Abstract:

Objective To report the nursing procedure and experience for ascending aortic arch replacement combined with descending aortic arch stent “elephant trunk”implantation during deep hypothermic circulatory arrest. Methods Between May 2013 and December 2016, 38 patients admitted to our hospital for acute type A dissection underwent ascending aortic arch replacement combined with descending aortic arch stent“elephant trunk”implantation during deep hypothermic circulatory arrest. Results The cardiac surgery were successfully accomplished in 38 out of 38 cases, and the patients were followed up for 2 to 27 months to assess the effects of the nursing procedure on Stanford A type aortic dissection surgery during deep hypothermic circulatory arrest. All 38 patients were in good general condition in the period of followed up. Conclusion In Stanford type A aortic dissection patients with ascending aortic arch replacement combined with descending aortic arch stent “elephant trunk” implantation, there were net benefits in the strengthen of nursing management that, at 2 to 27 months of follow up, help reduce the risk of clinical outcomes.

Key words: aorta, deep hypothermic circulatory arrest, stent “elephant trunk”surgery, nursing, ascending aortic arch replacement

摘要：

目的 提供深低温停循环下升主动脉全弓置换联合降主动脉远端支架“象鼻”植术的护理配合程序和护理经验。方法 选择我院2013年5月至2016年12月收治StanfordA型主动脉夹层患者38例，均成功实施深低温停循环下升主动脉全弓置换联合降主动脉远端支架象鼻手术，对其手术的护理配合进行总结分析。结果 全组38例患者均手术成功，出院后随访2～27个月，患者生存良好。结论 加强StanfordA型主动脉夹层的手术配合有利于减少手术风险。

关键词: 护理 , 主动脉, 支架“象鼻”手术, 深低温停循环, 升主动脉全弓置换