1例胸腹主动脉原位开窗分支支架置入伴人工血管搭桥术患者的护理

doi:10.3761/j.issn.0254-1769.2025.10.016

摘要/Abstract

摘要：

总结1例主动脉Stanford A型夹层术后并发胸腹主动脉夹层动脉瘤，行胸腹主动脉瘤腔内隔绝、原位开窗分支覆膜支架置入伴人工血管搭桥患者的围手术期护理经验。护理要点：术前定期评估患者腹内压，平稳降压，警惕主动脉夹层破裂；专科护士参加术前多学科讨论；建立主动脉夹层动脉瘤破裂出血应急预案；术中密切监测患者生命体征，预防术中危重并发症。经过多学科的救治及精心护理，患者手术顺利，术后恢复良好，8 d后出院。

关键词: 胸腹主动脉夹层, 血管重建, 杂交手术, 围手术期护理

Abstract:

To summarize the perioperative nursing experience of a patient with thoracic and abdominal aortic dissection aneurysm after Stanford type A aortic dissection surgery，who underwent intra-abdominal aortic aneurysm endovascular isolation，in situ fenestration branch covered stent placement，and artificial blood vessel bypass. The nursing points include regular evaluation of the intra-abdominal pressure of the patient，being on guard against the rupture of the dissection；specialist nurses participated in the preoperative multidisciplinary discussion；establishing an emergency plan for the rescue of ruptured aortic dissection；monitoring the vital signs of patients closely to prevent critical complications during surgery. After multidisciplinary treatment and meticulous care，the patient’s surgery went smoothly and the postoperative recovery was good. The patient was discharged 8 days later.

Key words: Thoracoabdominal Aortic Aneurysm, Aortic Reconstruction, Hybrid Surgery, Perioperative Nursing Care

蔡晓婷, 祁海鸥, 徐欣, 田贺峰, 丁玲利, 王宝香, 赵林芳. 1例胸腹主动脉原位开窗分支支架置入伴人工血管搭桥术患者的护理[J]. 中华护理杂志, 2025, 60(10): 1257-1260.

CAI Xiaoting, QI Haiou, XU Xin, TIAN Hefeng, DING Lingli, WANG Baoxiang, ZHAO Linfang. Nursing care of a patient with thoracic and abdominal aortic artery in situ fenestration branch stent placement and artificial blood vessel bypass grafting[J]. Chinese Journal of Nursing, 2025, 60(10): 1257-1260.

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