顱骨牽引的護(hù)理

1、The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.脊柱外科：宋依芮2015.4.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.骨牽引，又稱骨牽引，又稱，是是利用利用或或穿過骨質(zhì)，使?fàn)恳χ苯油ㄟ^骨骼而抵達(dá)損傷穿過骨質(zhì)，使?fàn)恳χ苯油ㄟ^骨骼而抵達(dá)損傷部位。部位。The 3rd Affiliated

2、 Hospital Of Southern Med. Univ. 什么樣的患者需要做顱骨牽引？什么樣的患者需要做顱骨牽引？顱骨牽引有什么作用？顱骨牽引有什么作用？為什么選擇為什么選擇顱骨顱骨牽引？牽引？ 顱骨牽引的過程中需要注意的是什么？顱骨牽引的過程中需要注意的是什么？4The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.u 頸頸7（C）u 胸胸12（T）u 腰腰5（L）u 骶骶5（S）The 3rd Affiliated Hospital Of

3、 Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.頸椎因外力造成損傷頸椎因外力造成損傷，導(dǎo)致導(dǎo)致頸椎頸椎的的不穩(wěn)定或移位不穩(wěn)定或移位！The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Souther

4、n Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.患者，男性，30歲，不慎從3.5米高空摔樓，落地時(shí)頭面部著地,當(dāng)下急診入院。下頜部、頸部疼痛；左上肢、左下肢疼痛、麻木、活動(dòng)無力；左上肢肌力3級(jí)，左下肢肌力3+級(jí)，右側(cè)肢體活動(dòng)感覺正常，生命體征正常。CT示：寰樞椎骨折、下頜骨骨折。 The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Ho

5、spital Of Southern Med. Univ.1.需要牽引治療而又不具備枕頜帶牽引的條件。2.需要大重量牽引（5KG）。The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ. 意義、目的。 步驟、注意事項(xiàng)。 皮膚（剃頭）。 The 3rd Affiliated Hospital Of Southern Med. Univ.工具工具劃線劃線包扎包扎置入牽引器置入牽引器鉆孔鉆孔切開切開局部麻醉局部麻醉定位定位消毒鋪巾消毒鋪巾The 3rd A

6、ffiliated Hospital Of Southern Med. Univ. 保持顱骨牽引軸線正確合理。 保持牽引重量。 生命體征。 皮膚。 The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.患者，男性，30歲，不慎從3.5米高空摔樓，落地時(shí)頭面部著地,當(dāng)下急診入院。查體：左上肢肌力3級(jí)，左下肢肌力3+級(jí)，右側(cè)肢體活動(dòng)感覺正常，生命體征正常。CT示：寰樞椎骨折、下頜骨骨折。準(zhǔn)備行顱骨牽引術(shù)。 The 3rd Affiliated Hospi

7、tal Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Sou