腰椎术后血肿的早期诊断与治疗.pptVIP

腰椎术后血肿的早期 诊断与治疗 Early diagnosis and treatment of lumbar postoperative hematoma Case 1 Male ,81y Dyn:LSS Op：Lumbar fusion(L3-5) Pre-Op lumbar MRI Pre-Op lumbar X-ray 及时发现伤口肿胀，敷料渗血 Timely detection 床边打开伤口减压 Decompression of the wound 早期诊断与床边处理 Early diagnosis and treatment 术后前4h伤口引流通畅引流量约30ml，第5-13h伤口引流量约4ml； 术后第二天早上患者腰部肿胀！ 手术清除血肿 Emergency surgery Hematoma Prevention of infection is very important!!! 二联抗生素预防伤口感染 Bivalent antibiotics to prevent wound infection 防治术后伤口感染十分重要！ Case 2 Male,76ys Dyn:LSS Op:Lumbar Fusion Spondylolisthesis 手术当天晚上—伤口肿胀渗血Swelling and Bleeding of the wound 床边确定引流管引