Minimally invasive surgery for intracranial hematoma condition observation and nursing care.doc

 PAGE \* MERGEFORMAT 8 Minimally invasive surgery for intracranial hematoma condition observation and nursing care [Abstract] summarized 82 cases of minimally invasive removal of intracranial hematoma drainage tube observation and care, concluded: observing closely, monitoring vital signs, preoperative and postoperative intensive care and prevention of complications, is to promote patient the key to early recovery. [Keywords:] minimally invasive intracranial hematoma drainage care Since 2005, our hospital with intracranial hematoma by burr holes outside the aspiration catheter drainage, due to intensive care, results were satisfactory. Now nursing measures are described below. 1 Clinical data 1.1 General information on our hospital in January 2008 ~ January 2010 patients treated 82 cases of intracranial hemorrhage, male 42, female 40 cases. Aged 33-83 years, mean (57 + -11.1 years old, all patients were confirmed by brain CT , MRI confirmed. Tada formula by hematoma volume, at least 30ml, up to 170ml. of which 26 cases of subdural hematoma, epidural hematoma in 27 cases, 29 cases of intracerebral hematoma. of which 63 cases had history of head injury, 19 cases of past history of hypertension, 12 cases underwent tracheotomy .71 patients discharged from hospital, 5 cases of families with pipe discharged because of economic reasons, and 6 cases of postoperative bleeding, hematoma after craniotomy basic discharged. 1.2 The operation and treatment 82 patients in this group are used burr holes puncture drainage, preoperative CT or MRI films based on location, local anesthesia, using the YL-1 type of intracranial hematoma smash off the needle, for a variety of different parts of the intracranial hematoma, in the power-driven drill the needle into the hematoma, skull drilling, pumping blood, such as congestion, drainage of blood with normal saline. After several rows into the hematoma cavity with urokinase dissolved hematoma. For the sub