孙氏手术后截瘫患者应用脑脊液引流的护理

Nursing care of patients with paraplegia after Sun＇s operation using cerebrospinal fluid drainage

目的总结主动脉夹层行孙氏手术后并发截瘫的患者应用脑脊液引流的相关护理经验。方法对2014年1月至2016年12月开展的17例临床资料进行回顾性分析，总结相关护理经验：加强脑脊液引流管的护理，观察肢体运动情况和肌力，注意并发症的观察，维持稳定的血流动力学，加强期间生活护理，可以保证脑脊液引流安全有效。结果2例死亡，其余15例中，3例持续截瘫，12例截瘫或轻瘫不同程度的恢复。9例患者痊愈出院，6例转康复医院。结论精心、细致的脑脊液引流护理，可改善术后脊髓缺血导致的截瘫或下肢轻瘫，促进患者康复。

Objective To sum up nursing experience of cerebrospinal fluid drainage in patients with aortic dissection with paraplegia after sun＇s operation. Methods Retrospective analysis of 17 cases of clinical nursing care from January 2014 to December 2016, summing up related nursing experience includingintensive care of cerebrospinal fluid drainage, observation of limb movement and muscle strength, monitoring complications, maintain stable hemodynamics, strengthen the life nursing during hospitalization, in order to ensure the drainage of eerebrospinal fluid. Results 2 deaths, Recovery of different degrees of paraplegia or paresis in 12 and persistent paraplegia in 12 out of the other 15 patients, 9 patients recovered and discharged, 6 cases transferred to rehabilitation hospital. Conclusions Careful nursing of cerebrospinal fluid drainage can improve paraplegia or lower extremity paresis caused by spinal cord ischemia, and promote patients＇ rehabilitation.