Nursing of patients with traumatic aortic dissection
10.3760/cma.j.cn211501-20210223-00554
- VernacularTitle:急危重症外伤性主动脉夹层的护理
- Author:
Jun ZHAO
1
;
Dangxiang LI
;
Dikang CUI
;
Yi JIA
;
Tong SU
;
Hongxia ZHAO
Author Information
1. 首都医科大学附属北京安贞医院心脏外科 100029
- Keywords:
Aortic dissection;
Trauma;
Security;
Pressure ulcer/injury;
Deep venous thrombosis;
Nursing care
- From:
Chinese Journal of Practical Nursing
2021;37(19):1489-1495
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the nursing experience of patients with traumatic aortic dissection.Methods:The clinical data of 72 patients with traumatic aortic dissection treated in our department from January 2009 to August 2020 were retrospectively analyzed. Maintain hemodynamic stability and prevent shock, accurate judgment and effective analgesia, safe transportation and avoid secondary damage, careful skin care during bed confinement, prevention of deep vein thrombosis, lung nursing after thoracic injury are included.Results:Totally 69 patients survived, the survival rate was 95.83%. 1 patient was critically ill before the operation and was treated with invasive ventilator at admission. After the above nursing, he could not maintain effective vital signs and died. 1 patient died of aortic dissection rupture before operation. 1 patient died of disseminated intravascular coagulation after stent implantation. 1 patient suffered from skin pressure injury during hospitalization. No aortic rupture or fracture site displacement occurred in tran sit. Among the 5 patients with atelectasis, 1 died of using invasive ventilator before operation, and the other 4 patients recovered well after treatment with noninvasive positive pressure ventilation. No DVT occurred in all patients during hospitalization, 1 patient was diagnosed as deep vein thrombosis and pulmonary embolism at admission. After treatment, the symptoms of pulmonary embolism improved.Conclusions:Pay attention to hemodynamic monitoring and maintenance of stability, accurate analgesia, safe transport, skin care, anticoagulation prevention of deep vein thrombosis and intraoperative bleeding, lung care after chest injury, can effectively reduce complications and promote the rehabilitation of patients.
