Frameless stereotactic drill drainage in the treatment of hypertensive cerebral hemorrhage nursing.docVIP

 PAGE \* MERGEFORMAT 11 Frameless stereotactic drill drainage in the treatment of hypertensive cerebral hemorrhage nursing Study: Jiang Hao Zhao-Fen Ge Yanping Zhang Liandong Shi Wei Xu Xingkai Hao Liu Ying Zhou Lihong Zhao Baolong Tan Meichun [Keywords:] frameless stereotactic technology; hole drainage; hypertension; cerebral hemorrhage; Care Hypertensive intracerebral hemorrhage is a common disease, incidence, high morbidity and high mortality. In addition to conservative clinical treatment, is more use of minimally invasive drainage of intracranial hematoma. Our hospital since 2003 December ~ October 2008 32 patients with hypertensive intracerebral hemorrhage treated with frameless stereotactic drill drainage for treatment, since the technology to carry out since the rate of cerebral hemorrhage in a marked increase. now this technology The nursing experience are summarized below. 1 Clinical data In this group 32 cases, 20 males and 12 females, aged 52 to 82 years old. Occurred in the basal ganglia in 22 cases, the amount of thalamus in 6 cases, brain lobe in 4 cases. 2, timing of surgery Such as the condition allows to determine the surgery, preoperative preparation as soon as possible to do surgery immediately, such as those that have occurred hernia should race against time, generally no more than 24 hours. 3 Care 3.1 Preoperative Care 3.1.1 explain to the families of patients with preoperative details of the need for surgery, preoperative and postoperative considerations in order to obtain close cooperation with the families. And sign the surgical informed book. 3.1.2 Skin Preparation conventional head when the head moves to gently prepare the skin to avoid turning over the head, so as not to increase or re-bleeding. 3.1.3 Positioning operation done immediately CT, again a clear bleeding site, bleeding, and with a gentian violet marking the drilling site. 3.1.4 materials preparation operation instr