdominal aortic replacement

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