腰穿持续引流的护理

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,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 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 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 level,Fourth level,Fifth level,腰穿持续引流的护理,定义,腰穿：从腰椎管的蛛网膜下腔穿刺称为腰椎穿刺，简称腰穿。,腰穿持续引流：是在腰穿的基础上，将导管放入腰蛛网膜下腔内，外接引流袋，进行持续的引流。,加速脑脊液的循环、监测脑脊液白细胞数,适应症,脑脊液漏者，以降低颅内压促进瘘道口愈合,颅内严重感染,蛛网膜下腔出血者,穿刺部位,L3,L4,或,L4,L5,腰穿的安全部位,穿刺体位,取侧卧位，背齐床沿,双手抱膝，头部和两膝尽量屈向胸部，腰背部向后弓,脊柱与床面要保持平行，骨盆与床面要保持垂直,穿刺体位,并发症,损伤脊髓、神经根,出血，行成脊髓血肿或皮下血肿,穿刺点感染,引流量过多会引起低颅压及气颅等,护理,术后去枕平卧,6,小时,十字方针：,无菌、固定、通畅、观察、记录,护理,引流袋的放置：,引流滴管口高于腰椎管水平,3,4cm,，,引流袋则低于椎管水平,搬动或转运患者的途中应先关闭引流管,护理,严格控制滴速及引流量：,成人每天,200300ml,，或根据医嘱,放置时间：,脑脊液漏者为,5,7,天,如患者需要放置较长时间，,5,7,天更换一次引流管,护理,拔管：,拔管前先试行夹管,24,48h,拔管后观察穿刺部位有无脑脊液漏,THE END,