Review Article
54 ี่� 14 ฉั่� 2 เม.ย - มิ.ย 2564
Nursing Care for Patients
with Acute Thoracic Aortic
Syndrome and Nursing
Pranee Tongsai*, Worawong Slisatkorn**
*Division of Surgical Nursing, Department of Nursing, Siriraj Hospital, **Department of Surgical, Faculty of
Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Siriraj Medical Bulletin 2021;14(2): 54-60
Abstract
Acute thoracic aortic syndrome is an emergency condition and a leading cause of
death in cardiovascular disease. The most common symptom is acute severe chest or back
pain. Other symptoms are syncope, neurological decit including stroke and paraplegia,
acute congestive heart failure, acute myocardial ischemia and extremity ischemia. Once
being diagnosed, the patient must receive emergency treatment to reduce complication and
mortality rate. Surgery is the major modality of treatment such as aortic graft replacement
and endovascular stent grafting. However, there are a number of patients died during
preoperative stage due to transferring process to the expertise cardiac surgery center.
Symptom assessment, physical examination early nursing care, closed monitoring and
complication detection can prevent disease progressive and severity. These preoperative
nursing managements are very important to reduce disability and preoperative mortality.
Keywords: thoracic aortic syndrome; pre-operative nursing care
Correspondence to: Pranee Tongsai
Email: kaicvtsiriraj@gmail.
Received: 13 November 2020
Revised: 3 March 2021
Accepted: 5 March 2021
http://dx.doi.org/10.33192/Simedbull.2021.16
55
Siriraj Medical Bulletin
การพยาบาลกล่�มอาการ
หลอดเลือดแดงให�ใน�องอก
นิดเียบพลันและการพยาบาล
ปราี ทองใส*, วรวง์ ิษ์อรรถกร**
* ,
**   
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
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
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
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
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

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1,2
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



1,2
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

Review Article
56 ี่� 14 ฉั่� 2 เม.ย - มิ.ย 2564











 













1-9

































57
Siriraj Medical Bulletin














-












































Review Article
58 ี่� 14 ฉั่� 2 เม.ย - มิ.ย 2564




























































59
Siriraj Medical Bulletin




















































Review Article
60 ี่� 14 ฉั่� 2 เม.ย - มิ.ย 2564















1
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