有效期至长期有效 | 最后更新2021-02-26 21:00 | |
功能穿刺针 | 其他类别国产 | 器械类别三类医疗器械 |
椎间孔镜报价椎间孔镜主镜器械产品说明:
portant; word-wrap: break-word !important;>术后并发症:
portant; word-wrap: break-word !important;> 神经损伤、感染、突出物摘除残留、髓核再突出、椎管内血肿、腰大肌血肿、终板炎等
portant; word-wrap: break-word !important;>神经损伤:
portant; word-wrap: break-word !important;>临床表现:感觉迟钝或者痛觉过敏,下肢肌力下降,反射减弱。
portant; word-wrap: break-word !important;>神经损伤:
portant; word-wrap: break-word !important;>可能发生的原因:
portant; word-wrap: break-word !important;>1、穿刺损伤
portant; word-wrap: break-word !important;>2、扩孔过程中的损伤或者挤压
portant; word-wrap: break-word !important;>3、镜下摘除髓核时损伤神经或者电凝损伤
portant; word-wrap: break-word !important;>4、术后血肿压迫神经
portant; word-wrap: break-word !important;>神经损伤:
portant; word-wrap: break-word !important;>预防:对于手术的神经损伤是我们手术中最需要预防的,也是我们最担心的并发症。
portant; word-wrap: break-word !important;>神经损伤:
portant; word-wrap: break-word !important;>预防:手术很多过程及器械的设计都是为了避免损伤神经。
portant; word-wrap: break-word !important;>神经损伤:
portant; word-wrap: break-word !important;>预防:1、恰当的麻醉,局麻,注意有些部位注入麻醉药会使反应迟钝。
portant; word-wrap: break-word !important;>神经损伤:
portant; word-wrap: break-word !important;>预防:
portant; word-wrap: break-word !important;>2、标准的穿刺位置
portant; word-wrap: break-word !important;>3、术中操作的轻巧和解剖结构的清晰,这个比较复杂,也是很多老师讲课的主要内容。
portant; word-wrap: break-word !important;>4、良好的止血
portant; word-wrap: break-word !important;>神经损伤:
portant; word-wrap: break-word !important;>处理:
portant; word-wrap: break-word !important;>1、对于出现痛觉过敏、烧灼样疼痛的患者,口服加巴喷丁、普瑞巴林等,可以做选择性神经根阻滞。一般一周至一月内可以恢复。
portant; word-wrap: break-word !important;> 该痛觉过敏是一种神经病理性疼痛,曲马多、吗啡等止痛效果不佳。
portant; word-wrap: break-word !important;>神经损伤:
portant; word-wrap: break-word !important;>处理:
portant; word-wrap: break-word !important;>2、对感觉迟钝、麻木、肌力下降的病例,营养神经、康复治疗为主。假如术后即刻确定有神经损伤,建议给予甲强龙冲击治疗,能减轻很多神经损伤。
portant; word-wrap: break-word !important;>神经损伤:
portant; word-wrap: break-word !important;>处理:
portant; word-wrap: break-word !important;>3、神经损伤早期,局部给予激素,也能减轻神经损伤。
portant; word-wrap: break-word !important;>感染:
portant; word-wrap: break-word !important;>预防:1、操作者和环境因素
portant; word-wrap: break-word !important;> 无菌环境、器械灭菌、无菌操作、术前半小时常规预防性抗菌素、冲洗液加入庆大或者臭氧等
portant; word-wrap: break-word !important;>感染:
portant; word-wrap: break-word !important;>预防:2、患者因素
portant; word-wrap: break-word !important;> 患者免疫力低下、糖尿病、长时间卧床、局部感染灶等
portant; word-wrap: break-word !important;>感染:
portant; word-wrap: break-word !important;>临床表现:
portant; word-wrap: break-word !important;> 术后几天或者数月出现腰背部或者腹部的剧烈 疼痛,活动后加重,均需要考虑到可能发生感染。
portant; word-wrap: break-word !important;>感染:
portant; word-wrap: break-word !important;>临床表现:
portant; word-wrap: break-word !important;> 一般无下肢放射痛,全省发热症状不明显。不能依据白细胞升高和分类变化诊断。
portant; word-wrap: break-word !important;>感染:
portant; word-wrap: break-word !important;>临床表现:
portant; word-wrap: break-word !important;> 一般有血沉、C反应蛋白、降钙素原的持续升高。
portant; word-wrap: break-word !important;> MRI可以做出诊断。