血管内治疗颅内动脉瘤围手术期并发症的观察与护理

【】　目的　探讨血管内治疗颅内动脉瘤围手术期并发症的原因及护理对策。　方法　对2007年3月-2011年1月收治的365例采用血管内治疗动脉瘤患者中22例围手术期出现并发症者的临床资料进行回顾性分析。　结果　22例患者围手术期出现并发症，占6%。动脉瘤破裂再出血6例，其中发生于术前2例，术中3例，术后1例；脑血管痉挛10例；脑血管血栓形成4例，穿刺部位血肿2例。　结论　血管内治疗颅内动脉瘤围手术期，采取预见性护理措施预防及观察主要并发症的发生和正确处理并发症，可降低其病死率和致残程度。【Abstract】　Objective　Tostudyanddiscussthereasonsforandclinicalnursingofperioperativecomplicationsforpatientsundergoingendovasculartreatmentforintracranialaneurysms.　Methods　Twenty-twoof365aneurysmpatientswhohadundergoneendovasculartreatmentbetweenMarch2007andJanuary2010inourhospitalhadperioperativecomplications.Weretrospectivelyanalyzedtheirclinicaldata.　Results　Twenty-twopatientshadperioperativecomplications,accountingforabout6%.Theaneurysmwasrupturedin6cases,whichoccurredbeforesurgeryin2patients,duringthesurgeryin3,andafterthesurgeryin1.Therewere10casesofcerebrovascularspasm,4casesofcerebrovascularthrombosis,and2casesofpuncturesitehematoma.　Conclusion　Duringtheperioperativeperiodofendovasculartreatmentforintracranialaneurysms,prognosticpreventionmeasures,observationoftheoccurrenceofmajorcomplicationsandpropermanagementofcomplicationscaneffectivelyreducemortalityandthedegreeofdisability.