1例维持性腹膜透析患者合并主动脉夹层术后意识障碍的原因分析及护理体会
| 作者: |
1黄庆红,
1宋锴
1 苏州大学附属第二医院血管外科，江苏 苏州 215000 |
| 通讯: |
黄庆红
Email: hqh_sz@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2015.07.046 |
摘要
探讨分析1例尿毒症腹膜透析患者合并主动脉夹层术后发生急性意识障碍的原因，结果是术后意识障碍与腹膜透析不能有效清除各种毒性介质及使用药物剂量过大有关。及时进行连续性肾脏替代治疗是有效清除各种毒性介质，解救意识障碍的根本保证。注意用药安全、严密观察意识、瞳孔变化，防止意外损伤发生是护理的关键所在。
关键词：
尿毒症
主动脉夹层
意识障碍
护理
Nursing experience of drug-induced disturbance of consciousness after operation of an aortic dissection patient accompanied with maintenance peritoneum dialysis
CorrespondingAuthor: HUANG Qinghong Email: hqh_sz@163.com
DOI: 10.3978/j.issn.2095-6959.2015.07.046
Abstract
To explore the possible reasons of acute disturbance of consciousness after operation of an aortic dissection patient accompanied with uremia. We found that it may be related with a high drug dose and a bad effect of peritoneal dialysis. And then, continuous renal replacement therapy was useful to clear toxicity. The key point of prevention measures should be taken, including medication safety, rational and scientific medicine, closed observation on disturbance of consciousness, changes of pupil.