T/GDNAS 051-2024 急性Stanford A型主动脉夹层患者围手术期护理

ICS11.020

CCSC05

广东省护理学会团体标准

T/GDNAS051─2024

急性StanfordA型主动脉夹层患者围手术期护理

PerioperativenursingofpatientswithacuteStanfordtypeAaorticdissection

2024-07-24发布2024-09-01实施

广东省护理学会发布

T/GDNAS051－2024

目次

前言.....................................................................................................................................................................II

1范围...................................................................................................................................................................1

2规范性使用文件...............................................................................................................................................1

3术语和定义.......................................................................................................................................................1

3.1主动脉夹层...............................................................................................................................................1

3.2急性StanfordA型主动脉夹层.............................................................................................................1

4缩略语...............................................................................................................................................................1

5基本要求...........................................................................................................................................................2

6监测评估...........................................................................................................................................................2

7术前护理...........................................................................................................................................................2

7.1病情监测...................................................................................................................................................2

7.2镇痛、镇静管理.......................................................................................................................................2

7.3排便护理及环境管理...............................................................................................................................2

7.4手术前准备...............................................................................................................................................2

7.5安全转运...................................................................................................................................................2

8术中护理...........................................................................................................................................................2

8.1手术前评估...............................................................................................................................................3

8.2物品准备...................................................................................................................................................3

8.3护理配合...................................................................................................................................................3

8.4深低温停循环温度管理...........................................................................................................................3

9术后护理...........................................................................................................................................................3

9.1病情监测...................................................................................................................................................3

9.2并发症观察与预防...................................................................................................................................3

9.3出院指导...................................................................................................................................................4

附录A（资料性）ASTAAD的危险识别评分............................................................