颅底骨折伴脑脊液漏43例护理体会

Nursing of skull base fracture complicated by leakage of cerebrospinal fluid

颅骨骨折在颅脑损伤中较为常见,其中颅底骨折约占1/3,因颅底与硬脑膜粘连紧密,骨折易使硬脑膜破裂,脑脊液经破裂处进入鼻腔或耳道,形成脑脊液鼻漏或耳漏。颅底骨折并发脑脊液漏者可高达50%,脑脊液漏并发脑膜炎的发生率为3%～50%,多数发生在伤后1个月[1]。