{"type5":[],"type4":[{"id":"6029","isDel":0,"createAt":1508394484814,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":1522312519971,"updateBy":"8abb11d0af1511e7a3d800163e04584d","updateName":"良药苦口","userId":"8abb11d0af1511e7a3d800163e04584d","title":"腹主动脉瘤一般护理、注意事项！","content":"

如果出现腹主动脉瘤，在平时护理的时候应该注意什么？手术之前应该怎样？手术之后应该怎样？一起来了解一下：


 

\"腹主动脉瘤一般护理、注意事项！\"

  

 

1、手术前，手术前要食用高蛋白营养。

 

2、手术后，术后要注意观察血压、脉搏，注意伤口渗血。

 

3、病人如果心肺功能都很好，手术后没有渗血，应鼓励病人早期下床；如肺功能较差，鼓励病人咳嗽和活动。

 

找良医网温馨提示：如有身体不适，请及时就医！

","barId":"2453","topicTypeId":"3","topicThemeId":"1035","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":988,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1508394484817,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1508394484818,"metaSearch":null,"rn":null}],"type3":[{"id":"10620","isDel":0,"createAt":1515400597144,"createBy":"db869ccaaef711e7a3d800163e04584d","createName":"海绵宝宝","updateAt":0,"updateBy":null,"updateName":null,"userId":"db869ccaaef711e7a3d800163e04584d","title":"腹主动脉瘤会引起吐血和便血吗","content":"

\"腹主动脉瘤会引起吐血和便血吗\"


腹主动脉瘤是腹主动脉壁的扩张膨出。腹主动脉瘤产生后可逐渐增大，最后决裂出血，导致病人死亡。腹主动脉瘤主要产生于60岁以上的老年人，男女之比为10：3。常伴有高血压病和心脏疾病，但年轻人也偶尔可见。男性多于女性。腹主动脉瘤会引起吐血和便血的产生主要与动脉硬化有关，其它少见原因是主动脉先天发育不良、梅毒、创伤、感染、大动脉炎、综合征等。

 

专家教授建议： 腹主动脉瘤不能够自愈，最严重的后果是决裂出血致死，瘤体直径≥4cm的，产生决裂的比例显著便是增高，纵然瘤体较小者，异样存在急性决裂的能够。是以，腹主动脉瘤原则上应作择期冒死手术，对付手术耐受性欠安者应积极医治为手术创造条件。动脉瘤直径较小，应按期采纳影象诊断技巧（如B型超声）反省，有增大趋势时，即需作出手术医治的决定。腹主动脉瘤决裂者，需实时急症手术。祝你康健！

 


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\"主动脉瘤的症状表现\"

 

1.症状。一般都在动脉瘤逐渐增大时发生疼痛，性质为深部钻孔样，部位胸主动脉瘤多在上胸部或者背部，肩胛下向左肩、颈部、上肢放射。腹主动脉瘤则主诉下背部疼。如果疼痛的强度增加可能预示着即将破裂，压迫邻近组织如上腔静脉、肺动脉、气管、支气管、肺和左喉返神经、食管，可引起上腔静脉综合征、呼吸困难、咳嗽、喘鸣，甚至继发感染、咯血、声音嘶哑、吞咽困难、呕血等，降主动脉瘤可侵袭椎体，压迫脊髓引起截瘫。

 

2.体征。主动脉弓动脉瘤可在胸骨上窝触及异常搏动，胸主动脉可在腹部正中偏左触及一韧性包块，搏动明显，在瘤体部可闻及收缩期杂音，如弓部瘤影响主动脉根部，引起主动脉瓣关闭不全，听诊主动脉瓣区可闻及舒张期杂音。如压迫上腔静脉可出现颜面、颈部及上肢水肿。


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多数患者无症状，常因其他原因查体而偶然发现。典型的腹主动脉瘤是一个向侧面和前后搏动的膨胀性肿块，半数患者伴有血管杂音。少数患者有压迫症状，以上腹部饱胀不适为常见。


\"腹主动脉瘤症状有哪些？\"

 

