脊柱手术后脑脊液漏的治疗及其护理干预  

Cerebrospinal fluid leakage after spinal surgery and the treatment of nursing intervention

作　　者：于从[1] 方晶[1] 郭伟壮[1] 龚敏[1] 

机构地区：[1]深圳市第二人民医院脊柱外科,广东深圳518030

出　　处：《中国医药导报》2009年第6期66-67,共2页China Medical Herald

摘　　要：目的:总结脊柱手术后脑脊液漏41例不同处理方法对应的护理措施。方法:回顾性分析2001年7月～2008年2月脊柱手术后发生脑脊液漏41例患者针对不同处理方法,探讨护理经验。在体位引流前提下,一组单纯加压包扎缝合22例;另一组持续留置硬膜外引流19例,其中,行侧脑室穿刺引流1例。结果:40例患者均在术后8～14d脑脊液漏停止,伤口愈合,未出现明显头昏头痛等低颅压反应及感染患者,1例经过以上治疗失败,采用脑脊液引流的方法治疗后治愈。结论:对脊柱手术并发脑脊液漏患者采取不同处理对策,配合针对性的护理措施,可减少并发症的发生,利于患者康复。Objective： To sum of spinal surgery 41 cases of cerebrospinal fluid leak the different treatment of the corresponding measures to care. Methods： A retrospective study from July 2001 to February 2008, after spinal surgery eerebrospinal fluid leakage occurred in 41 cases of patients with different approaches to explore the experience of care. Postural drainage in the premise, a group of simple compression bandage suture in 22 cases; the other group continued epidural catheter drainage in 19 cases, of which the lateral ventricle drainage line in 1 case. Results： 40 cases of patients after 8～14 d in the cerebrospinal fluid leakage stopped, wound healing, was not appear obvious, such as headache dizziness and low intracranial pressure response to infection, 1 case of treatment failure after more than using the method of cerebrospinal fluid drainage cured after treatment. Conclusion： Spinal surgery for patients with cerebrospinal fluid leakage to take countermeasures to deal with different specific care measures, to reduce the incidence of complications, patients benefit.

关 键 词：脊柱手术 脑脊液漏 并发症 护理 

分 类 号：R473.6[医药卫生—护理学]