一例脑膜脑膨出伴垂体功能减退合并术后药物过敏患者的护理  

Nursing of a patient with encephalomeningocele and hypopituitarism who had drug allergy after surgery

作　　者：李秀雅[1] 肖克珍[1] 王莎[1] 王文京[1] Li Xiuya Xiao Kezhen Wang Sha Wang Wenjing(Otorhinolaryngology Head ＆ Neck Surgery, Beifing Tongren Hospital, Capital Medical University, Beijing 100176, China)

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,100176

出　　处：《中华现代护理杂志》2016年第31期4574-4576,共3页Chinese Journal of Modern Nursing

摘　　要：总结1例脑膜脑膨出伴垂体功能减退合并术后药物过敏患者的围术期护理。此例患者颅底缺损位置特殊，导致脑膜膨出累及鞍区，垂体功能减退，术后患者发生多种并发症，包括脑脊液鼻漏、颅内感染等，并发生临床罕见的羟乙基淀粉氯化钠溶液过敏、头孢曲松钠迟发过敏反应，致骶尾部形成固定性药疹。该患者术前护理工作的重点包括做好影像导航术前准备、注重患者心理护理、调整和控制患者垂体功能低下的状况；术后护理工作重点包括严密监测生命体征、加强颅脑症状的观察与处理、骶尾部皮肤的护理、注重眼部症状的观察，通过有效的治疗和护理，患者恢复良好，于术后27 d顺利出院。To summarize the perioperative nursing of a patient with encephalomeningocele and hypopituitarism who had drug allergy after surgery. The defect location of skull base in this patient was exceptional, which led to the encephalomeningocele involving the seller region with hypopituitarism. The patient had a variety of complications after surgery, including cerebrospinal rhinorrhea and intracranial infection; the patient also had rare drug allergies such as hydroxyethyl starch solution and ceftriaxone delayed allergic reaction, which led to sacrococcygeal fixed drug eruption in patient. The focus of patient′s preoperative nursing work included computer-assisted preparation, psychological nursing, regulation and control of pituitary hypofunction;the postoperative nursing work focused on monitoring vital signs, observing brain symptoms, nursing sacral tail skin, and observing ocular symptoms. Through effective treatment and nursing, the patient recovered well, and was discharged 27 days after surgery.

关 键 词：脑膜膨出 垂体功能减退症 药物过敏 药疹 影像导航 

分 类 号：R473.6[医药卫生—护理学]