Experience of Cooperation of Surgical Nurses in Hybrid Surgery for Complex Cerebral and Spinal Vascular Diseases_West China Medical Journal

Authors：

CHEN Hua , ZHENG Jing , XU Li ,  GONG Renrong.

Operating Room, West China Hosiptal, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

GONG Renrong., Email: Chenghuahx@126.com

Keywords：

神經外科; 雜交手術; 護理

DOI：

10.7507/1002-0179.20130186

Video：

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目的　總結神經外科復雜腦脊髓血管病雜交手術的護理配合經驗。方法　回顧分析2011 年4 月－2012 年5月華西醫院手術室完成的 56例神經外科雜交手術的臨床資料，總結神經外科雜交手術的護理配合經驗。結果　所有手術均順利進行，未出現明顯危及患者安全的情況。結論　神經外科Hybrid手術治療復雜腦脊髓血管病較普通手術更為安全有效。但手術護理準備及配合更為復雜，在手術室布局、手術流程方面需要醫護協調專門進行優化。有神經外科專業經驗的護士經過一段時間專門培訓后擔任手術巡回及器械護士更有利于手術的順利、安全進行。

Citation： CHEN Hua,ZHENG Jing,XU Li,GONG Renrong.. Experience of Cooperation of Surgical Nurses in Hybrid Surgery for Complex Cerebral and Spinal Vascular Diseases. West China Medical Journal, 2013, 28(4): 585-588. doi: 10.7507/1002-0179.20130186 Copy

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10.	Ng I. Integrated intra-operative room design[J]. Acta Neurochir, 2011, 109 (Suppl): 199-205.
11.	宋秀棉, 高靜, 何麗．一站式雜交零手術高值耗材庫在血管外科的運行與管理 [J]．解放軍護理雜志, 2011, 28(6A): 72-74.
12.	景在平, 陳泉．“雜交“手術在主動脈擴張疾病治療中的運用及其價值[J]．外科理論與實踐, 2007, 12(1): 4-6.
13.	胡光東．放射外科與立體定向放射治療腦血管畸形的現狀與進展[J]．國際神經病學神經外科雜志, 2012, 39(1): 58-62.
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1. 　馬麗娜, 王紅. 靜脈延長管在小兒手術輸液時的巧用[J]．護士進修雜志, 2007, 22 (23): 2118.
2. 　侯紅利. Bentall 聯合全弓置換及遠端血管內支架象鼻手術的護理配合[J]．貴州醫藥, 2011, 35(6): 566-567.
3. 　趙繼宗, 王碩, 袁葛, 等. 手術中腦血管造影在治療腦血管疾病中的應用[J]. 中華醫學雜志, 2006, 86(15): 1044-1047．.
4. 　Reicher B, Poston RS, M ehraMR, et al. Simultaneous “hybrid” percutaneous coronary intervention and m inimally invasive surgical bypass grafting: feasibility, safety, and clinical outcomes[J]. Am Heart J, 2008, 155(4): 661- 667.
5. 　李雪, 張偉國, 張連陽, 等．雜交手術室規范化管理在多發傷中的應用[J]. 介入放射學雜志, 2011, 20(7): 577-579．.
6. 　管金平, 苗進, 李強, 等. 一站式雜交手術治療動脈硬化閉塞癥復雜病變[J]．中國現代手術學雜志, 2009, 13(5): 376-380.
7. 　韓春雷, 張旭．雜交手術室建設[J]. 科學管理, 2011, 26(9): 84-87.
8. 　Yamakawa K, Kiyama S, Murayama Y, et al. Incidence and neurological outcomes of aneurysm rupture during interventional neuroradiology procedures in a hybrid operating suite[J]. J Anesth, 2012, 26(4): 592-594.
9. 　Murayama Y, Arakawa H, Ishibashi T, et al. Combined surgical and endovascular treatment of complex cerebrovascular diseases in the hybrid operating room[J/OL]. J Neurointerv Surg, 2012, [2012-06-02]. http://jnis.bmj.com/content/early/2012/06/01/neurintsurg-2012-010382.full? sid=48888c4e-ec7f-465a-a577-4d726bd5bbb4. [published online ahead of print June 2, 2012].
10. 　Ng I. Integrated intra-operative room design[J]. Acta Neurochir, 2011, 109 (Suppl): 199-205.
11. 　宋秀棉, 高靜, 何麗．一站式雜交零手術高值耗材庫在血管外科的運行與管理 [J]．解放軍護理雜志, 2011, 28(6A): 72-74.
12. 　景在平, 陳泉．“雜交“手術在主動脈擴張疾病治療中的運用及其價值[J]．外科理論與實踐, 2007, 12(1): 4-6.
13. 　胡光東．放射外科與立體定向放射治療腦血管畸形的現狀與進展[J]．國際神經病學神經外科雜志, 2012, 39(1): 58-62.
14. 　張明芳．血管外科“雜交“手術的進展[J]. 中國普通外科雜志, 2009, 18(6): 629-631.
15. 　李玉青, 郭清旭, 荊素卿, 等. 血管外科成立聯合手術室的做法與體會[J]. 護理管理雜志, 2011, 5, 11(5): 319.

West China Medical Journal

Experience of Cooperation of Surgical Nurses in Hybrid Surgery for Complex Cerebral and Spinal Vascular Diseases

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