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目的减少主动脉夹层(aortic dissection,AD)破裂的发生,增加患者的依从性,减少患者的死亡率。方法总结2015年6月至2016年6月宜宾市第一人民医院收治的28例AD患者术前病情监测要点,依据疼痛、心理、血压、心率等指标进行干预。结果在28例患者中死亡2例,其余均顺利接受手术,术后安全出院。结论通过术前病情监测、精心的护理干预,可以增加患者依从性,有效地减少AD破裂的危险,为手术赢得时间,减少急性期AD患者的死亡率。
Objective To reduce the incidence of aortic dissection (AD) rupture, increase patient compliance and reduce patient mortality. Methods From June 2015 to June 2016, 28 cases of AD patients admitted to First People’s Hospital of Yibin City were enrolled in the preoperative condition monitoring. The interventions were based on the indexes of pain, psychology, blood pressure and heart rate. Results of 28 patients died in 2 cases, the rest were successfully underwent surgery, postoperative safety and discharge. Conclusion Preoperative condition monitoring and meticulous nursing intervention can increase patient compliance, effectively reduce the risk of AD rupture, gain time for surgery and reduce the mortality rate of acute phase AD patients.