ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (6): 539-541.doi: 10.3969/j.issn.1674-3865.2017.06.026

• 临床护理 • 上一篇    下一篇

Ommaya储液囊引流降低脑积水患儿颅内压的临床监护效果

邹欣,陈雪娣,李卓,曹莹   

  1. 410007 长沙,湖南省儿童医院神经外科  
  • 出版日期:2017-12-25 发布日期:2018-11-19
  • 通讯作者: 邹欣,E-mail:quxbing@126.com
  • 作者简介:邹欣(1983-),女,主管护师。研究方向:儿童神经外科疾病的护理

Clinical monitoring effect of Ommaya drainage in reducing intracranial pressure in children with hydrocephalus

ZOU Xin,CHEN Xuedi,LI Zhuo,CAO Ying   

  1. Department of Neurosurgery,Hunan Children's Hospital,Changsha 410007,China
  • Online:2017-12-25 Published:2018-11-19

摘要:
目的
探讨Ommaya储液囊引流降低脑积水患儿颅内压的临床监护效果。
方法
选择2015年1月至2016年6月湖南省儿童医院神经外科收治的行Ommaya储液囊植入术的患儿50例为研究对象,术前对患儿及家属进行心理疏导,术后密切观察患儿病情变化,查看Ommaya储液囊引流装置的引流状况,并定期检查患儿的颅内压及其他的各项生理指标;术后做好切口护理,定期检查患儿的体温、脑脊液的颜色、血常规等;预防引流过度引起低颅内压的发生。
结果
Ommaya储液囊植入术后发生并发症11例,其中继发颅内感染3例,引流管阻塞2例,继发性脑室内出血1例,出现排异反应1例,因Ommaya储液囊引流过多而出现低颅内压4例,其余患儿颅内压均降至正常水平,并发症发生率为22.0%。经过针对性的治疗后,并发症症状均得到有效改善,并无复发。
结论
Ommaya储液囊植入术在脑积水患儿降低颅内压的治疗中并发症发生率低,值得临床上推广使用。

关键词: 脑积水, Ommaya储液囊, 护理, 儿童

Abstract:


Objective
To investigate the curative effect of Ommaya reservoir drainage on reducing intracranial pressure in children with hydrocephalus.
Methods
From January 2015 to June 2016,50 children underwent Ommaya capsule implantation in Department of Neurosurgery,Hunan Children's Hospital,and they were enrolled in this study. Before the treatment,children and their families were mentally guided. After treatment observe the changes of the patient's condition,check the drainage status of the Ommaya sac draining device,and regularly check the intracranial pressure in children and other physiological indexes. After the treatment incision care and regular examination of children's body temperature,cerebrospinal fluid color and blood was performed. Low intracranial pressure due to excessive drainage should be prevented.
Results
Complications after Ommaya capsule implantation happened in 11 cases,including 3 cases of secondary intracranial infection,2 cases of drainage tube obstruction,1 case of secondary intraventricular hemorrhage and 1 case of rejection. Low intracranial pressure caused by excessive drainage occurred in 4 cases,while the remained children were with intracranial pressure reducing to normal levels,the complication rate being 22.0%. After targeted treatment,the symptoms of complications were effectively improved,and there was no recurrence.
Conclusion
Ommaya capsule implantation for children with hydrocephalus can reduce intracranial pressure,and the rate of complications is low,which is worthy of clinical use.

Key words: Hydrocephalus, Ommaya Capsule, Nursing, Children