骨科二区胸椎内固定术术后护理查房课件.ppt

1、PPT模板下载： case of thoracic vertebral internal A case of thoracic vertebral internal fixation surgery patients after nursing fixation surgery patients after nursing care roundscare rounds一例胸椎内固定术术后患者的护理查房一例胸椎内固定术术后患者的护理查房Speaker&Physical Speaker&Physical examination examination&PPT production&PPT prod

2、uction：石彩兰：石彩兰AdvisorAdvisor：王莉：王莉2017.04.072017.04.07Guangzhou Guangzhou medical medical university university General information（一般资料）（一般资料）Name:Name:Huang lixuanHuang lixuan（黄李轩）（黄李轩）Age:Age:53-year-old Sex:male 53-year-old Sex:male bed number:bed number:GK2017 GK2017 Date of admission:Date of a

3、dmission:March 23th,2017March 23th,2017Chief complaintChief complaint（主诉）（主诉）:Low back pain three Low back pain three months,increased with numbness of both months,increased with numbness of both lower limbs a month.lower limbs a month.（腰痛三月，加重伴双下（腰痛三月，加重伴双下肢麻木一月）肢麻木一月）Diagnosis:Diagnosis:Thoracic t

4、umor(Thoracic tumor(胸椎肿瘤胸椎肿瘤)Patients condition（病情汇报）（病情汇报）Admission:Admission:T 37.0 T 37.0 C,P 70 times/C,P 70 times/min,R 20 times/min,BP 120/60 min,R 20 times/min,BP 120/60 mmHg.mmHg.Surgery:2017-03-24,general Surgery:2017-03-24,general anesthesia with thoracic spine tumor anesthesia with thorac

5、ic spine tumor resection(resection(全麻下胸椎肿瘤切除全麻下胸椎肿瘤切除)+thoracic)+thoracic internal fixationinternal fixation（胸椎内固定术）（胸椎内固定术）Auxiliary check（辅助检查）：（辅助检查）：（2017-02-152017-02-15，广州市番禺区第二人民医院）腰部，广州市番禺区第二人民医院）腰部CTCT提示：提示：L3/4L3/4、L4/5L4/5椎间盘膨出，椎间盘膨出，L5/S1L5/S1椎间盘突出，椎间盘突出，腰椎退行性病变，胸腰椎退行性病变，胸1212椎体骨质破坏。椎体骨质

6、破坏。（2017-03-21，解放军第四五八医院）腰椎，解放军第四五八医院）腰椎MR提示：提示：1、胸胸9、12椎体及椎旁异常信号影，考虑肿瘤，骨髓瘤可能椎体及椎旁异常信号影，考虑肿瘤，骨髓瘤可能性大；胸性大；胸3、8椎体异常信号影，脂肪沉积与血管瘤鉴别；椎体异常信号影，脂肪沉积与血管瘤鉴别；2、腰、腰2、4椎体占位性病变；椎体占位性病变；3、腰、腰3/4、4/5椎间盘膨出；椎间盘膨出；4、腰椎退行性病变、腰椎退行性病变Auxiliary check（辅助检查）：（辅助检查）：（2017-03-24，我院）全身骨显像：第，我院）全身骨显像：第10胸椎骨代胸椎骨代谢异常局灶性增高活跃。结合病史，

7、考虑肿瘤性病谢异常局灶性增高活跃。结合病史，考虑肿瘤性病变与椎体压缩性骨折相鉴别。变与椎体压缩性骨折相鉴别。（2017-03-24，我院）胸部正侧位：，我院）胸部正侧位：1、双肺及心膈、双肺及心膈未见异常。未见异常。2、T9椎体压缩性改变胸椎体压缩性改变胸Auxiliary check（辅助检查）：项目名称项目名称结果结果参考范围参考范围单位单位提示提示癌胚抗原癌胚抗原5.715.710-50-5ugug/L/L细胞角蛋白细胞角蛋白1919片段片段3.363.360-3.30-3.3ugug/L/L白细胞计数白细胞计数22.722.73.59.53.59.5101099/L/L 血红蛋白血红蛋

