CAJ | 학술논문

目的总结微创改良脑室-心房分流术后观察要点及护理经验.方法 45例微创改良脑室-心房分流术患者,术前做好心理护理及术前准备工作,术后密切观察生命体征、意识、瞳孔、有无颅内高压症、分流不足或过度症状、感染症状,做好专科护理及基础护理,及时发现或预防术后并发症.详细的出院指导及随访工作.结果分流后半个月苏醒28例,意识障碍明显减轻9例,意识障碍无变化8例;分流管堵塞5例,分流过度3例,分流不足5例,血源性感染1例,分流管外露1例,无颅内感染、气栓、心内膜炎等并发症.结论充分术前准备,密切的术后观察,有效的专科护理及基础护理,可以提高脑室-心房分流术成功率,提高患者的生存质量.
목적 총결미창개량뇌실-심방분류술후관찰요점급호리경험.방법 45례미창개량뇌실-심방분류술환자,술전주호심리호리급술전준비공작,술후밀절관찰생명체정、의식、동공、유무로내고압증、분류불족혹과도증상、감염증상,주호전과호리급기출호리,급시발현혹예방술후병발증.상세적출원지도급수방공작.결과 분류후반개월소성28례,의식장애명현감경9례,의식장애무변화8례;분류관도새5례,분류과도3례,분류불족5례,혈원성감염1례,분류관외로1례,무로내감염、기전、심내막염등병발증.결론 충분술전준비,밀절적술후관찰,유효적전과호리급기출호리,가이제고뇌실-심방분류술성공솔,제고환자적생존질량.
Objective To summarize the observation points and nursing experience after minimally invasive ventriculo-atrial shunt. Methods 45 patients after minimally invasive ventficulo-atrial shunt were given preoperative psychological care and preparations, postoperative observation of vital signs, con-sciousness, pupil, with or without intracranial hypertension, inadequate shunt or transitional symptoms, in-fectious symptoms, specific and basic care, awareness of postoperative complications and detailed guidance for discharge and follow-up jobs. Results Half month after shunt 28 cases regained consciousness, 9 cases with alleviated consciousness dysfunction, 8 cases with unchanged consciousness dysfunction, 5 cases with shunt blockage; 3 cases with over-shunt; 5 cases with inadequate shunt, 1 case with blood-borne in-fection, 1 case with shunt exposed, no intracranial infection, air embolism, complications such as endocardi-tis took place. Conclusions Adequate preoperative preparation and close postoperative observation, ef-fective specific care and basic care can increase success rate of ventriculo-atrial shunt and improve the quality of life of patients.