腹主动脉瘤症状如下：

    

1、疼痛

疼痛是腹主动脉瘤较为常见的临床症状，约在1/3的病人表现出疼痛。其部位多位于腹部脐周，两肋部或腰部，疼痛的性质可为钝痛、胀痛、刺痛或刀割样疼痛。

 

2、压迫症状

随着腹主动脉瘤瘤体的不断扩大，可以压迫邻近的器官而引起相应的症状，临床上比较多见。

 

3、栓塞症状

腹主动脉瘤的血栓，一旦发生脱落便成为栓子，栓塞其血供的脏器或肢体而引起与之相应的急性缺血性症状。如栓塞部位为肠系膜血管，表现为肠缺血，严重者可引起肠坏死。

 

4、腹部搏动性包块

这是腹主动脉瘤最常见最重要的体征。多数患者自觉心窝部或脐周围有跳动感，约有1/6的病人自述心脏下坠到腹腔，这种搏动感以仰卧位和夜间尤为突出。肿块多位于左侧腹部，具有持续性和向着多方向的搏动和膨胀感。

 

5、破裂症状

腹主动脉瘤破裂是一种极其危险的外科急症。病死率高达50%～80%。动脉瘤的直径是决定破裂的最重要的因素。根据Laplace定律，管壁的负载压力与瘤体的半径成正比。

 

找良医网温馨提示：如有身体不适，请及时就医！

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\"体检发现腹主动脉瘤怎么办\"


腹主动脉瘤是人体的腹主动脉异常扩大惹起的良性疾病，但也是一个连通腹部统统动脉的“不定时炸弹”，随时可以或许分裂而置患者于死地。即日，找良医网医学专家提醒，确诊动脉瘤后要尽早到医院“拆弹”，特别是直径在5厘米以上者，部门患者得当成微创腔内治疗。

 

即日，一名67岁男性患者在惯例体检中创造腹中存在异常跳动的包块，彩超创造宏大腹主动脉瘤一个，巨细为9.7厘米 × 8.6厘米×12厘米。该科的主任医师指出，如斯宏大的腹主动脉瘤在一年内的分裂率可达到95%以上。大夫为他实行了腹主动脉人工血管移植术，胜利打消生命威逼。

 

据了解，在人体的大动脉里，腹主动脉比拟容易发生动脉瘤，多见于动脉粥样软化患者。在65岁以上的老年人中，该病的发生率大约为8%。由于动脉瘤在发病早期不痛不痒，症状不明显，许多患者都是在检查别的疾病时意外创造，有的人甚至是动脉瘤溘然分裂、出现生命危险时才创造。张红提醒，一旦确诊有动脉瘤，尤其是直径超过5厘米的，患者要尽早到医院治疗，由于随着动脉瘤直径的增长，分裂率也随之俯冲。患者若溘然出现胸背部或腹部苦楚悲痛，要鉴戒动脉瘤可以或许将要分裂，体检发现腹主动脉瘤怎么办要尽快去医院。

 

医师说，目前针对腹主动脉瘤的外科治疗主要有两种：一种是传统的开刀手术，换上一段天然血管，取代动脉瘤地点部位的血管，规复变态的血液流利，这样就打消动脉瘤分裂的危险。另一种是腔内治疗，经过进程微创手段在腹主动脉瘤腔内弃捐一个带膜的大支架，把动脉瘤拒却开来，达到治疗目的。不过，不是统统的动脉瘤都得当成微创腔内治疗。

 

 

 

 


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\"如何治疗感染性腹主动脉瘤\"


根据你描述的这类环境来看现在呈现这类表现的最主要的原因便是呈现了一些腹部的主动脉瘤对于这类环境还是比较严重的，因为是属于在动动脉上很容易就会造成局部呈现一些破裂出血坏死的征象的产生。

 

给您的倡议便是这两天早晨最佳是恰当的留意好苏息，而且最佳是白叟把身材的各项目标调理到失常范围值之内，同时也可以恰当的到病院进行微创手术医治，基本上必定要到大型的综合性病院医治避免呈现风险。

 


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