摘要
目的探讨神经内镜治疗18例梗阻性脑积水的术中护理配合。方法15例为导水管阻塞引起的双侧型脑积水,另3例为单侧室间孔堵塞引起的单侧型脑积水,15例用神经内镜经侧脑室额角入路,经室间孔行三脑室底脚间池造瘘,3例透明隔造瘘治疗。结果所有造瘘过程均顺利,瘘口通畅。护士与术者之间配合协调,大大促进了手术顺利进行。结论了解和熟悉手术步骤,正确体位的摆放,术中严格无菌技术操作,控制冲洗速度,注意保持引流管通畅,做好仪器和器械的管理,对手术成功开展及减少手术并发症具有重要意义。
Objective To study the nurse cooperation in operation of hydrocephalus caused by obstruction with neuroendoscope in 18 cases. Methods 15 cases with two - side tipe hydrocephalus is due to aqueduct obstruction , 3 cases with one - side tipe hydrocephalus is due to foramen of Monro obstruction. In all cases the neuroendoscope was advanced into third ventricle via the frontal horn and foramen of Monro, third ventriculostomy was performed to achieve free communication between third ventricle and interpeduncular cistern. Fenestration of septum pellucidum was performed in 3 cases. Results All procedures were successful and the fistula was unobstructed, the cooperation both doctor and nurse was satisfactory. Conclusion Understanding and acquaint with the surgical operation step, the right body puts to put, strict operate without the germ technique in the surgical operation, control to flush the speed, notice to keep to lead to flow tube lucid, work well the management of the instrument and apparatus, open the exhibition and reduce the surgical operation complications to the surgical operation successfully meaningful.
出处
《国际护理学杂志》
2006年第12期1003-1005,共3页
international journal of nursing
关键词
神经内镜
第三脑室底造瘘术
梗阻性脑积水
术中护理
Neuroendoscopy
Third ventriculostomy
Hydrocephalus aqueduct obstruction
Nursing in the surgical operation
