坐卧听神经瘤手术的体位摆放与护理

Position Placement and Nursing of Patients Undergoing Acoustic Neuroma Surgery

摘要: 目的：探讨听神经瘤坐卧手术的体位摆放及相关风险护理。方法：回顾分析35例坐卧听神经瘤切除术患者，对术前护理，物品准备，麻醉前护理，体位管理，术中配合，术后体位管理等全方位的总结和分析。结果：所有患者均未发生严重的并发症及大范围的生命体征波动和周围神经损伤，其中有3例患者在胸前区多普勒和食道超声监测到小气栓，气栓的容积大约0.5 ml到80 ml，不至于造成生命危险。患者均无压力性损伤发生，术中无下肢血栓形成。结论：正确了解坐卧体位的摆放原则，最大限度地降低麻醉和手术的并发症发生，术中紧急问题给予及时解决保障手术顺利成功。

Abstract: Objective: To explore the positioning and related risk nursing of acoustic neuroma in half sitting position. Method: A retrospective analysis was conducted on 35 patients who underwent acoustic neuroma resection surgery, summarizing and analyzing the comprehensive aspects of preoperative care, material preparation, anesthesia care, position placement care, and postoperative position placement care. Results: All patients did not experience orthostatic hypotension or nerve damage. Among them, 3 patients were detected with small gas embolism in the chest area Doppler and esophageal ultrasound, with a volume of approximately 0.5 ml to 80 ml, which was not life-threatening. No pressure injuries occurred in the patients, and there was no lower limb thrombosis during the surgery. Conclusion: Correctly understanding the placement principles of sitting and lying positions can minimize the occurrence of anesthesia and surgical complications, and provide timely solutions to emergency problems during surgery to ensure smooth and successful surgery.