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感染性颅内动脉瘤:分诊与管理。

Infectious intracranial aneurysms: triage and management.

机构信息

Harborview Medical Center, Department of Neurological Surgery, University of Washington, Seattle, WA, USA.

出版信息

J Neurosci Nurs. 2011 Feb;43(1):51-6.

Abstract

Infectious intracranial aneurysms are a rare but serious potential complication of subacute endocarditis. Early diagnosis and treatment is essential to prevent devastating neurological deficits and mortality. Because nurse practitioners' roles expand into acute care as well as urgent care settings, they are frequently involved in the care of this population. Identifying the patients at risk, ordering appropriate studies, and initiating goal directed therapy are vital to outcomes. For nurse practitioners who are involved in care of neuroscience populations, it is important to be familiar with disease processes. This article provides a literature review of the topic, explores diagnostic methods, discusses management strategies, and presents an illustrative case.

摘要

颅内感染性动脉瘤是亚急性心内膜炎的一种罕见但严重的潜在并发症。早期诊断和治疗对于预防灾难性的神经功能缺损和死亡率至关重要。由于执业护士的角色扩展到急性护理和紧急护理环境中,他们经常参与这类人群的护理。识别高危患者,进行适当的检查,并启动有针对性的治疗对于改善结局至关重要。对于参与神经科学人群护理的执业护士来说,熟悉疾病过程非常重要。本文对该主题进行了文献回顾,探讨了诊断方法,讨论了管理策略,并呈现了一个说明性病例。

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