C_2脊髓内动静脉畸形破裂出血患者的护理

Nursing care of a patient with hemorrhage caused by C_2 spinal vascular malformations

总结了1例C2脊髓内动静脉畸形破裂出血患者的护理体会。对患者行颈椎后路椎管减压术与探查术后,严密监测生命体征,尤其是呼吸变化,观察感觉、运动、植物神经功能恢复情况,积极控制感染,预防再出血,通过功能锻炼,促进肢体功能恢复。出院1个半月后,患者左上肢肌力恢复至Ⅳ级,左下肢肌力Ⅱ级,右上肢肌力Ⅰ级,右下肢肌力Ⅰ级,部分生活自理。

This paper summarizes the nursing care of a patient with hemorrhage caused by C2 spinal vascular malformations. The patient received cervical posterior spinal canal decompression and exploratory operation. Postoperative care focused on close monitoring of vital signs,especially the change of breath,observation of the sensorimotor plant nerve＇s recovery,active control of infections ,prevention of hemorrhage and guidance on limb functional exercises. One month and a half after the dis- charge,the patient＇s left upper limb muscle strength,left lower limb muscle strength,right upper limb muscle strength and right lower limb muscle strengthen recovered to level IV ,level Ⅱ ,level Ⅰ and levelⅠ ,respectively.