Observation and nursing of patients after minimally invasive ventriculo-atrial shunt
10.3760/cma.j.issn.1672-7088.2009.06.051
- VernacularTitle:微创改良脑室-心房分流术后患者的观察及护理
- Author:
Yanjun LIU
;
Qingliang FENG
;
Shuhong MA
;
Xiyun ZENG
- Publication Type:Journal Article
- Keywords:
Ventriculo-atrial shunt;
Postoperative observation;
Care
- From:
Chinese Journal of Practical Nursing
2009;25(17):21-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the observation points and nursing experience after minimally invasive ventriculo-atrial shunt. Methods 45 patients after minimally invasive ventficulo-atrial shunt were given preoperative psychological care and preparations, postoperative observation of vital signs, con-sciousness, pupil, with or without intracranial hypertension, inadequate shunt or transitional symptoms, in-fectious symptoms, specific and basic care, awareness of postoperative complications and detailed guidance for discharge and follow-up jobs. Results Half month after shunt 28 cases regained consciousness, 9 cases with alleviated consciousness dysfunction, 8 cases with unchanged consciousness dysfunction, 5 cases with shunt blockage; 3 cases with over-shunt; 5 cases with inadequate shunt, 1 case with blood-borne in-fection, 1 case with shunt exposed, no intracranial infection, air embolism, complications such as endocardi-tis took place. Conclusions Adequate preoperative preparation and close postoperative observation, ef-fective specific care and basic care can increase success rate of ventriculo-atrial shunt and improve the quality of life of patients.
