床突段多发大动脉瘤夹闭术后预后不良的护理反思及探讨

doi:10.3760/cma.j.issn.1007-1245.2023.06.025

国际医药卫生导报 ›› 2023, Vol. 29 ›› Issue (6): 850-854.DOI: 10.3760/cma.j.issn.1007-1245.2023.06.025

床突段多发大动脉瘤夹闭术后预后不良的护理反思及探讨

张纯¹ 冯娟娟¹ 李想¹ 胡晓霞²

¹江汉大学附属湖北省第三人民医院神经外科，武汉　430033；²江汉大学附属湖北省第三人民医院重症医学科，武汉　430033

收稿日期:2022-10-21 出版日期:2023-03-15 发布日期:2023-04-02
通讯作者: 胡晓霞，Email：317130266@qq.com
基金资助:
湖北省卫生健康委员会科研项目（WJ2019F183、WJ2019F179、WJ2021F140）

Nursing reflection of poor prognosis after clipping for multiple large aneurysms in bed-process segment

Zhang Chun¹, Feng Juanjuan¹, Li Xiang¹, Hu Xiaoxia²

¹Department of Neurosurgery, Hubei Third People's Hospital, Jianghan University, Wuhan 430033, China; ²Department of Critical Care Medicine, Hubei Third People's Hospital, Jianghan University, Wuhan 430033, China

Received:2022-10-21 Online:2023-03-15 Published:2023-04-02
Contact: Hu Xiaoxia, Email: 317130266@qq.com
Supported by:
Scientific Research Project of Hubei Health Commission (WJ2019F183, WJ2019F179, and WJ2021F140)

摘要/Abstract

摘要：

通过1例床突段多发大动脉瘤患者发生预后不良结局的情况，进行护理工作的反思探讨，从基本综合护理、电解质及内分泌激素的管理及观察、精准化分时分段出入量管理、有效安全引流量控制管理、术后合理镇静镇痛、血压及颅内压管理、并发症早期预防、建立健全护理疑难特殊病例术前讨论制度、薄弱环节管理等方面进行全方位的改进并完善。旨在提高专科护理水平，通过学习，提高护理人员病情观察的全面性、及时性、客观性，达到由概括性专科护理到个案化精细化护理的转变。

关键词:

颅内动脉瘤, 精准化管理, 护理

Abstract:

Based on the poor prognosis of a patient with multiple large aneurysms in the bed-process segment, the nursing work was introspect and discussed. The basic comprehensive nursing, management and observation of electrolytes, precise tumble piecewise discrepancy quantity management, effective and safe drainage control and management, reasonable postoperative sedation and analgesia, blood pressure and intracranial pressure management, early prevention of complications, establishment and perfection of the preoperative discussion of special cases of nursing problems, and weak links were improved overall. The aim is to increase the level of specialized nursing, to improve the comprehensiveness, timeliness, and objectivity of nursing staff's observation of illness through learning, and to achieve the transformation from general specialized nursing to individual intensive nursing.

Key words:

Intracranial aneurysms, Accurate management, Nursing

张纯冯娟娟李想胡晓霞.

床突段多发大动脉瘤夹闭术后预后不良的护理反思及探讨 [J]. 国际医药卫生导报, 2023, 29(6): 850-854.

Zhang Chun, Feng Juanjuan, Li Xiang, Hu Xiaoxia.

Nursing reflection of poor prognosis after clipping for multiple large aneurysms in bed-process segment [J]. International Medicine and Health Guidance News, 2023, 29(6): 850-854.

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床突段多发大动脉瘤夹闭术后预后不良的护理反思及探讨

Nursing reflection of poor prognosis after clipping for multiple large aneurysms in bed-process segment

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