8、白158158130175130175g/Lg/L正常正常总蛋白总蛋白63.163.165856585g/Lg/L尿素尿素/肌酐肌酐30.7130.7115241524RatioRatio补体单体补体单体0.140.140.160.380.160.38g/Lg/L白蛋白白蛋白35.335.340554055g/Lg/L总胆汁酸总胆汁酸17.117.109.6709.67umolumol/L/LAuxiliary check（辅助检查）：项目名项目名项目名称项目名称结果结果参考范围参考范围单位单位提示提示丙氨酸氨基转移酶丙氨酸氨基转移酶205205950950U/LU/L-羟丁酸脱氢酶羟丁酸脱氢

9、酶2052057218272182U/LU/L天门冬氨酸氨基转移酶天门冬氨酸氨基转移酶696915401540U/LU/L乳酸脱氢酶乳酸脱氢酶294294120250120250U/LU/L-谷氨酰基转移酶谷氨酰基转移酶747410601060U/LU/L肌酸激酶同工酶肌酸激酶同工酶 MBMB活性活性2626025025U/LU/L总胆固醇总胆固醇5.855.853.005.183.005.18mmolmmol/L/L高密度脂蛋白胆固醇高密度脂蛋白胆固醇2.092.091.161.421.161.42mmolmmol/L/LBasic treatment&medication（基本治疗&用药）

10、：POPO：多烯磷脂酰胆碱胶囊（易善复）、丁二磺酸腺苷蛋氨酸多烯磷脂酰胆碱胶囊（易善复）、丁二磺酸腺苷蛋氨酸肠溶片（喜美欣）；肠溶片（喜美欣）；IVIV：注射用帕瑞昔布钠（特耐）；注射用帕瑞昔布钠（特耐）；IMIM：鼠神经生长因子注射剂（恩经复）；鼠神经生长因子注射剂（恩经复）；IvgttIvgtt：五水头孢唑林注射剂（新泰林）、醒脑静、注射用丹：五水头孢唑林注射剂（新泰林）、醒脑静、注射用丹参多酚酸盐、地塞米松磷酸钠注射液参多酚酸盐、地塞米松磷酸钠注射液&甘露醇注射液、小牛皮甘露醇注射液、小牛皮提取物注射液（斯普林）、骨肽注射液（鼓键）、甲泼尼龙琥提取物注射液（斯普林）、骨肽注射液（鼓键）、

11、甲泼尼龙琥珀酸钠针（甲强龙）、（申捷）单唾液酸四己糖神经节苷脂钠珀酸钠针（甲强龙）、（申捷）单唾液酸四己糖神经节苷脂钠注射液、头孢曲松他唑巴坦针（优他能）。注射液、头孢曲松他唑巴坦针（优他能）。Limb brakeLimb brake（制动）（制动）,analgesic,analgesic（止痛），（止痛），nutritional nutritional supportsupport（营养支持）（营养支持）and other symptomatic and other symptomatic treatmenttreatment床边体查床边体查 Results of physical exam

12、ination(体查结果)Current condition:patients with thoracic internal fixation on the 15th day after surgery,lower limb numbness(下肢麻木无力下肢麻木无力),postoperative（术后）（术后）wound dressing clean,no bleeding exudate,（渗液）（渗液）no waist pain,dizziness（头（头晕）晕）and other symptoms,and consciousness is clear，appetite(食欲食欲)is

13、well and have a good spirit.His sleep is well now,and defecate and urinate is normal.T、P、H、R、BpSpecialty（专科情况）（专科情况）:Double lower limbs tactile（双下肢）（双下肢）feel normal.The strength of lower limbs level。The operative wound dressings is dry and clean,no bleeding,drainage(渗液渗液).Nursing diagnosis（护理诊断）1、Ri

14、sk of falls:associated with long bedside lower limb muscle weakness（下肢肌无力）（下肢肌无力）3、Lack of knowledge:related to lack of disease-related knowledge2、decline of self-care ability:related to long bed restRisk of falls:associated with long bedside lower limb muscle weakness（下肢肌无力）Nursing measures:1,Tell

