Head J M
Lutheran Hospital-La Crosse, Wisconsin 54601.
J Neurosci Nurs. 1990 Dec;22(6):370-4. doi: 10.1097/01376517-199012000-00007.
Stabilization of multiple level spine fractures in blunt trauma victims is an extensive and complicated surgical procedure. A multidisciplinary approach to the thoracolumbar anatomy and subsequent stabilization poses a variety of challenges to the neurosurgical operating room staff. Transfer to the operating table and positioning for the procedure are dictated by the following treatment protocol for vertebral fractures: immobilization and stabilization of fractures with skin or skeletal traction, administration of parenteral muscle relaxants and analgesics, assessment and documentation of neurologic status, maintenance of bone and joint alignment and provision of skin care. Standard preoperative preparation and intraoperative nursing diagnoses and interventions are discussed. The importance of communication and psychological support to family members is stressed.
钝性创伤受害者多节段脊柱骨折的稳定是一项广泛而复杂的外科手术。对胸腰椎解剖结构及后续稳定采取多学科方法，给神经外科手术室工作人员带来了各种挑战。根据以下椎体骨折治疗方案来决定将患者转运至手术台并进行手术体位摆放：通过皮肤或骨骼牵引固定和稳定骨折、给予胃肠外肌肉松弛剂和镇痛药、评估和记录神经状态、维持骨骼和关节对线以及提供皮肤护理。文中讨论了标准的术前准备以及术中护理诊断和干预措施。强调了与家庭成员沟通和心理支持的重要性。
