Q3 Medicine
Qingchen Zhai, Guanjie Chen, Jianwei Li, Junping Li, Lu Ma
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引用次数: 0

摘要

脑室造口引流术是神经重症监护常用的外科技术之一,可缓解颅内高压,便于术后脑脊液和颅内压监测。通过在脑室置入引流管,将脑室内的血液和积液排出脑外,降低颅内压,防止脑组织损伤。临床上,通常通过测量引流口与脑室平面的高度差来控制脑室造口引流的速度,确保安全有效地降低颅内压,便于临床管理方案的实施,预防并发症的发生。然而,如何方便、安全、有效地测量引流口与脑室平面之间的高度差仍是护理管理中的一个难题。目前,临床实践中通常使用卷尺测量脑室造口引流管的高度,这一过程繁琐耗时,且容易出现人为误差,导致测量结果不准确。然而,如何轻松、安全、有效地检测引流口与脑室平面之间的高度差仍是护理管理中的难题。针对这一问题,东南大学附属中大医院重症监护室(ICU)的医护人员共同设计了一种新型脑室造口引流高度测量装置,并获得了国家实用新型专利(专利号:ZL 2022 2 1400920.9)。该装置可方便、牢固地固定在输液架上。利用水平测量部分内的水平仪和旋转结构,可将该装置的垂直测量部分调整到与地面垂直。打开限位夹后,手动将水平测量部分向下引导至适当高度。然后将水平测量部分的前端伸向患者头部,确认位置后关闭限位夹。此时,可准确测量引流口与心室平面之间的水平高度差。当暂时完成引流管的高度测量时,可将水平测量部分和旋转部件收回,将设备折叠存放。该测量装置操作过程简单,可提高引流高度测量的准确性和可靠性,提高治疗效果和患者安全性,减轻护理人员的工作量,具有一定的临床推广和实用价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Design and application of a height measuring instrument for ventricular drainage catheter].

Ventriculostomy drainage is one of the commonly used surgical techniques in neurocritical care, which can relieve intracranial hypertension and facilitate postoperative cerebrospinal fluid and intracranial pressure monitoring. By placing a drainage tube in the ventricle, blood and fluid accumulation within the ventricle are drained out of the brain, reducing intracranial pressure and preventing brain tissue damage. Clinically, the speed of ventriculostomy drainage is often controlled by measuring the height difference between the drainage opening and the plane of the ventricle, ensuring the safe and effective reduction of intracranial pressure, facilitating the implementation of clinical management plans, and preventing complications. However, how to easily, safely, and effectively measure the height difference between the drainage opening and the ventricular plane remains a challenge in nursing management. Currently, clinical practice often uses a tape measure to measure the height of the ventriculostomy drainage, a process that is cumbersome and time-consuming and susceptible to human error, leading to inaccurate measurements. However, the challenge of easily, safely, and effectively detecting the height difference between the drainage opening and the ventricular plane remains a difficult problem in nursing management. To address this issue, the medical and nursing staff of the intensive care unit (ICU) at Zhongda Hospital, Southeast University, jointly designed a novel ventriculostomy drainage height measurement device, which has been granted a national utility model patent (patent number: ZL 2022 2 1400920.9). This device can be easily and securely fixed to an infusion stand. Using a level within the horizontal measuring part and a rotational structure, the vertical measuring part of the device is adjusted to be perpendicular to the ground. After opening the limit clip, the horizontal part is manually guided down to the appropriate height. The front end of the horizontal measuring part is then extended towards the patient's head, and after confirming the position, the limit clip is closed. At this point, the horizontal height difference between the drainage opening and the ventricular plane can be accurately measured. When temporarily finishing the height measurement of the drainage tube, the device can be folded and stored by retracting the horizontal measuring part and rotating components. This measuring device has a simple operation process, which can improve the accuracy and reliability of the drainage height measurement, enhance treatment outcomes and patient safety, reduce the workload of nursing staff, and has certain clinical promotion and practical value.

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来源期刊
Zhonghua wei zhong bing ji jiu yi xue
Zhonghua wei zhong bing ji jiu yi xue Medicine-Critical Care and Intensive Care Medicine
CiteScore
1.00
自引率
0.00%
发文量
42
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