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1、Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Se
2、cond level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master
3、 title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third lev
4、el,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,腰穿持續引流的護理,定義,腰穿：從腰椎管的蛛網膜下腔穿刺稱為腰椎穿刺，簡稱腰穿。
5、,腰穿持續引流：是在腰穿的基礎上，將導管放入腰蛛網膜下腔內，外接引流袋，進行持續的引流。,加速腦脊液的循環、監測腦脊液白細胞數,適應癥,腦脊液漏者，以降低顱內壓促進瘺道口愈合,顱內嚴重感染,蛛網膜下腔出血者,穿刺部位,L3,L4,或,L4,L5,腰穿的安全部位,穿刺體位,取側臥位，背齊床沿,雙手抱膝，頭部和兩膝盡量屈向胸部，腰背部向后弓,脊柱與床面要保持平行，骨盆與床面要保持垂直,穿刺體位,并發癥,損傷脊髓、神經根,出血，行成脊髓血腫或皮下血腫,穿刺點感染,引流量過多會引起低顱壓及氣顱等,護理,術后去枕平臥,6,小時,十字方針：,無菌、固定、通暢、觀察、記錄,護理,引流袋的放置：,引流滴管口高于腰椎管水平,3,4cm,，,引流袋則低于椎管水平,搬動或轉運患者的途中應先關閉引流管,護理,嚴格控制滴速及引流量：,成人每天,200300ml,，或根據醫囑,放置時間：,腦脊液漏者為,5,7,天,如患者需要放置較長時間，,5,7,天更換一次引流管,護理,拔管：,拔管前先試行夾管,24,48h,拔管后觀察穿刺部位有無腦脊液漏,THE END,
腰穿持續引流的護理
