摘要
目的:探讨早期脑室-腹腔分流加颅骨修补术后并发症的观察及护理对策。方法:对25例颅骨缺损合并脑积水患者行早期脑室-腹腔分流加颅骨修补术后出现出血、感染、脑脊液分流不当、分流管堵塞、癫痫等并发症的观察,探讨其有效护理措施。结果:本组25例患者术后神经功能均得到有效恢复,出现1例出血,1例感染,2例癫痫,均未出现脑脊液分流不当、分流管堵塞等并发症。结论:早期行脑室-腹腔分流加颅骨修补,术后加强观察病情,及时发现并发症,并对症治疗和护理,可减少并发症,促进患者神经功能恢复,提高生活质量。
[ Objective] To investigate the countermeasures for observation and nursing of postoperative complications in early ventriculo - peritoneal shunt plus the cranioplasty. [ Method] 25 patients of skull defects with hydrocephalus were given early ventriculo- peritoneal shunt skull patch Postoperative bleeding, infection, postoperative cerebrospinal fluid shunt improper, shunt tube blockage and epilepsy complications were observed. Then corresponding effective care measures were explored. [ Re- sult ] For all the 25 patients the nerve function were effectively recovered. 1 case presented hemorrhage. 1 case presented infec- tion. 2 cases presented epilepsy. No complications such as intracmnial hematoma, cerebrospinal fluid shunt improper, shunt tube blockage took place. [ Conduslon] Early ventriculo - peritoneal shunt and cranioplasty, and closely observing the patient＇ s condition, detect ing complications timely and symptomatic Ireatment and care after the operation can reduce postoperative com- plications, promote the recovery of neurological function in patients and improve the life quality of patients.
出处
《浙江医学教育》
2013年第2期28-30,共3页
Zhejiang Medical Education
关键词
脑室-腹腔分流
颅骨修补
并发症
护理
ventriculo - pertoneal shunt
cranioplasty
complication
nursing care
