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Chiari畸形Ⅲ型合并脊膜膨出患儿1例的术后护理

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摘要 Chiari畸形(chiari malformation,CM)主要病理特征是小脑扁桃体疝入椎管内,致后脑诸结构、脑干、小脑以及后组脑神经受挤压牵拉导致的一系列功能障碍[1],30%~70%患者出现脊髓空洞,几乎都能在治疗Chiari畸形后好转[2]。目前基本上依靠核磁共振(MRI)矢状位扫描像来诊断此病[3]。Chiari畸形被分为四型,其中Chiari畸形Ⅲ型罕见,是最严重的一型,后颅窝结构移位,小脑由枕大孔下疝至颈部椎管内,常伴发高颈髓或枕下脑脊膜膨出[2]。2015年10月,本院神经外科收治1例Chiari畸形Ⅲ型合并脊膜膨出伴脊髓空洞患儿,现将术后护理报告如下。
出处 《护理与康复》 2016年第10期1006-1007,共2页 Journal of Nursing and Rehabilitation
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参考文献4

  • 1徐城炎,沈志鹏,林超,潘露萍,王宁.婴儿Chiari畸形伴脊膜膨出合并脑积水二例并文献复习[J].中华神经外科杂志,2012,28(6):621-623. 被引量:2
  • 2Greenberg MS编著,赵继宗等主译.神经外科手册[M].济南:山东科学技术出版社,2009:23-30.
  • 3闫明,党耕町,王超.Arnold-Chiari畸形[J].中国脊柱脊髓杂志,2003,13(4):252-255. 被引量:6
  • 4Moore HB, Faulk LW, Moore EE, et al. Mechanism of injury a- lone is not justified as the solc indication for computed tomo- graphic imaging in blunt pediatrie trauma[J]. J Trauma Acute Care Surg,2013,75(6): 995- 1001.

二级参考文献37

  • 1[1]Ball Jr WS,Crone KR.Chiari I malformation:From Dr Chiari to MRI imaging[J].Radiology, 1995,195:602-604.
  • 2[2]Elster AD,Chen MYM.Chiari I malformations:clinical and radiologic reappraisal[J].Radiology, 1992,183:347-353.
  • 3[3]Barkovich A J, Wippold FJ, Sherman JL, et al. Significance of cerebellar tonsillar position on MR[J].AJNR, 1986,7:795-799.
  • 4[4]Milhorat TH,Chou MW,Trinidad EM,et al. Chiari I malformation redefined:clinical and radiographic findings for 364 symptomatic patients[J].Neurosurgery, 1999,44:1005-1017.
  • 5[5]Hughes JEO,Sundaresan N.Congenital Malformation of the Base of the Skull. In:Clark CR and Ducker TB.The Cervical Spine [M].3rd edition. Philadelphia:Lippincott -Raven Publishers,1998.311-316.
  • 6[6]Stoodley MA, Jones NR. Syringomyelia. In: Clark CR And Ducker TB.The Cervical Spine[M].3rd edition. Philadelphia:Lippincott-Raven Publishers, 1998.565-583.
  • 7[7]Gardner WJ. Hydrodynamics factors in Dandy-Walker and Arnold-Chiari malformations[J].Childs Brain, 1977,3:200-212.
  • 8[8]Friede RL, Rosessmann U. Chronic tonsillar herniation:An attempt at classifying chromic herniations at the foramen magnum[J]. Acta Neuropathol,1976,34:219-235.
  • 9[9]Marin-Padilla M, Marin-Padilla TM. Morphogenesis of experimentally induced Arnold-Chiari malformation [J].J Neurol Sci,1981,50:29-55.
  • 10[10]Stovner LJ,Bergan U,Nilsen G, et al. Posterior cranial fossa dimensions in the Chiari I malformation:relation to pathogenesis and clinical presentation [J].Neuroradiol, 1993,35:113-118.

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