控制性颅腔负压引流的护理  

Nursing of controlled negtive pressure of the cranial cavity drainage

作　　者：李萍[1] 冯爱平[1] 王春霞[1] 刘伦波[1] 龚茵 

机构地区：[1]四川省德阳市第二人民医院,618000

出　　处：《护理实践与研究》2010年第4期67-68,共2页Nursing Practice and Research

摘　　要：目的:探讨颅腔负压引流的方法,以保持引流通畅,达到治疗的目的。方法:回顾性分析204例不同类型病人的颅内引流方法。硬膜外、硬膜下、囊腔分别采用负压为-4.0～-8.0Kpa、-2.0～-4.0Kpa及小于2Kpa的负压引流器,置于床头或床头下,24～72h拔管,部份病例采用闭式引流,更换时注意接口消毒,并用无菌敷料包裹。结果:204例颅内引流病人无1例发生感染,被引流腔隙闭合率达到90%以上。结论:控制性颅内负压引流能有效促使被引流腔隙闭合,但应考虑与蛛网膜下腔是否相通。如果相通,应及时调整为闭式引流。Objective： To discuss the methodology of the nagtive pressure of the cranial cavity drainage to secure the clear drainage for the purpose the medical treatment. Methods ：To review and anylize the 204 different cases of cranial cavity drainage. Use the negtive pressure drainer with - 4.0 ～ - 8.0 Kpa, -2.0 ～ -4.0 Kpa and less than 2 Kpa in or out of the dura mater as well as in the capsular space. Put the drainer beside the pillow or under the front bed. Pull the pipe out after 24 ～72 hours later. Apply with the closed drainage method for some special cases. It was very important for the disinfection around the interface of the wound and to make sure wrapping it with sterile materials. Results： 204 cases of cranial cavity drainage have been controlled to zero infection,the percentage the of the drainage space closure is up to 90%. Conclusion： The controlled negtive pressure of the cranial cavity drainage has positive effet on the cloture of the drainage space. In addtion, one should also consider the possibility of the connection with the arachoid and should adjust it to the closed connection once it exits.

关 键 词：控制性 颅腔负压引流 护理 

分 类 号：R473.6[医药卫生—护理学]