《About the treatment of cervical postoperative cerebrospinal fluid leakage（关于颈椎术后脑脊液漏的治疗）》由会员分享，可在线阅读，更多相关《About the treatment of cervical postoperative cerebrospinal fluid leakage（关于颈椎术后脑脊液漏的治疗）（11页珍藏版）》请在金锄头文库上搜索。
1、1About the treatment of cervical postoperative cerebrospinal fluid leakagePapers network: : Sun Zhaozhong Tao room, Min Cheng Yan Recycled, clear as Keywords cervical Abstract Objective To investigate the cervical cerebrospinal fluid leakage prevention measures Methods 20 cases of cervical cerebrosp
2、inal fluid leakage clinical data were retrospectively analyzed 18 patients after the next general treatment and surgical incision continuous epidural drainage in 2 to 15 d within the cure, no incision is not healing, cerebrospinal fluid cyst formation, central nervous system infections and surgical
3、repair cases again. 2 patients treated by the traditional method, respectively cerebrospinal fluid cysts, infections of the central nervous system. Conclusions continuous epidural drainage of cerebrospinal fluid next to the surgical incision, prevention and treatment of cervical postoperative cerebr
4、ospinal fluid leakage simple, safe, effective method. 2Keywords cervical spinal fusion, cerebrospinal fluid leakage Abstract Objective To explore the prevention and treatment of the postoperative cerebrospinal fluid leakage in cervical vertebrae surgery. Methods 20 cases of the postoperative cerebro
5、spinal fluid leakage in cervical vertebrae surgery data were processed by retrospective analysis. Results Through postoperative general treatment and continuous drainage outside the dura mater through paraincision, 18 cases were cured between 2 days to 15 days, no unhealing incision and centrale ner
6、vouse system infection and cerebrospinal fluid cyst and operativing repair occurred. 2 cases occured differently cerebrospinal fluid cyst and centrale nervouse system infection by traditional treatment. Conclusion Continuous drainage outside the dura mater through paraincision is a simple and safe a
7、nd effective treatment to postoperative cerebrospinal fluid leakage in cervical vertebrae surgery. Keywords: cervical vertebrae, spinal fusion, cerebrospinal fluid leakage Leakage of cerebrospinal fluid (cerebrospinal fluid Leakage Time CSFL is a rare complication of cervical spine surgery and posto
8、perative 3cervical part of a special deal with the more difficult, if not handled properly, a greater risk of infection can be caused by the surgery area cerebrospinal fluid cyst, and even endanger life purulent meningitis, but documentation systems reported rarely .1996 October - 2003 October, our
9、hospital there were cervical postoperative CSFL 20 cases, of which 18 cases were next to the surgical incision drainage of cerebrospinal fluid continuous epidural were cured. 1 Materials and Methods 1.1 General Information 13 males and 7 females, aged 18 to 67 years old, 41 years old on average. Ant
10、erior cervical surgery six cases, 12 cases of posterior surgery, anterior and joint surgery two cases shown in Table 1.20 patients, respectively, after 1 5 d confirmed concurrent CSFL, of which 18 patients daily cerebrospinal fluid drainage was 130 620 ml, an average of 380 ml, continuous drainage f
11、or 15 d, an average of 8 days. Table 120 cases of the CSFL patients clinical data (omitted) 1.2 treatment Cervical postoperative 1 5 4d pale red liquid was drained to an increase in sexual and lighter color turned clear, you should consider CSFL. Incision exudate after removal of the drainage tube,
12、local swelling, necessary in the cerebrospinal fluid plot remain part of (a sense of volatility prominent place) puncture laboratory tests to confirm the diagnosis, once diagnosed, should take treatment measures, including maintaining a supine neutral posture while alternating lateral position until
13、 CSFL healing, prohibit the patient get out of bed in the healing, avoid cough and spurts, soften the stool, and applications to reduce the cerebrospinal fluid secretion (acetazolamide and diuretic dehydration drugs, prevention and treatment of electrolyte imbalance, patients with low intracranial p
14、ressure symptoms , replenished daily balance solution 1 000 to 1 500 ml, selection of sensitive and easy selection of efficient broad-spectrum antibiotics antibiotics through the blood-brain barrier, or cerebrospinal fluid culture and sensitivity test results, the prevention or control of infection,
15、 to ensure that the drainage tube smooth and continuous drainage, drainage tube connected to a sterile drainage bag atmospheric drainage, atmospheric 5drainage should be replaced if the original suction for after extubation incision is still significant leakage, diagnosis CSFL patients since surgica
16、l incision next to the health of the skin at the catheter blood transfusion device re drainage. daily drainage less than 100 ml, 2 5 d can extubation; reduce the amount of leakage and no, there is a growing trend, or refractory CSFL patients continue to drainage of the incision to heal as soon as possible in order to reduce the intracranial pressure until the incision close to healing or healing after extubation. ahead of pinch before extub
