翼点入路低位大骨瓣开颅在重型脑外伤合并脑疝治疗中的护理应用价值分析.docVIP

精品论文 参考文献 翼点入路低位大骨瓣开颅在重型脑外伤合并脑疝治疗中的护理应用价值分析 蔺灿灿 　　（商丘市第一人民医院神经外一科, 河南 476100） 　　[摘要]:目的:研究分析翼点入路低位大骨瓣开颅治疗重型脑外伤合并脑疝的临床护理效果。方法 选取2012年12月至2014年12月我院收治的翼点入路低位大骨瓣开颅治疗重型脑外伤合并脑疝患者60例，所有患者均实施系统、全面、针对性护理措施，观察所有患者的临床治疗效果。结果:所有患者通过给予系统、全面、针对性护理，术后恢复良好39例、中残12例、重残3例、死亡4例，患者抢救成功率为90.00%（54/60），死亡率为10.00%（6/60）。结论:系统、全面、针对性护理对于翼点入路低位大骨瓣开颅治疗重型脑外伤合并脑疝具有显著应用价值，能够有效促进患侧脑创伤修复，改善预后，值得推广。 　　关键词：翼点入路低位大骨瓣开颅；重型脑外伤；脑疝；护理效果 　　Pterion approach low big bone flap craniotomy in the treatment of severe brain injury with cerebral hernia nursing application value analysis 　　LinCanCan (shangqiu first peoples hospital outside a family Henan shangqiu, 476100) 　　[abstract] : objective: to study the analysis of the pterion approach low big bone flap craniotomy in the treatment of severe brain injury with cerebral hernia nursing effect. Method to choose between December 2012 and December 2012, our hospital pterion approach of low big bone flap craniotomy in the treatment of 60 patients with severe brain injury with cerebral hernia, all patients were system, comprehensive, targeted nursing measures, observe the clinical therapeutic effect of all of the patients. Results: all patients by giving system, comprehensive, targeted nursing, postoperative recovered well in 39 cases, residual 12 cases, and 3 cases, 4 cases died, patients rescue success rate was 90.00% (54/60), mortality was 10.00% (6/60). Conclusion: systematic and comprehensive, targeted nursing for pterion approach low big bone flap craniotomy treatment of severe brain injury with cerebral hernia has significant application value, can effectively promote the same brain trauma repair, improve the prognosis, is worth promoting. 　　Keywords: pterion approach low big bone flap craniotomy; Heavy brain injury; Cerebral hernia; Nursing effect 　　重型脑外伤合并脑疝是一种临床常见的疾病，病死率较高，给临床治疗增加了极大难度[1]。目前，临床主要采取翼点入路低位大骨瓣开颅进行治疗，能够有效减少患者病死率，避免病情恶化。然而，大部分患者对手术治疗存在恐惧感，不能够积极配合治疗[2]。 因此，给予患者全面、针对性护理干预能够提高患者治疗依从性和临床治疗效果，改善预后[3]。本次研究选取我院收治的翼点入路低位大骨瓣开颅治疗重型脑外伤合并脑疝患者给予有效护理措施，现报