228例颈椎前路术后并发症的观察与护理  

Nursing and observation of complications in 228 patients with anterior cervical spine surgery

作　　者：何海洪[1] 王淑勉[1] 周玉玲[1] 赵红[1] 甘凤莲[1] 

机构地区：[1]新疆维吾尔自治区人民医院脊柱外科,830001

出　　处：《护理实践与研究》2011年第16期51-53,共3页Nursing Practice and Research

摘　　要：总结了228例颈椎前路手术早期并发症的观察和护理。认为护理的重点是及时巡视,严密观察生命体征和血氧饱和度变化;准确评估患者肢体感觉、活动、肌力;加强对术后失明,喉上、喉返神经损伤,颈交感神经干/节损伤,呼吸衰竭,肺栓塞,迟发性食管瘘,颈部切口血肿、感染等并发症早期表现的观察,及时发现患者存在的问题早期进行干预,早期干预是预防和治疗并发症的关键。To study the observation and nursing of early complications in 228 anterior cervical spine surgery.We concluded several important nursing points： to make the rounds of sickroom in time,observe the change of vital sign and blood oxygen saturation closely,evaluate the sensation,activity,myodynamia of patient＇s limbs accurately;to enchance the postoperative blindness,laryngeal nerve and superior laryngeal nerve damage,cervical sympathetic nerve damage,respiratory failure,pulmonary embolism,tardive esophagus fistula,cervical jargon haematoma and infection,et al.The key of the complication prevention and treatment is to discovery the problem of patient promptly and to interfere early.

关 键 词：颈椎前路术 并发症 护理 

分 类 号：R473.6[医药卫生—护理学]