[1]黎燕,张兰君,张玉,等.颈椎后纵韧带骨化症术后患者椎动脉假性动脉瘤迟发大出血一例的急救与护理[J].军事护理,2023,40(07):113-116.[doi:10.3969/j.issn.2097-1826.2023.07.027]
　LI Yan,ZHANG Lanjun,ZHANG Yu,et al.First Aid and Nursing Care for A Patient with Delayed Massive Hemorrhage of Vertebral Artery Pseudoaneurysm after Cervical Spine Surgery for Ossification of Posterior Longitudinal Ligament[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(07):113-116.[doi:10.3969/j.issn.2097-1826.2023.07.027]
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颈椎后纵韧带骨化症术后患者椎动脉假性动脉瘤迟发大出血一例的急救与护理
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年07期
页码:
113-116
栏目:
病例报告
出版日期:
2023-07-15

文章信息/Info

Title:
First Aid and Nursing Care for A Patient with Delayed Massive Hemorrhage of Vertebral Artery Pseudoaneurysm after Cervical Spine Surgery for Ossification of Posterior Longitudinal Ligament
文章编号:
2097-1826(2023)07-0113-04
作者:
黎燕1; 张兰君1; 张玉1; 解艳红2
(1.浙江医院 骨科,浙江 杭州 310000; 2.浙江医院 老年科)
Author(s):
LI Yan1; ZHANG Lanjun1; ZHANG Yu1; XIE Yanhong2
(1.Department of Orthopedics,Zhejiang Hospital,Hangzhou 310000,Zhejiang Province,China; 2.Department of Geriatrics,Zhejiang Hospital)
关键词:
椎动脉损伤;  假性动脉瘤;  迟发性出血;  急症护理
Keywords:
vertebral artery injury;  pseudoaneurysm;  delayed hemorrhage;  emergency nursing
分类号:
R473.6
DOI:
10.3969/j.issn.2097-1826.2023.07.027
文献标志码:
A
摘要:
目的 总结1例颈椎后纵韧带骨化症(ossification of the posterior longitudinal ligament of cervical spine,OPLL)术后患者椎动脉假性动脉瘤迟发大出血抢救成功的护理体会。方法 回顾性分析并总结某院收治的1例OPLL患者的临床资料。结果 患者成功止血,康复出院,随访3个月无并发症发生。结论 前路椎体骨化物复合体前移融合术(anterior controllable antedispl acement fusion,ACAF)是治疗多节段OPLL的良好选择,但在围术期应注意早期识别椎动脉损伤可能导致的出血症状,做好大出血窒息抢救预案,为患者赢得抢救的黄金时间。
Abstract:
Objective To summarize the nursing experience of successfully rescuing a patient with delayed massive hemorrhage of vertebral artery pseudoaneurysm after cervical spine surgery for OPLL.Methods Retrospective analysis was conducted to summarize the clinical data of an OPLL patient admitted to a hospital.Results The patient was successfully hemostasized,and discharged with recovery.No complications occurred during the 3-month follow-up.Conclusions The anterior controllable antedisplacement fusion of vertebral ossified complex is a good choice for treating multi-segment OPLL.Special attention should be paid to early recognition of bleeding symptoms caused by vertebral artery injury during the perioperative period.The rescue plan for massive bleeding and suffocation should be prepared to win the golden time for rescuing the patients.

参考文献/References:

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备注/Memo

备注/Memo:
【 收稿日期 】 2022-11-30 【 修回日期 】 2023-06-19
【 作者简介 】 黎燕,本科,主管护师,电话:0571-87377326
【 通信作者 】 张兰君,电话:0571-87377326
更新日期/Last Update: 2023-07-15