颅颈交界区硬膜动静脉瘘患者的护理  

Nursing of patients with craniocervical dural arteriovenous fistulas

作　　者：张丽[1] ZHANG Li(Xuanwu Hospital of Capital Medical University,Beijing,100053)

机构地区：[1]首都医科大学宣武医院,北京100053

出　　处：《实用临床医药杂志》2018年第8期43-45,52,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨颅颈交界区硬膜动静脉瘘患者的护理经验。方法回顾性分析本院神经外科21例出血性颅颈交界区硬膜动静脉瘘患者,20例行硬膜下引流静脉切断术,1例行硬膜下供血动脉切断术。其中7例行硬膜下引流静脉切断术配合动脉瘤介入栓塞术或外科切除术。结果 1例术后出现患侧上肢无力,肌力Ⅳ级,经康复治疗术后2周症状缓解,肌力恢复正常;1例患者术后颅内感染,应用抗生素和持续腰大池引流后感染消失。其余患者术后无神经系统功能障碍或其他并发症。结论根据患者病情及不同的手术方法,有针对性地进行护理,可以减少术后并发症的发生。Objective To investigate the nursing of patients with craniocervical junction dural arteriovenous fistulas(CCJDAVF).Methods The data of 21 patients with hemorrhagic CCJDAVF were retrospectively analyzed.A total of 20 patients received subdural drainage vein transection and 1 received subdural feeding artery transection,among whom 7 received subdural drainage vein transection combined with aneurysm endovascular embolization or microsurgical resection.Results One patient occurred weakness of affected upper limb(grade IV of myodynamia),and symptom got remission after two-week rehabilitation.One patient underwent intracranial infection and was cured by antibiotic treatment and lumbar drainage.The remaining patients had no neurological dysfunction or other complications.Conclusion Corresponding nursing can reduce postoperative complications according to patients′condition and operative methods.

关 键 词：颅颈交界区硬膜动静脉瘘 硬膜下引流静脉切断术 硬膜下供血动脉切断术 

分 类 号：R473.6[医药卫生—护理学]