20例Hangman骨折的护理

Nursing care of 20 patients with Hangman fractures

总结了20例Hangman骨折患者进行牵引治疗、颈椎后路手术、颈椎前路手术和颈椎前后联合入路手术方法进行治疗的护理特点。护理重点是保持颈椎的稳定性,监测患者生命体征和经皮血氧饱和度变化,观察脊髓和神经功能,加强呼吸道护理,注重不同部位切口引流的护理。本组3例伴有不同程度颈髓损伤和颈神经压迫症状的患者,术后四肢功能评分都在80分以上。所有患者通过治疗护理均获得康复,步行出院。

This paper summarizes the nursing care of 20 patients with Hangman fractures treated by conservative traction, posterior cervical surgery,anterior cervical surgery or combined surgery. The key points of nursing were maintaining the stability of cervical spine,monitoring the changes of vital signs,blood oxygen saturation,and the spinal cord functions,strengthening respi- ratory care and wound drainage care. Three patients with cervical spinal cord injury and nerve compression symptoms recovered after operation and the limb function score was above 80. All patients were cured and resumed ambulation.