1. 严密观察生命体征及肢体活动情况.
2. 颈部围领固定、保持环枢椎的稳定、围领制动1个月
3. 观察伤口敷料渗出情况
4. 各种引流管的护理:(伤口引流管. 留置尿管)
勿扭曲、勿打折、勿压,翻身时注意保护,保持引流通畅
Maintain of the flowing, precautious when turned over. Don’t be twisted, folded, or pressed
5. 皮肤护理:保持皮肤清洁,翻身、拍背至少2小时一次,防止褥疮、肺炎的发生
Skin nursing: keep the skin clean, turned over and pat the back at least every 2 hours. Prevent of the bedsore, and pneumonia
6. 注意饮食,易消化食物: Dieting, digestible food
7. pay attention to diet ,have digestible food
进食、饮水速度要缓慢 Slowly eating and drinking
8. The speech of eating and drinking should be slowly
功能锻炼 (Functional exercise )
预防肌肉萎缩,关节僵直,保持指、腕、肘及下肢关节等功能状态
Prevent muscle atrophy, joint stiffness. Keep functional status of articulations of fingers, wrist, elbow and lower limbs
[1] 握拳练习10个/次,每日三次—四次,逐步增量
Exercise of making fist 10 per time, tid –qid, gradually increased
[2] 做肘,膝关节伸屈运动
Flexion and extension activity of elbows and knees
[3] 直腿抬高练习 10个/次,每日三次—四次,逐步增量
Straight leg rising 10 per time, tid-qid, gradually increased
[4] 勾脚尖练习10个/次,每日三次—四次,逐步增量
Tiptoe extension 10 per time, tid-qid, gradually increased
[5] 加强后颈部肌肉锻练如抬头,顶墙,小燕飞等
Strengthening the neck muscle exercise such as raising head, push-up, back raising
出院指导:Instruction of discharge
1.颈部围领固定1~2个月,不要铁倒,做车时颈部围领固定,防止紧急刹车,颈部受伤
Collar immobilization for 1-2 months. Prevent falling. When sitting in bus or car, precautious sudden stop which might lead to injury of neck
2. 注意肢体功能锻炼
3. 饮食:易消化,高蛋白,含纤维素,维生素高食品,进食饮水要缓慢,防止呛咳
Diet: easy digest, high protein, contain high fibrin and vitamins. Slowly eating and drinking, in case of chocking and couching
Rest, working and rest regular,avoiding strenuous action
5.遵医嘱服用神经营养药:vitB1,vitB12 等
aking medication by physicians’ orders
6.三个月门诊复查
Follow-up 6 months post-operation