Burokas Laura
Advocate Children’s Hospital, Oak Lawn Campus, Oak Lawn, Illinois 60453, USA.
Crit Care Nurse. 2013 Aug;33(4):39-50; quiz 51. doi: 10.4037/ccn2013678.
Craniosynostosis is a developmental anomaly with premature closure of the cranial sutures causing an abnormally shaped skull in an infant. Recommended surgical treatment involves cranial vault reconstruction to open the closed suture, increase intracranial volume, and allow the brain to grow normally. Parents work with a multidisciplinary team during the evaluation process and face various preoperative and postoperative stressors. Critical care nurses can improve the care of the infants and their families by being knowledgeable about the anatomy, assessment, and surgical and nursing management of infants with this anomaly and its impact on the patients' families. This article discusses the definitions, diagnosis, and treatment of craniosynostosis and support for parents of infants with this malformation.
颅缝早闭是一种发育异常，表现为颅骨缝过早闭合，导致婴儿颅骨形状异常。推荐的手术治疗包括颅骨重建，以打开闭合的颅缝，增加颅内容积，使大脑能够正常生长。在评估过程中，家长与多学科团队合作，并面临各种术前和术后应激源。重症护理护士若了解患有这种异常疾病的婴儿的解剖结构、评估方法、手术及护理管理，以及其对患者家庭的影响，就能改善对这些婴儿及其家庭的护理。本文讨论了颅缝早闭的定义、诊断和治疗，以及对患有这种畸形的婴儿家长的支持。
