Prevention and nursing of cerebral complications for total aortic arch replacement at aortic dissection
- VernacularTitle:主动脉夹层全弓置换术脑部并发症的预防及护理
- Author:
Haiyan XU
1
;
Jiaxiang XIE
Author Information
- Keywords: aortic dissection; total aortic arch replacement; cerebral complications; nursing
- From: Journal of Clinical Medicine in Practice 2017;21(14):65-67
- CountryChina
- Language:Chinese
- Abstract: Objective To discuss nursing of cerebral complications for total aortic arch replacement at aortic dissection.Methods A total of 56 cases with total aortic arch replacement at aortic dissection were selected, and blood pressure was actively controlled before the operation, profound hypothermic circulatory arrest, antegrade cerebral perfusion and proper dose of cerebral protective agent were adopted during the operation.Hyoxemia was actively corrected after the operation with close observation of the disease to maintain homeostasis.Results Neurologic complications occurred in 15 patients after operation (26.8%), 2 patients died with multiple organ failure, 2 patients were discharged without cure, and 52 patients were cured and discharged.Conclusion Perfusion technology and cerebral protective measures adopted during the operation of total aortic arch replacement at aortic dissection and close observation of the disease from the nursing staff during perioperation can prevent occurrence of cerebral complications and promote patients''recovery.
