Nasal transsphenoidal pituitary tumor resection observation and nursing care of patients.doc

 PAGE \* MERGEFORMAT 7 Nasal transsphenoidal pituitary tumor resection observation and nursing care of patients [Keywords:] pituitary tumor; nasal transsphenoidal approach; tumor resection; Care Intracranial pituitary tumor is a benign tumor, surgical resection is the treatment of pituitary tumors than ideal. Transnasal transsphenoidal pituitary tumor resection, with less trauma, less blood loss, craniofacial no change, fewer complications, recovery fast and so on. restore the vital post-operative care of the disease. I Division January 1, 2009 ~ May 30 treated 19 cases of pituitary tumor, transnasal transsphenoidal approach for resection. by positive after care, were discharged. Nursing now reported as follows. 1 Clinical data The group of 19 patients, 11 males and 8 females, aged 30 to 55 years. Clinical manifestations were headache, pituitary endocrine dysfunction, vision loss, double-temporal hemianopsia. MRI and CT examination revealed: inside the tumors were in the saddle and suprasellar growth, no significant violations of the saddle next. surgical treatment have different levels of urine after the change, 3 patients had diabetes insipidus, cerebrospinal fluid rhinorrhea in 2 patients, no cases of intracranial infection, the active treatment and care, were discharged. 2 General Care 2.1 unawakened position anesthesia, the patient was supine, head to one side, doctor give oxygen anesthesia regained consciousness, supine position, raise the bed 15 ~ 30 , in order to facilitate intracranial venous drainage, the prevention of cerebral edema . intracranial tissue can also down due to gravity, pressed the dural incision, which will help healing and reduce the incidence of cerebrospinal fluid rhinorrhea. 2.2 The grant conditions were observed ECG monitoring, close observation of patients with consciousness, pupil, changes in vital signs and bleeding cases of nasal packing materials, observe whether the severe headache, vomiting and other sy