Nursing for the anterior cervical plate fixation surgery Fang Jing Lv Xuexia's subject, suspected surgical nursing of spinal diseases for nearly ten years. Spinal Surgery There are 47 cases of cervical spondylopathy treated by Changzuoyuan since October 1999, which used cervical disc removal and bone anterior cervical locking plate fixation to treat cervical spondylopathy. The nursing experience is summarized as follows: 1 The clinical data is 4768 years old, with an average of 54.6 years old. The shortest medical history is 3 months and the longest is 8 years. All patients were diagnosed by filming and only 1 examination of the elbow. Cervical spine surgery segment, 43 cases. 05 cases. Drainage skin was placed in this group after operation. After 24, Bapai had no lung infection. Complications such as financial scrutiny 2 Pre-operative care 2.1 Pre-operative psychological care Explain the general procedures of the operation to the patient before the operation and put forward the corresponding requirements and pre- and post-operative considerations. If necessary, let the patients who have undergone the same operation communicate with them to establish the treatment of the patient. The patient, the nurse's confidence, so as to actively cooperate with the surgical treatment. 2.2 Before training, the patient usually does not adapt to urination and defecation in the bed, but the patient is not allowed to go to the ground immediately after the operation, which is easy to cause urinary retention and has to insert a catheter Therefore, let the patient develop the habit of defecation in bed before the operation. In order to reduce the pain caused by catheterization and the chance of causing urinary tract infection, 2.3 tracheoesophageal advancement training anterior cervical surgery is performed under superficial cervical plexus anesthesia. The surgical approach was through the vascular nerve sheath and visceral sheath thyroid trachea frl; Therefore, patients should be instructed to use their own surgical side advancement before surgery. At the beginning, it lasts for 5 at a time, and gradually increases to 3, 4, and 1. The trachea must be pulled through the midline. Repeated training 351 can adapt to surgery. Those with weak hands are assisted by family members or medical staff for 1 practice. 3 Postoperative care 3.1 Restriction of cervical spine activity. Place sandbags on both sides of the patient's head and neck after surgery. And fix the neck with the neck circumference to limit the neck movement. Prevent excessive extension and flexion activities to loosen the plate screws and cause the operation to fail. The 23 nurses coordinated the handling or turning to make the neck and shoulders. The torso rotates at the same level to avoid neck flexion and twisting. Maintain the relative stability of the cervical spine.
3.2 Observation and nursing of postoperative complications 3.2.1 Observation of incision swelling and breathing should be closely observed within 24 hours after vascular injury, pay attention to whether the patient has difficulty breathing. If the neck is thickened. Mostly due to the compression of the trachea by a deep neck hematoma. Because immediately report the doctor to take measures. When asked, you should immediately loosen the fixed neck circumference to avoid pressure on the respiratory tract.
3.2.2 Nerve injury may damage the recurrent laryngeal nerve and superior laryngeal nerve during the anterior cervical exposure. Therefore, the postoperative nurse should pay attention to observe the patient's pronunciation.
Drink water and watch for choking. Pay particular attention to sound changes. If the postoperative voice changes from normal to hoarse, mostly due to edema after nerve stretching, the prognosis is better, more, recovery, should be patient, handle people to solve the problem. Let handle people eliminate worries.
3 Respiratory secretions, many patients in this group had increased respiratory secretions after operation, which was caused by tracheoesophageal traction during operation. Give nebulized inhaled oral phlegm drugs and instruct patients to take an ice cold diet to reduce throat edema and congestion. Reduce respiratory secretions and throat discomfort, can be recovered within 341.
Nursing of postoperative complications of thoracolumbar vertebral fracture Lu Xuexia's main subject is imitating nail column damage, and post-complication burial of thoracic and lumbar vertebral fractures is the most common spinal trauma. Spinal cord injury requires early surgery. A total of 256 patients have been treated in our department since 1996 and 2001, of which 138 patients underwent internal fixation. Due to the trauma of the fracture to the body and the trauma of the operation itself. There were 138 patients with general information after operation. There were 92 males and 46 females, aged 1861 years, with an average age of 43 years. Thoracic fracture
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