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用于外部脑脊液引流的固定装置:弗莱堡固定架。

Mounting device for external cerebrospinal fluid drainage: the Freiburg Stativ.

作者信息

Freiman Thomas M, Spiegelberg Andreas

机构信息

Department of Neurosurgery, Albert-Ludwigs-University, University Hospital, Breisacher Strasse 64, 79106 Freiburg, Germany.

出版信息

Acta Neurochir (Wien). 2008 Oct;150(10):1081-5. doi: 10.1007/s00701-008-0023-5. Epub 2008 Sep 19.

Abstract

BACKGROUND

External drainage of cerebrospinal fluid (CSF) is one of the most common neurosurgical procedures. It is important to maintain a stable drainage rate, but with the commonly available mountings for CSF drainage this can be difficult to achieve. The drainage rate is dependent on the height-difference between the CSF space and the drip chamber of the device. Most mountings for open CSF drainage cannot be satisfactorily fixed at the bed of the patient; especially if the head of the bed is moved, there is a risk of over- or underdrainage.

MATERIALS AND METHODS

We have therefore constructed a mounting for open CSF drainage which allows appropriate adjustment of the rate of CSF outflow, even if the patient's head part of the bed is moved.

FINDINGS

The device was easily mountable or exchangeable at any hospital bed and served equally well for ventricular or for lumbar drainage.

CONCLUSION

We think that this device can help to reduce serious complication of over- or underdrainage in external CSF drainage.

摘要

背景

脑脊液(CSF)外引流是最常见的神经外科手术之一。维持稳定的引流速率很重要,但使用现有的脑脊液引流装置,这一点很难实现。引流速率取决于脑脊液腔隙与装置滴壶之间的高度差。大多数开放式脑脊液引流装置无法令人满意地固定在患者床头;特别是当床头移动时,存在引流过多或过少的风险。

材料与方法

因此,我们构建了一种用于开放式脑脊液引流的装置,即使患者床头移动,也能适当调整脑脊液流出速率。

研究结果

该装置可轻松安装在任何医院病床或在不同病床间更换,同样适用于脑室引流或腰椎引流。

结论

我们认为该装置有助于减少脑脊液外引流中引流过多或过少的严重并发症。

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