本研究通过对1例胸椎黄韧带骨化术后合并脑脊液漏患者的护理情况进行了总结。该患者接受胸椎后路椎板切除术后,出现脑脊液漏这一状况。面对此情况,医护团队迅速行动。在抗感染治疗上,依据患者具体状况精准选用抗生素,密切监测相关指标变化。对于引流管道,护理人员按时检查其通畅性,留意引流液情况,严格无菌操作,保障引流顺利且安全。同时,还为患者制定全面个体化护理方案,从协助翻身、拍背预防并发症,到耐心疏导情绪,再到搭配合理膳食保证营养摄入,全方位关怀。通过这些积极有效的护理举措,成功控制了患者术后脑脊液漏感染问题,患者最终痊愈出院,生活质量也得以提高,此次护理也为类似病例积累了宝贵经验。This study summarized the nursing status of a patient with cerebrospinal fluid leakage after ossification of the ligamentum flavum in the thoracic spine. The patient underwent posterior thoracic laminectomy and had cerebrospinal fluid leakage. Faced with this situation, the medical team acted quickly. In terms of anti-infective treatment, antibiotics are accurately selected according to the specific condition of patients, and changes in relevant indicators are closely monitored. For the drainage pipeline, the nursing staff checks its patency on time, pays attention to the drainage fluid, and strictly aseptic operation to ensure the smooth and safe drainage. At the same time, it also formulates a comprehensive individualized care plan for patients, from assisting in turning over, patting the back to prevent complications, to patiently channeling emotions, to matching a reasonable diet to ensure nutritional intake, all-round care. Through these active and effective nursing measures, the patient’s postoperative cerebrospinal fluid leakage infection was successfully controlled, and the patient was finally cured and discharged from the hospital, and the quality of life was also improved.
本文总结了1例椎管内占位合并不完全瘫痪同时伴有慢性阻塞性肺疾病患者的全面护理过程及成效。该患者先后施行了椎管内病损切除术以及胸椎内固定术。在整个治疗与护理期间,通过采取一系列针对性的护理措施,患者的呼吸功能得到了全程的有效改善,从术前的呼吸不畅逐渐转变为呼吸平稳顺畅。术后,患者双下肢的感觉逐渐恢复敏锐,肌力也逐步增强,从最初的无力状态到能够进行一定程度的自主活动。此外,护理团队通过积极有效的预防措施,成功避免了深静脉血栓的形成,极大地降低了患者面临的潜在风险。经过精心护理,患者的神经肌肉功能得到了显著改善,身体机能得以逐步恢复,生活质量大幅提升。最终,患者在医护人员的共同努力下好转出院,为类似病例的护理提供了宝贵的经验借鉴。This article summarizes the comprehensive care process and effectiveness of a patient with neuraxial mass combined with incomplete paralysis and chronic obstructive pulmonary disease. The patient underwent neuraxial resection and thoracic fixation. During the whole treatment and nursing period, through a series of targeted nursing measures, the patient’s respiratory function was effectively improved throughout the whole process, and the breathing gradually changed from poor breathing before surgery to stable and smooth breathing. After the operation, the patient’s sensations in both lower limbs gradually regained sharpness, and the muscle strength gradually increased, from the initial state of weakness to the ability to perform a certain degree of autonomous movement. In addition, the nursing team successfully avoided the formation of deep vein thrombosis through proactive and effective preventive measures, greatly reducing the potential risks faced by patients. After careful care, the patient’s neuromuscular function has been significantly improved, physical functions have been gradually restored, and the quality of life has been greatly improved. In the end, the patient was discharged from the hospital with the joint efforts of the medical staff, which provided valuable experience for the care of similar cases.
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