摘要
目的:探讨腰大池持续引流的相关护理措施和护理效果。方法:选择2012年1月~2012年8月期间在我院实施腰大池持续外引流患者共22例。其中蛛网膜下腔出血患者共15例,难治性脑脊液漏4例,其余3例为颅内感染患者。本组患者均实施腰大池持续外引流,同时给予患者术前护理、术后护理干预。结果:本组患者,15例蛛网膜下腔出血患者引流时间为5~12天,14例患者均顺利治愈出院,1例患者因发生脑脊液感染而给予敏感抗生素处理后治愈出院。4例难治性脑脊液漏患者引流时间为6~9天,均治愈出院。3例颅内感染患者引流时间为8~11天,同时给予鞘内注射万古霉素等,每天1次,均治愈出院。结论:对腰大池持续外引流患者实施有效术前和术后护理干预,有助于减少引流并发症,提高引流成功率,提高治疗效果。
Objective:To discuss the nursing measures and nursing efficacy of lumbar continous drainage .Methods:22 cases who per-formed lumbar continous drainage from Jan .2012 to Aug.2012 were chose as study object .Among them, 15 with subarachnoid hemor-rhage, 4 with refractory cerebrospinal fluid leakage , and 3 with intracranial infection .All of them were performed lumbar continous drain-age and given preoperative and postoperative nursing intervention .Result:The drainage time of 15 cases of subarachnoid hemorrhage was 5~12d.14 cases were cured and left hospital , while 1 case had cerebrospinal fluid infection and cured after given sensitive antibiotics . The drainage time of 4 cases of refractory cerebrospinal fluid leakage were 6∽9d, they were all cured and left hospital .The drainage time of 3 cases of intracranial infection were 8~11d, they were injected vancomycin once a day at the same time , all of them were cured and left hospital .Conclusion:The effective preoperative and postoperative nursing intervention can reduce the complications of drainage , in-crease the success rate and improve the treatment effect .
出处
《中国伤残医学》
2014年第23期25-26,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
蛛网膜下腔出血
腰大池持续引流
护理
Subarachnoid hemorrhage
Lumbar continous drainage
Nursing