腰穿持續(xù)引流的護(hù)理

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1、Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Se

2、cond level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master

3、 title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third lev

4、el,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,腰穿持續(xù)引流的護(hù)理,定義,腰穿：從腰椎管的蛛網(wǎng)膜下腔穿刺稱為腰椎穿刺，簡(jiǎn)稱腰穿。

5、,腰穿持續(xù)引流：是在腰穿的基礎(chǔ)上，將導(dǎo)管放入腰蛛網(wǎng)膜下腔內(nèi)，外接引流袋，進(jìn)行持續(xù)的引流。,加速腦脊液的循環(huán)、監(jiān)測(cè)腦脊液白細(xì)胞數(shù),適應(yīng)癥,腦脊液漏者，以降低顱內(nèi)壓促進(jìn)瘺道口愈合,顱內(nèi)嚴(yán)重感染,蛛網(wǎng)膜下腔出血者,穿刺部位,L3,L4,或,L4,L5,腰穿的安全部位,穿刺體位,取側(cè)臥位，背齊床沿,雙手抱膝，頭部和兩膝盡量屈向胸部，腰背部向后弓,脊柱與床面要保持平行，骨盆與床面要保持垂直,穿刺體位,并發(fā)癥,損傷脊髓、神經(jīng)根,出血，行成脊髓血腫或皮下血腫,穿刺點(diǎn)感染,引流量過多會(huì)引起低顱壓及氣顱等,護(hù)理,術(shù)后去枕平臥,6,小時(shí),十字方針：,無菌、固定、通暢、觀察、記錄,護(hù)理,引流袋的放置：,引流滴管口高于腰椎管水平,3,4cm,，,引流袋則低于椎管水平,搬動(dòng)或轉(zhuǎn)運(yùn)患者的途中應(yīng)先關(guān)閉引流管,護(hù)理,嚴(yán)格控制滴速及引流量：,成人每天,200300ml,，或根據(jù)醫(yī)囑,放置時(shí)間：,腦脊液漏者為,5,7,天,如患者需要放置較長時(shí)間，,5,7,天更換一次引流管,護(hù)理,拔管：,拔管前先試行夾管,24,48h,拔管后觀察穿刺部位有無腦脊液漏,THE END,