Intraoperative nursing cooperation for micro-surgical clipping of middle cerebral artery aneurysms
10.3760/cma.j.issn.1674-2907.2015.33.011
- VernacularTitle:大脑中动脉动脉瘤显微夹闭术中护理配合与体会
- Author:
Pi′ning ZHANG
1
;
Yanting YAO
;
Li ZHEN
;
Shifang LI
;
Wanzhong TANG
;
Yugong FENG
Author Information
1. 266003,青岛大学附属医院放射科
- Keywords:
Middle cerebral artery aneurysms;
Microsurgical clipping;
Intraoperative nursing
- From:
Chinese Journal of Modern Nursing
2015;21(33):4011-4013
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the importance of nursing cooperation in the operation of middle cerebral artery aneurysm ( MCAA) microsurgical clipping. Methods We retrospectively analyzed 202 cases ( male 103 cases, female 99 cases) of MCAA patients who were underwent microsurgical clipping surgery ( from January 1997 to December 2013), and the importance of nursing cooperation in the process were analyzed. A total of 242 aneurysms were found during surgery of 212 cases underwent craniotomy clipping, in which 215 cases were MCAA, and 2 cases underwent autologous dura wrapping, except one unbroken MCAA case was embolism. Results All patients in this group underwent Yasargil′s pterional trans-sylvian approach, 212 MCAA surgery were successfully clipped. 174 cases were clipped without rupture (81. 3%), while rupture (18. 7%) occurred in 40 patients during surgery. All patients had been treated with controlled hypotension and intracranial hypotension, through timely blood transfusion, infusion and other response measures to ensure the successful completion of surgery. Conclusions It can help will the operation completed smoothly and improve surgical effects by personalized utilizing of controlled hypotension, brain tissue relaxation techniques and other measures in microsurgical clipping of MCAA, as well as good nursing cooperation during the process of aneurysms rupture.
