Cook H A
Neuroscience Intensive Care Unit, Duke University Medical Center, Durham, North Carolina 27710.
J Neurosci Nurs. 1990 Oct;22(5):319-21. doi: 10.1097/01376517-199010000-00010.
The potential benefit of cerebral angioplasty for patients with delayed cerebral ischemia secondary to vasospasm is promising. Cerebral angioplasty has the potential for positively affecting patient outcome and quality of life. Further, cerebral angioplasty may lead to a reduction in long-term care needs for patients who experience severe cerebral vasospasm from an aneurysmal subarachnoid hemorrhage. The challenge to the neuroscience nurse begins with the early detection of neurological changes signaling the onset of progressive delayed cerebral ischemia despite conventional therapies for vasospasm. The nurse's sagacious management of neurologic, hemodynamic and pulmonary status and the ongoing support of the patient and family throughout the angioplasty procedure is crucial to a positive outcome.
对于因血管痉挛继发迟发性脑缺血的患者，脑血管成形术的潜在益处前景广阔。脑血管成形术有可能对患者的预后和生活质量产生积极影响。此外，对于因动脉瘤性蛛网膜下腔出血而发生严重脑血管痉挛的患者，脑血管成形术可能会减少其长期护理需求。神经科学护士面临的挑战始于早期发现尽管采用了常规血管痉挛治疗方法但仍预示着进行性迟发性脑缺血发作的神经学变化。护士对神经、血流动力学和肺部状况的明智管理以及在整个血管成形术过程中对患者及其家属的持续支持对于取得良好结果至关重要。
