Continuous lumbar drainage of Nursing.docVIP

 PAGE \* MERGEFORMAT 6 Continuous lumbar drainage of Nursing Lumbar puncture is a continuous drainage of cerebrospinal fluid transport of neurosurgical treatment of hydrocephalus, central nervous system infections, subarachnoid hemorrhage and other diseases, a common way, in recent years has been widely used in neurosurgery development and applications. With the traditional The lumbar puncture and drainage than single, continuous lumbar drainage of cerebrospinal fluid with less trauma and speed can be controlled drainage and drainage, the patient recovered quickly, etc. .2007 08 -2009 09 years of application of our department EDM lumbar drainage group pieces (Medtronic continuous lumbar drainage to exercise a total of 36 patients achieved satisfactory results, are as follows. 1 Materials and Methods 1.1 Clinical data of patients in this group 23 males and 13 females, aged 28-73 years, mean age 47 years. Spontaneous subarachnoid hemorrhage in 4 cases, 7 cases of traumatic subarachnoid hemorrhage, brain abscess, 2 cases 4 cases of hydrocephalus, cerebrospinal fluid rhinorrhea in 6 cases, unilateral cerebral contusion with subdural hematoma in 8 cases, bilateral cerebral contusion with subdural hematoma in 5 cases, craniotomy in 14 cases. Treatment Patients were 1.2 lateral position, back out, after the bow waist, hip and knee flexion as far as possible, top of the head to move closer to the knee, thigh close to abdomen. Select L3-4 or L4-5 disc space for the puncture point by EDM catheter, underwent local anesthesia strict skin disinfection, who dedicated the slow needle piercing the skin into the lumbar subarachnoid space, and there cerebrospinal fluid outflow, the caudal EDM catheter into the patient pool of 5-8cm lumbar , 6cm sneak out after the end of fixed subcutaneous skin after sterile gauze fixed with 3M applicator, then EDM drainage bag, bed fixed. 2 Preoperative Care 2.1 The mental preparation conscious patients often fea