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- 2017-05-05 发布于浙江
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Postoperative care of patients with lumbar disc herniation
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Postoperative care of patients with lumbar disc herniation
[Keywords:] lumbar disc herniation Care Between the lumbar vertebral disc is a flexible structure, including the intervertebral disc and nucleus. Pulposus which is surrounded by the fibrous ring, fibrous ring of the back of the cage is relatively weak, easily broken, our department were treated from 2007 to 2009 28 patients with lumbar disc herniation, aged 25-66 years, mean age 48 years. after surgical treatment and careful nursing, the patient recovered well following lumbar disc surgery to talk about my work, bits of patient care experience.
1 General Nursing 1.1 supine position after 24 hours, cut stand, to stop bleeding, continuous bed 1-3 weeks. Because the supine position may compress the wound to prevent bleeding, which will help the wound drainage.
1.2 after 24 hours after turning stand up, stand up France stand up to both. Stand up to help patients use when rolling to keep the spine straight, roll for the lateral position to avoid distortion.
1.3 Handling three-handling, hold the shoulder, waist and hips and lower extremities, smooth synchronous operation, keep the body axis of the straight.
2 disease observed 2.1 The regular monitoring of vital signs, if necessary, until smooth ECG were observed in patients with facial and eyelid color degrees. If the color of pale comparison, we propose a comprehensive analysis of doctors to assess the Hb content and Hct of the situation, but also observe the lower limbs of patients skin color, temperature, activity and feel.
Drainage and drainage of 2.2 observed color, nature and drainage, such as drainage of fluid after 48 hours significantly reduced, that is, pull out the drainage tube. The general drainage of fluid is bloody, darker colors, such as drainage of fluid that drains into a clear liquid, and drops faster speed, compared with cerebrospinal fluid leaks, should pay attention to
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