Christian Louboutin Ireland bmc nsc cms fjq

yxfbbiedtj · Wysłany: Nie 23:40, 20 Mar 2011

Intervention was complicated care pseudoaneurysm

310013) in the last 20 years, cardiovascular interventional treatment in China have achieved rapid development, but the technology required to puncture the artery, the puncture is difficult to stop bleeding, bleeding and hematoma puncture site complications are more common, the incidence rate of 6 % ... and the false aneurysm is rare. Hospital in 1999-2003 1600 cases of surgical intervention line, concurrent false aneurysm in 3 cases, incidence rate of 0.18%, now nursing are described below. Clinical data 1 3 official holiday aneurysm patients, 2 males and 1 female, aged 7O a 74-year-old, average 72 years, history of hypertension in 1 case. One case discovered 24 hours after puncture hematoma, a stroke movement, and the vascular murmur could be heard, 2 patients 48 hours after puncture of the above symptoms, l cases after a bowel movement induced due. 3 patients underwent vascular ultrasound B Tip: pseudoaneurysm formation. Analysis 2 (1) group 1 patients during the existence of repeated puncture puncture,[link widoczny dla zalogowanych], vascular damage is obvious, cause poor closed puncture, the formation of pseudoaneurysm; (2) The application of intraoperative anticoagulation impeded vascular puncture path of the bleeding, postoperative oral anti-platelet drugs, dissolved just repair the arterial wall of blood scab, so that the blood vessel wall are not fixed; (3) the treatment intervention, or more commonly 7F arterial sheath, the group 1 patients 8F sheath selected patients, a larger sheath diameter, corresponding to the increase of arterial wall trauma, causing local bleeding; (4) major vascular tone in patients with hypertension, eye of a needle healing well, still bleeding after the pressure bandage possible. The group 1 patients with hypertension in patients with a history of increased abdominal pressure solution stool, blood pressure, femoral artery is not fully closed in a strong puncture bleeding under the impact of blood pressure; (5), femoral artery,[link widoczny dla zalogowanych], the patient bed during the failed effective braking. The group 1 patients were ambulatory during the course of using the potty not strictly technical side of the brake body, causing the puncture site bleeding. . Psychological Care Nursing 3.1 3 pseudoaneurysm patients on the anxiety,[link widoczny dla zalogowanych], irritability should be patient persuasion, shows that, after, active and effective pressure treatment can stop the bleeding, hematoma can be gradually absorbed, no impact on later in life, so that their emotional stability. Local Observation of 3.2 points observed: (1) to understand the application of intraoperative volume of anticoagulant drugs, choose sheath model, the puncture process is smooth, sheath indwelling situation (if pulled out, with or without crease), high-risk patients and postoperative visits, observe whether the bleeding puncture, local hematoma, pay attention to local skin color, puncture distal blood supply situation, dorsalis pedis artery pulse conditions; (2) hematoma formation are required to have bed rest, suffering from limb braking, puncture point of oppression,[link widoczny dla zalogowanych], 2 cases in this group under the guidance of ultrasound hemostasis, 3 B-proven aneurysm closure. Hematoma size, and closely observe the situation of local auscultation and accurately measure and record the perimeter of the legs, compared with last. Observe the local pain and tenderness, local skin tension, dorsalis pedis artery pulse is good symmetry, with or without limb nerve compression symptoms such as sensory loss, numbness and so on. Observation of general condition: continuing activities of vital signs and ECG monitoring, hemostasis during the blood pressure, heart rate, consciousness, complexion, skin temperature, a bed, urine and other systemic conditions. The use of antiplatelet drugs should be observed during the whole body, especially skin color without bleeding and urine, with or without bleeding gums, nose bleeding and so on. 3.3 based care (1) of high-risk patients should be appropriately extended time in bed, accompanied by guidance constipation, increased abdominal pressure in patients with cough, where appropriate, press the wound to prevent bleeding; (2) female patients preoperative routine catheterization, strengthening the training of male patients in bed urination, urination difficulty determining who the line catheterization. Morning of surgery the same day as intermediaries empty stool, in the case of constipation laxative enema can be taken to deal with, not to use laxatives to avoid too frequent bowel movements of limbs after braking. 4 Experience artery pseudoaneurysm is a hematoma in the surrounding tissue with abnormal pathway, arterial blood into the hematoma through the abnormal pathway. Hematoma and arterial traffic, no artery aneurysm wall tissue, systolic arterial blood flow within the row from the radio to hematoma cavity, diastolic arterial return to long-term impact of the tumor can continue to increase, and even eventually lead to rupture. Once the diagnosis of false aneurysm, need to extend the limb immobilization and bed time,[link widoczny dla zalogowanych], the treatment must be timely. The group 3 patients with aneurysms treated promptly closed compression.