小儿颅脑术后颅内感染的相关因素分析与护理体会

目的分析小儿颅脑术后颅内感染的相关因素并总结相应的护理手段,为降低小儿颅脑术后颅内感染率及感染后的护理提供参考。方法记录21例小儿患者术前、术中及术后的临床症状及体征,并进行统计分析。结果小儿颅内感染率与开放性颅脑损伤、术后脑脊液漏、脑室外引流、是否伴发糖尿病、合并中枢神经系统外感染等因素具有相关性(P<0.05),与性别、气管切开等因素无相关性(P>0.05)。结论小儿颅脑手术后颅内感染与多种因素相关,采取及时有效的护理措施可降低感染率。

小儿颅脑术后颅内感染的因素及对消化影响和综合护理探讨

目的:探讨分析小儿颅脑术后颅内感染的因素及对消化影响和护理及综合护理,以期能为降低颅脑术后小儿颅内感染的护理提供相关参考。方法:选择2013年6月~2017年6月多个医院儿科进行小儿颅脑术的100例患者,回顾性分析此100例患儿在颅脑术后在术前、术中及术后治疗及护理的全部过程,并找出导致感染的各项可能因素,接着采取具有针对性的预防及治疗措施。结果:小儿术后颅内感染率与无菌操作不严格、脑脊液漏、脑室外引流、开放性颅脑损伤等因素相关(P<0.05)。结论:引发小儿术后颅内感染的因素很多,应在治疗及护理中采取及时有效的护理措施。如严格的无茵操作、严密缝合硬脑膜等,以降低小儿颅脑术后颅内感染的感染率。

Treatment for severe craniocerebral trauma combined with transtentorial hernia in children

Objective: To explore the treating method for severe craniocerebral trauma combined with transtentorial hernia in children.Methods: We treated 58 children with severe craniocerebral trauma combined with transtentorial hernia through evacuating the hematomas, incising the tentorium but preserving the floating bone flap between January 1996 and January 2002.Results: GCS was 3-5 in 17 cases and 6-8 in 41 cases. After treatment, 46 patients ((79.30)%) recovered well, 6 ((10.30)%) suffered from mild disability, 1 ((1.72)%) suffered from severe disability, 1 ((1.72)%) was in vegetative state, and 4 ((6.90)%) died.Conclusions: Evacuating hematomas and incising tentorium can effectively treat the child patients with severe craniocerebral trauma combined with transtentorial hernia, which can decrease the disability and mortality rates greatly, preserve the skull, exempt reoperation for cranioplasty and relieve the psychologic and physiologic burden of the child patients.