后颅窝肿瘤显微手术后并发皮下积液的护理

Nursing Care of Patients with Posterior Fossa Tumors Complicated by Subcutaneous Effusion after Microsurgery

目的探讨后颅窝肿瘤术后并发皮下积液的护理对策。方法回顾性分析31例后颅窝肿瘤术后皮下积液患者的临床资料及护理对策。结果经过精心的护理和积极的对症治疗,29例患者获得随访,1例因脑积水予以行分流手术调整;腰椎穿刺持续引流1例复发,再次行开颅手术治疗。其余病例预后良好。结论皮下积液是后颅窝肿瘤术后常见并发症,尽早发现,妥善处理,防止感染,愈后良好。

Objective To investigate the nursing countermeasures to posterior fossa tumors complicated by subcutaneous effusion after microsurgery.Methods Clinical data and nursing countermeasures of 31 patients with subcutaneous effusion after surgery for posterior fossa tumors were analyzed retrospectively.Results After intensive care and positive symptomatic treatment,29 patients received follow-up,1 patient underwent bypass surgery due to hydrocephalus,and 1 patient underwent craniotomy again due to recurrence after continuous lumbar puncture drainage.The remaining cases had good prognosis.Conclusion Subcutaneous effusion is a common complication after surgery for posterior fossa tumors,and early detection and proper treatment can prevent infection and lead to good prognosis.