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目的:探讨颅内动脉瘤破裂血管内介入治疗并支架辅助的术前护理、术中配合及术后护理。方法:回顾性分析我科18例破裂颅内动脉瘤患者的临床资料,探讨颅内动脉瘤破裂血管内介入治疗并支架辅助的术前护理、术中配合及术后护理。结果:颅内破裂动脉瘤需要支架辅助栓塞治疗的患者18例,术后随访2年,15例治愈,1例生活自理,1例重残,1例死亡。结论:颅内复杂动脉瘤需支架辅助治疗,经积极的术前评估,术中及术后护理配合,术后及早行脑室外引流,预防脑血管痉挛,能取得了满意的效果。
Objective: To investigate the preoperative care, intraoperative cooperation and postoperative care of intracranial aneurysm ruptured endovascular interventional therapy and stent-assisted. Methods: The clinical data of 18 patients with ruptured intracranial aneurysm in our department were retrospectively analyzed. The preoperative care, intraoperative cooperation and postoperative care of intracranial aneurysm ruptured endovascular interventional therapy were studied. Results: Eighteen patients with intracranial rupture aneurysm requiring stent-assisted embolization were followed up for 2 years, 15 were cured, 1 was disabled, 1 was severely disabled and 1 died. Conclusion: Intracranial complex aneurysms require scaffold adjuvant therapy. Satisfactory results can be obtained after positive preoperative evaluation, intraoperative and postoperative nursing coordination, premature ventricular extracorporeal drainage and cerebral vasospasm postoperatively.