摘要目的 总结1例主动脉腔内修复术术后脑脊液引流继发导管合并症患者的护理体会.方法 对2017年1例患者行主动脉腔内修复术术后行脑脊液引流的临床情况进行过回顾性分析,针对其继发导管合并症的原因、症状体征进行识别及护理.结果 经过严密的病情观察、平均动脉压维持、疼痛管理、脑脊液引流流速管理、导管感染风险与控制、心理干预及运动康复,患者最终康复出院.结论 评估术后出现并发症,除需关注手术本身所致之外,采用脑脊液引流作为治疗手段带来的负性事件不容忽视.护士应提高识别能力,辨别问题的来源,做好风险管理及病情评估.

abstractsObjective To summarize the nursing experience of a patient with secondary catheter complications caused by cerebrospinal fluid drainage after endovascular aorticrepair. Methods A retrospective analysis was made on the clinical situation of a patient who received cerebrospinal fluid drainage afterendovascular aorticrepair in 2017, and the cause of secondary catheter complications, symptoms and signs were identified and nursing. Results After careful observation, mean arterial pressure maintenance, painmanagement, cerebrospinal fluid drainage velocity management, catheter infection risk and control, psychological intervention and exercise rehabilitation, the patient was finally recovered and discharged. Conclusions In order to evaluate the postoperative complications, we should not only focus on the surgery but also on the adverse events caused by cerebrospinal fluid drainage. In addition,we should improve the ability to identify the source of problems, to risk management and to disease assessment.