腰大池持续外引流的护理体会  

Nursing Experience on Lumbar Continous Drainage

作　　者：刘汉佳[1] 张直 范红[1] 庹必灿[1] 刘旭[1] 

机构地区：[1]贵州航天医院神经外科,贵州遵义563003

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

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 .

关 键 词：蛛网膜下腔出血 腰大池持续引流 护理 

分 类 号：R473[医药卫生—护理学]