脑室腹腔分流术68例围手术期辨证施护体会

Experience on nursing in differentiation of 68 cases of ventricular peritoneal shunt in perioperative

目的：探讨脑室-腹腔分流术（VPS）病人围术期的体会。方法：回顾分析68例脑积水VPS患者的临床资料。结果：临床治愈67例，死亡1例。术后常见并发症有颅内血肿、感染、引流管梗阻等。结论：加强围手术期辨证施护，正确的心理疏导，注意手术时机、引流管的选择及做好病情观察、保持分流管通畅，可提高脑室腹腔分流手术的成功率。

Objective： To investigate the experience on ventricular peritoneal shunt （VPS） patients in perioperative. Methods： Retrospective analysis the clinical data of 68 cases of patients with hydrocephalus （VPS）. Results： 67 patients in clinical cure, and 1 died. Common complications after surgery were intracranial hematoma, infection, drainage tube obstruction, etc. Conclusion： Stren -gthening the nursing in differentiation in perioperative, proper psychological counseling, noting the timing of surgery, choice of drainage tube and observation of patient＇s condition, maintaining clear of shunt, could improve the success rate of ventriculo peritoneal shunt surgery.