Nursing Observation and Response to Postoperative Complications in Patients with Aneurysm Treated with PED
Objectives This study aims to explore the causes,key points of nursing observation and coping procedures of postoperative complications in patients with aneurysms implanted with blood flow guidance devices.Methods Based on the pre-established inclusion and exclusion criteria,661 patients with intracranial aneurysms who underwent Pipeline device implantation in a certain department of a tertiary hospital from January 1,2020 to September 30,2023 were selected from the medical record system as the research subjects.A total of 24 patients who had complications after Pipeline device implantation were included in the study.The causes of complications were jointly analyzed.Through the induction of causes,the key points of nursing observation and response procedures for different complications were summarized.Results In this study,out of 661 patients who underwent Pipeline device implantation,24 cases developed complications,with an incidence rate of 3.63％.There was 1 case of cerebral hemorrhage,11 cases of cerebral ischemia,2 cases of cerebral vasospasm,4 cases of peripheral vascular complications,and 6 cases of occupancy effect and inflammatory reactions.In the 24 cases of complications,6 patients experienced postoperative consciousness disturbances,7 patients had postoperative language disorders,11 patients developed postoperative motor function disorders,4 cases had pseudoaneurysms at the puncture site and subcutaneous hematomas,and 6 cases exhibited postoperative space-occupying effects and inflammatory reactions.The RANKIN scale scoring results showed that among 661 patients,648 cases scored 0 points,10 cases scored 1 point,1 case scored 2 points,0 cases scored 3 points,2 cases scored 4 points,and 0 cases scored 5 points.Conclusions Through timely nursing observation and appropriate medical treatment,the occurrence of complications can be reduced,the neurological function of patients can be improved,and the harm after the occurrence of complications can be minimized.
Flow-diverting device ImplantationAneurysmComplicationsNursing observation and response
万方数据
维普
