What are the treatment methods for abdominal aortic aneurysm and what are the postoperative care measures for abdominal aortic aneurysm?

How is abdominal aortic aneurysm treated? What are the postoperative care measures for abdominal aortic aneurysm?

What are the treatments for abdominal aortic aneurysm?

1. Drug treatment. Controlling blood pressure, heart rate, blood lipids, quitting smoking and other measures can control the increase in aneurysm diameter to a certain extent.

2. Surgical treatment. Abdominal aortic aneurysm resection and artificial blood vessel replacement are still the classic surgeries for the treatment of this disease. Surgical indications include abdominal aortic aneurysms with a diameter greater than or equal to 5.5 cm and symptomatic abdominal aortic aneurysms with a diameter that increases by 1 cm each year during follow-up.

3. Endovascular treatment. Endovascular repair of abdominal aortic aneurysm (EVAR) is a minimally invasive surgical method for abdominal aortic aneurysm. Its surgical indications and contraindications are basically the same as those of open surgery. Its characteristics are small trauma, avoiding the huge trauma and pain caused by traditional surgery, and reducing the incidence and mortality of complications of important organs such as the heart and lungs of patients, especially for some high-risk cases with severe complications who are not expected to tolerate traditional open surgery or severe complications after surgery.

What are the nursing measures after abdominal aortic aneurysm surgery?

1 General care: lift the head of the bed 15-30 degrees to facilitate venous return, reduce cerebral edema, and lower intracranial pressure; stay in bed for 2 days after surgery, limit physical activity 3-4 times a week, massage the lower limbs, especially the gastrocnemius ring, to prevent displacement of the spring bolt, prevent deep vein thrombosis in the lower limbs, keep the airway open, turn the head to one side to absorb secretions, turn over regularly, pat the back to promote sputum discharge, give a high-protein, high-calorie, high-vitamin, easily digestible diet, and keep the bowels open; oral skin care, turn over on time, massage pressure points; the indwelling catheter should be kept smooth, and the bladder should be cleaned and the urethra should be disinfected in time to prevent complications.

2 Disease observation: observe vital signs and try to keep blood pressure stable; avoid emotional excitement, mental tension, strenuous exercise, defecation or coughing; observe pupil size, light reflex, and dynamically observe changes in consciousness and record them.