首页|腔内影像联合血管内碎石术治疗冠状动脉钙化病变的护理配合

腔内影像联合血管内碎石术治疗冠状动脉钙化病变的护理配合

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目的 总结腔内影像联合冲击波球囊导管成形术(即血管内碎石术)治疗冠状动脉钙化病变的护理配合要点。方法 回顾分析2022年6月至2022年10月阜外华中心血管病医院应用冲击波球囊血管内碎石术治疗的6例冠状动脉严重钙化患者(7条血管病变)临床资料,其中男性4例,女性2例,年龄(60。0±6。2)岁,总结6例患者的介入治疗过程及医护配合方法。结果 6例患者介入手术过程顺利,血管内支架膨胀充分、贴壁良好、无限制血流夹层,心肌梗死溶栓试验(TIMI)血流3级。6例患者未发生严重并发症,术后均康复出院,住院天数为5~7d。结论 腔内影像联合冲击波球囊血管内碎石术可以精准评估并有效处理钙化病变,护理人员熟练掌握腔内影像学及冲击波球囊血管内碎石术基本原理及操作配合要点,做好充分的术前准备,术中密切观察患者生命体征变化,并对可能发生的并发症采取及时有效的护理措施,是手术成功的重要保障。
Nursing cooperation of intravascular imaging combined with shockwave balloon intravascular lithotripsy in the treatment of coronary artery calcification
Objective To summarize the nursing cooperation points of intravascular imaging combined with shockwave balloon intravascular lithotripsy in the treatment of coronary artery calcification.Methods A retrospective analysis was made on 6 patients with severe coronary artery calcification(7 vascular lesions)treated by shockwave balloon intravascular lithotripsy in Fuwai Central China Cardiovascular Hospital from June 2022 to October 2022,including 4 males and 2 females,aged(60.0±6.2)years.The process of interventional treatment and doctor-nurse cooperation were retrospectively analyzed.Results The 6 patients underwent the interventional operation smoothly,the endovascular stent was fully expanded and adhered well to the arterial wall,without flow restricted,with grade 3 TIMI blood flow.None of the 6 patients had serious complications,and all of them were discharged from hospital after surgery.The length of hospital stay was 5-7 days.Conclusions The combination of intravascular imaging and shockwave balloon intravascular lithotripsy can accurately evaluate and effectively deal with calcification lesions.The nursing staff should skillfully master the basic principles of intravascular imaging and shockwave balloon intravascular lithotripsy and the key points of operation cooperation,make full preoperative preparations,closely observe the changes of patients'vital signs during the operation,and take timely and effective nursing measures for possible complications,which is an important guarantee for successful operation.

Coronary arteryCalcificationShockwave balloonIntravascular lithotripsyIntravascular imagingNursing cooperation

于雷、贾晓辉

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阜外华中心血管病医院介入手术室,郑州 451460

冠状动脉 钙化 冲击波球囊 血管内碎石术 腔内影像 护理配合

2022年度河南省医学科技攻关计划联合共建项目

LHGJ20220138

2024

国际医药卫生导报
中华医学会,国际医药卫生导报社

国际医药卫生导报

影响因子:0.781
ISSN:1007-1245
年,卷(期):2024.30(4)
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