《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (11): 710-711.

• 临床研究 • 上一篇    下一篇

脑脊液鼻漏的手术治疗与护理30例

李艺影1; 金春玉2; 宁志光1   

  1. 1.北京市神经外科研究所 北京市 100050;2.哈尔滨医科大学附属第二医院 黑龙江哈尔滨市 150086
  • 收稿日期:2004-07-15 出版日期:2004-11-25 发布日期:2004-11-25

Treatment and nursing of cerebrospinal fluid rhinorrhea: 30 case report

LI Yi-ying,JIN Chun-yu,NING Zhi-guang   

  1. Neurosurgery Department of Beijing Tiantan Hospital, Beijing 100050, China
  • Received:2004-07-15 Published:2004-11-25 Online:2004-11-25

摘要: 目的总结脑脊液漏患者的手术治疗与护理经验。方法对手术治疗的30例脑脊液鼻漏病例进行回顾性研究。结果外伤性脑脊液鼻漏12例,肿瘤致脑脊液鼻漏17例,自发性脑脊液鼻漏1例。一次手术修补成功者23例。7例行第2次手术修补。术后并发脑积水1例,脑室炎1例,硬膜下积液1例,给予相应治疗均治愈。结论漏口精确定位诊断,同时注重手术中对漏口的探察与定位 ,是手术成功的关键。防止感染是手术成功、降低手术并发症的重要保证。

关键词: 脑脊液鼻漏, 手术治疗, 护理

Abstract: ObjectiveTo study the nurse and trentment of cerebrospinal fluid (CSF) rhinorrhea.Methods30 patients with CSF rhinorrhea who accepted surgical treatment were retrospectively analyzed.Results12 cases were traumatic CSF rhinorrhea, 17 cases were CSF rhinorrhea casused by ablation brain tumor, 1 case was pontaneous CSF rhinorrhea. First operation repaired craniosinus fistula in 23 cases, re-operation repaired in 7 cases after first operation failure. There were hydrocephalus in 1 cases, ventriculitis in 1 case, subdural effusion in 1 case.ConclusionAccurate location of the fistula and during surgical probing are important for the success of treatment, and prevention infection is very important to surgery success, and descent complication.

Key words: cerebrospinal fluid rhinorrhea, surgical treatment, nurse