摘要
目的:探讨鼻内镜下经鼻鼻颅底肿瘤切除术后并发症的治疗及护理措施。方法:回顾性分析178例鼻内镜下经鼻鼻颅底肿瘤切除术患者的临床资料,均在全身麻醉下手术,并进行控制性降压。根据肿瘤累及的范围采取不同的手术入路。结果:178例手术患者中发生各类并发症共87例,包括术后脑脊液鼻漏、颅内感染、尿崩症等。除2例患者死亡外,其他患者的并发症经相应处理后均治愈。结论:鼻内镜颅底手术风险较大,医护人员需具备多学科临床技巧和经验,对并发症及时、准确的处理是手术成功的重要保证。
To explore medical and nursing management of postoperative complications of basicrani- al tumor resection through nasal endoscopy. Method： Retrospective analysis was carried out in 178 patients＇with skull base tumors who underwent nasal endoscopic resection of basicranial tumors under general anesthesia, and controlled hypotension was conducted during the surgery. Different surgical approaches were applied in terms of anatomical regions which the tumor involved. Result： Postoperative complications occurred in 87 of 178 patients, including cerebrospinal fluid rhinorrhea, intracranial infections, diabetes insipidus, etc. Eighty-five eases with complications recovered through proper medical and nursing care, except for 2 cases of death. Conclusion： Because there is a higher risk for nasal endoscopic basicranial procedure, doctors and nurses are required to master multi disciplinary skills and experiences. Careful and rigorous nursing care of postoperative complications is quite impor- tant for successful management of basicranial operative patients.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2012年第20期926-928,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
颅底肿瘤
并发症
鼻内镜
basicranial neoplasm complications endoscopy
