What should be paid attention to after aortic dissection?

summary

Proximal and distal types were the most common, involving the ascending aorta, aortic arch and descending aorta; The proximal type is more common in Marfan syndrome, which is limited to the ascending aorta, and the breach is only a few centimeters away from the aortic orifice; The distal type starts from the opening of the left subclavian artery and involves the middle and upper segment of the descending artery. The clinical manifestations of aortic dissection include chest tearing pain, shock, hypertension, confusion of consciousness, dyspnea, hematemesis, etc. The symptoms should be treated as soon as possible, and surgical treatment is the common treatment. What are the postoperative nursing and precautions of aortic dissection? 　

What should be paid attention to after aortic dissection?

Because of the failure of bio glue in blood and edema, the residual blood and liquid in the false lumen of aortic dissection must be sucked in before adhesion to dry the lumen; After surgery, patients should pay attention to diet, not to eat spicy and stimulating food, not to eat greasy food, to eat more fresh fruits and vegetables, but also pay attention to rest, do not often stay up late to work overtime, do not do strenuous exercise. 　

Formaldehyde is an irritant and toxic substance. In order to prevent accidental dripping into the tissue near the operation field, the tissue around the operation field can be protected by dressing before dripping. In case of accidental dripping outside the false cavity, it should be wiped immediately; It takes about 5-6 minutes for the adhesive to polymerize and become sticky. In order to make the two layers of aortic dissection pseudolumen adhere firmly, after dropping the mixture into the bio adhesive, local pressure must be applied.

Patients should also pay attention to a reasonable diet, eat less fatty food, eat more protein rich food, supplement the body needs a variety of vitamins and energy. In addition, patients should drink more water and eat more fresh fruits and vegetables. Eat more nutritious substances. Patients must pay attention to the use of a normal lifestyle, pay attention to the combination of work and rest, do not work hard, after surgery for a period of time to pay attention to bed rest, while patients should pay attention to reasonable eating habits. Keep your mood at ease.

matters needing attention

Early aortic fenestration or reintroduction was performed. The principle is to make the blood flow into the aortic cavity again. Although this kind of operation can prolong the patient's life, it can not prevent the possibility of rupture again. The curative effect is poor and the mortality is high. At present, the surgical methods include several aspects: full removal of the aortic wall at the laceration of the lesion; The site of laceration was removed; Coronary artery bypass was inhibited.