腰椎术后脑脊液漏的处理档（Management of cerebrospinal fluid leakage after lumbar surgery）.docVIP

腰椎术后脑脊液漏的处理档（Management of cerebrospinal fluid leakage after lumbar surgery） .txt treatment of cerebrospinal fluid leakage after lumbar surgery. When you think you have nothing at all, you have at least time and time to heal all wounds, so please dont cry. A contented expectation is worth a wait; a willing hope is worth a fall. The secret to staying young is having a restless heart. It is not the quality of life that determines what tastes, but the quality that determines what life is. CSF leakage after lumbar surgery is not very rare in clinical practice The main things you can do include several aspects; A: the drainage tube must be closed as soon as possible. If necessary, it can be removed. If there is a direct leakage from the wound, it is advisable to block it B: should pay attention to dressing, even if replaced, once completely wet, you have to change dressings, reduce the chance of direct bacteria into the infection C: can be used in a timely manner to patients prone position, waist sandbag pressure method D: should be in time to supplement fluids, using intravenous drip of saline, 1000ML per day, to reduce the low intracranial pressure headache caused by the loss of large amounts of CSF E: should pay attention to observe the patients temperature changes, and timely check the changes in WBC, the use of broad-spectrum antibiotics, once the infection, the consequences will be very serious, at that time the early debridement drainage is inevitable F: some doctors recommend reoperation to repair the dura, this is only a theoretical possibility. If it is a big gap, I believe in operation can be found to repair. The vast majority of small tear, it is difficult to find a second operation will only increase the chance of infection. Dont easily decide reoperation. In fact, most cerebrospinal fluid leaks can be resolved by conservative treatment. The most important thing is to avoid infection The treatment principle of spinal dural rupture is to control cerebrospinal