寰枕畸形的围手术期的护理

The Nutsing of Perioperation of Congenitel Anomalies of Atlanto-Occipital Region

本文就30例寰枕畸形的二种手术入路前后的护理进行了探讨。其中7例为经口咽入路手术,其余23例为后路减压。30例病人的护理均获成功。本文提出寰枕畸形病人在重视心理护理的同时,加强对生活的护理。而术后严密监测生命体征变化常会提供我们有价值的动态信息。并针对寰枕畸形病情特点提出保持患者颅颈稳定性的关键所在。不论哪种入路手术,颅颈交界不稳定和脑脊液漏是术后严重的并发症,要求护理人员及早发现并采取相应措施。本文就口咽手术的特殊护理进行了探讨,以期进一步探索寰枕畸形病人的围手术期护理特点,促进患者身心早日康复。

The nursing of 30 congenital anomalies of atlanto-occipital region which operated by two approch was discussed, 7 were by transoral approch, 23 were by back approch. Nursing of all these patients were in success. This paper had pur borwand that in addition to psychological nursing, the daily life nursing should also pay more attention. Monitoring of life sign after operation could offer valuble information, keeping the stability of atlanto-occipifal region according to these patients was the main idea. No matter what approch was taken, unstable of and CSF fistulas were serve complications, and should be found out as early as possible. In order to make out the specific nursing of the transoral approch, and make the patients to be recovered quickly, nursing was discussed in detail.