15、the patient and family members to stay with patient all the time,and if need help ring that call nurses.2,change the position should obey with the three steps,that is lying 30 seconds,sit up 30 seconds,and stand 30 seconds before the walk in order to avoid orthostatic hypotension(体位性低血压体位性低血压),espec

16、ially at night.3,When walking dizziness,lower limb weakness,and gait instability and can not move,immediately sit down in situ(原地原地),and call help.4,wear anti-skid slippers（拖鞋）（拖鞋）and the appropriate（合适的）（合适的）clothes in order to avoid tripping,and take bed bar when sleep at bed.Nursing target:the pa

17、tient did not fallNursing evaluation:patients did not fall during hospitalization.2、decline of self-care ability:related to long bed restNursing objectives:patients can adapt to the state of decline of self-care ability,and Life needs can be satisfied during hospitalization.Nursing measures:(1)expla

18、in the importance of cleaning-care to the patient.(2)do morning care in order to increase the comfort of patient:wash face,wash hands,oral care,warm water wipe（擦）back,etc.(3)keep warm while operation,and avoid exposure to the patient too long to prevent colds.(4)Keep the bed clean and dry.(5)help pa

19、tient eating,dressing,into the toilet and other life care.Nursing evaluation:patients adapt to the state,andThe decline of self-care ability during hospitalization has improved.3、Lack of knowledge:related to lack of disease-related knowledgeNursing Objective:The patient can describe the disease-rela

20、ted knowledgeNursing measures:(1)confirm the patients concerns about the disease and future lifestyle by talking,and explain or guide the patients concerns.(2)use easy to understand language to the patient to introduce the course and treatment.(3)Distribute health education prescription regularly.Pr

21、ovide the necessary learning materials for the patient.(4)encourage patients to ask questions,and answer to patient patiently .Nursing Rating:Patients can describe disease-related knowledge during hospitalizationhealth education（健康教育）（健康教育）1,functional exercise:Teach patient turn the body like axis

22、turn(轴线翻身轴线翻身),raising straight leg exercise（直腿抬高运动）（直腿抬高运动）,quadriceps femoris isotonic contraction exercise（股四头机等长收缩运动）（股四头机等长收缩运动）and the correct way to get up and lie down.2,prevent lung infection:change the position constantly,and encourage patients to do an effective cough action,turn back to

23、shoot（翻身拍背）（翻身拍背）regular,promote lung secretions（分（分泌物）泌物）and accumulation of sputum（积痰）（积痰）discharge.3 early exercise:to prevent soft tissue adhesions（粘连）（粘连）and spine joint（脊（脊柱关节）柱关节）activity decreased,and affecting the spine movement,which resulting in chronic pain in the waist(腰腰)and low back m

24、uscle atrophy（腰背肌（腰背肌废用性萎缩）废用性萎缩）.4,the prevention of pressure sores:In order to prevent the formation of pressure sores,it need to do a good job on mission work,and teach patients and their families to master the turning skills.And do not plug when use the potty(便盆便盆),in order to avoid to damage th

25、e skin.Discharge instruction（出院指导）：4,regular outpatient review,if the lower back discomfort or lower limb numbness timely treatment1,Tell patient to exercise insistently after discharge,but should avoid fatigue(劳累),and prevent trauma（外伤）.2,Tell patient to strengthen nutrition intake,and enhance phys

26、ical fitness(增强体质),to guide the high protein intake,high vitamin diet.3,Explain the importance of the time to activities in detail,in order to ensure the stability of the internal fixation(内固定),and get out of the ground to activities must wear brace(支具),and standing walking time should not be too lo

27、ng.Practice the exercise of bending bent flexion(弯腰前屈)after 3 months，and sleep at a hard bed.Thank you！后面内容直接删除就行资料可以编辑修改使用资料可以编辑修改使用主要经营：网络软件设计、图文设计制作、发布广告等公司秉着以优质的服务对待每一位客户，做到让客户满意！致力于数据挖掘，合同简历、论文写作、PPT设计、计划书、策划案、学习课件、各类模板等方方面面，打造全网一站式需求The user can demonstrate on a projector or computer,or print the presentation and make it into a film to be used in a wider field