117例脊髓髓内室管膜瘤患者术后并发症的护理  

Nursing care of 117 patients with intramedullary ependymoma of spinal cord

作　　者：王国琴 王贵怀[1] 王劲[1] 张会芳 Wang Guoqin;Wang Guihuai;Wan Jin;Zhang Huifang(Department of Neurosurgery,Beijing Tsinghua Changgung Hospital,Tsinghua University,School of Clinical Medicine,Tsinghua University,Beijing 102218,China)

机构地区：[1]清华大学附属北京清华长庚医院神经外科,清华大学临床医学院,北京102218

出　　处：《国际护理学杂志》2020年第4期683-686,共4页international journal of nursing

基　　金：国家自然科学基金资助项目(81472817)。

摘　　要：目的探讨脊髓髓内室管膜瘤肿瘤患者术后并发症的护理。方法回顾性分析2015年1月至2018年6月清华大学附属北京清华长庚医院神经外科收治的脊髓髓内室管膜瘤患者117例的临床及护理资料。结果手术后所有患者均会出现不同程度的感觉功能障碍加重,运动功能障碍较术前明显加重者5例,术后感染3例,二便功能障碍者2例,髓内血肿形成1例,呼吸衰竭1例,脑脊液漏1例。所有患者均在住院期间得到有效护理。结论髓内室管膜瘤手术风险大,术后并发症发病率高,有效的护理干预对于控制术后并发症至关重要。Objective To explore the nursing of postoperative complications in patients with intramedullary ependymoma.Methods The clinical and nursing data of 117 patients with intramedullary ependymoma of spinal cord admitted to neurosurgery department of this hospital from January 2015 to June 2018 were retrospectively analyzed.Results All patients occurred varying degrees of sensory deficits,motor deficits in 5 cases,infection in 3 cases,bladder and bower dysfunction in 2 cases,intramedullary hematoma in 1 cases,respiratory failure in 1 cases,and cerebrospinal fluid leak in 1 cases,respectively.All patients were nursed well before discharge.Conclusions Surgical risks and postoperative complications of intramedullary ependymoma is high,and effective nursing intervention is of great importance to control the complications.

关 键 词：髓内肿瘤 室管膜瘤 

分 类 号：R473[医药卫生—护理学]