2 cases of abdominal lumbar discectomy complications of combined treatment of ozone injection and nursing care.docVIP

 PAGE \* MERGEFORMAT 8 2 cases of abdominal lumbar discectomy complications of combined treatment of ozone injection and nursing care [Keywords:] abdominal lumbar discectomy complications of ozone injection Abdominal CT following lumbar discectomy (TALD) combined ozone treatment of lumbar disc effect than simply a way to better, although the ozone as a therapeutic method is a simple, low cost, easy to accept the patient, the antimicrobial function can greatly reduce the involvement of infection after surgery for lumbar disc opportunity, but did not find in the literature of complications of ozone. We found that in the clinical use of ozone after chest tightness, shortness of breath, difficulty breathing complications, the analysis Summary, are as follows. 1 Clinical data Case 1, female, 55 years old, because the line TALD L5/S1 intervertebral disc surgery, surgery to remove the nucleus pulposus about 3 g, by a narrow margin after the intervertebral space, the nucleus can not reach the prominent parts of pliers, cut with a circular saw a few vertebrae After a small amount of bone bleeding, injury of the vertebral body may be small veins related to the end of surgery intradiscal injection of 30 mL concentration of 50 g / mL mixture of medical O2 ~ O3, 2 min, the patient felt about the throat, irritating cough, that is the chest, suffocation, so that patients can not be relieved orthopnea and shortness of breath, the measured pulse 84 times / min, blood pressure 130/80 mmHg, electrocardiogram shows sinus rhythm, no abnormality was found, give oxygen inhalation, 4 L / min, 30 min after the symptoms gradually ease. Case 2, female, 35 years old, due to L4 / 5 disc line TALD surgery, surgery to remove some nucleus pulposus 3 g, a small amount of intraoperative continuous chronic bleeding, surgical end of the intervertebral disc into the 30 mL concentration of 50 g / mL for medical O2 ~ O3 mixture, 1 min after the patients throat itching, foreign body se