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目的探究采用钻孔引流术治疗的慢性硬膜下血肿患者术后血肿复发的护理方法。方法对2015年9月至2016年9月本院收治的80例采用钻孔引流术治疗的慢性硬膜下血肿患者进行观察,记录血肿复发病例,总结有效的护理方法。结果 80例患者中有6例出现血肿复发(7.50%),护理要点为预防颅内积气、再出血,加强对引流液、引流装置的护理,加强对患者生命体征的检测。结论钻孔引流术是消除硬膜下血肿的主要方法,引流通畅是术后护理重点。术后流装置护理不当、颅内积气、再出血都会导致血肿复发,护理人员应做好预防措施,加强对患者引流的护理,降低血肿复发率,保证手术效果。
Objective To investigate the nursing of postoperative hematoma recurrence in patients with chronic subdural hematoma treated by drilling drainage. Methods 80 cases of chronic subdural hematoma treated by drilling drainage were treated in our hospital from September 2015 to September 2016. The cases of recurrent hematoma were recorded and the effective nursing methods were summarized. Results Six out of 80 patients had recurrence of hematoma (7.50%). The main nursing points were to prevent intracranial pneumonia and rebleeding, to strengthen the nursing of drainage fluid and drainage device and to strengthen the detection of vital signs of patients. Conclusion Drill drainage is the main method to eliminate subdural hematoma, drainage is the focus of postoperative care. Nursing improper postoperative flow device, intracranial gas, rebleeding will lead to recurrence of hematoma, nurses should take preventive measures to strengthen the drainage of patients with care and reduce the recurrence rate of hematoma to ensure surgical results.