中国临床神经外科杂志2024,Vol.29Issue(8) :508-512.DOI:10.13798/j.issn.1009-153X.2024.08.015

高血压性脑出血小骨窗开颅术围手术期护理

Perioperative nursing care for hypertensive intracerebral hemorrhage treated with small bone window craniotomy

纪凡 王娜 施晓庆 张燕 舒伟
中国临床神经外科杂志2024,Vol.29Issue(8) :508-512.DOI:10.13798/j.issn.1009-153X.2024.08.015

高血压性脑出血小骨窗开颅术围手术期护理

Perioperative nursing care for hypertensive intracerebral hemorrhage treated with small bone window craniotomy

纪凡 1王娜 2施晓庆 1张燕 1舒伟1
扫码查看

作者信息

  • 1. 100053北京,首都医科大学宣武医院北京功能神经外科研究所
  • 2. 100053北京,首都医科大学宣武医院神经外科
  • 折叠

摘要

高血压性脑出血(HCH)是神经外科常见的急危重症.小骨窗开颅血肿清除术是临床上治疗HCH的常见手术方案,具有快速清除血肿、降低颅内压、减少血肿对周围脑组织损伤等优点.由于小骨窗开颅血肿清除术属于侵入式操作,会对脑组织造成不同程度的损伤,导致术后出现并发症,影响病人的预后.科学、全面的围术期护理能有效降低并发症的发生率,改善病人的预后.目前,小骨窗开颅血肿清除术围手术期护理的研究较多,但缺乏统一、规范的指导.本文就小骨窗开颅血肿清除术的术前准备、术后康复与饮食等护理、术后并发症预防等研究进展进行总结,为小骨窗开颅血肿清除术围手术期的护理提供更为切实可行的措施和手段.

Abstract

Hypertensive cerebral hemorrhage (HCH) is a common critical and emergent disorder in neurosurgery.Small bone window craniotomy for hematoma evacuation is a common surgical option for the treatment of HCH in clinical practice,which has the advantages of rapid hematoma removal,reduction of intracranial pressure,and minimization of damage to the surrounding brain tissue caused by the hematoma.Since the small bone window craniotomy for hematoma evacuation is an invasive procedure,it causes varying degrees of damage to the brain tissue,resulting in postoperative complications and influencing the prognosis of patients.Scientific and comprehensive perioperative care can effectively lower the incidence of complications and improve the prognosis of patients.At present,there are numerous studies on the perioperative care of small bone window craniotomy for hematoma evacuation,but there is a lack of unified and standardized guidance.This paper summarizes the research progress in preoperative preparation,postoperative rehabilitation and dietary care,and prevention of postoperative complications of small bone window craniotomy for hematoma evacuation,providing more practical and feasible measures and approaches for perioperative care of this procedure.

关键词

高血压性脑出血/小骨窗开颅术/围手术期/护理

Key words

Hypertensive cerebral hemorrhage/Small bone window craniotomy/Perioperative period/Nursing

引用本文复制引用

出版年

2024
中国临床神经外科杂志
广州军区武汉总医院

中国临床神经外科杂志

CSTPCD
影响因子:0.781
ISSN:1009-153X
段落导航相关论文