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类型腰椎间盘突出症医学.ppt

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    腰椎间盘突出症医学.ppt
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    1、单击此处编辑母版标题样式单击此处编辑母版副标题样式* * 1护理查房腰椎间盘突出症This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components o

    2、f the system are AT89C51 microcontroller and DS18B20 temperature sensor.概念1病因与病理生理2临床表现3辅助检查4处理原则5个案护理6腰椎间盘突出症This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperatur

    3、e sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor. 腰椎间盘突出症:由于椎间盘变性、纤维环破坏、髓核组织突出刺激和压迫马尾神经或神经根所引起的一种综合症,是腰腿痛最常见的原因之一发生于任何年龄,最多见于中年人,20-50岁,男性多于女性好发于 L4-5, L5-S1概念单击此处编辑母版标题样式单击此处编辑母版副标题样式* * 4病因椎间盘退行性变(基本病因)外伤长期

    4、震动过度负荷妊娠遗传其它相关利益方This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51

    5、 microcontroller and DS18B20 temperature sensor.病理生理椎间盘的解剖椎间盘是位于人体脊柱两椎体之间,由软骨板、纤维环、髓核组成的一个密封体。单击此处编辑母版标题样式单击此处编辑母版副标题样式* * 620岁以后椎间盘开始退变髓核含水量逐渐减少椎间盘的弹性和抗负荷能力减弱外力及其他原因作用下椎间盘继发病理性改变纤维环破坏髓核突出或脱出腰腿痛和神经功能障碍病理生理This paper mainly introduces the design of an intelligent temperature control system which real

    6、izes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.病理分型1、膨隆型2、突出型3、脱垂游离型4、 Schmorl结节This paper mainly introduces th

    7、e design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.

    8、临床表现症状 体征 腰痛 腰椎侧凸下肢放射痛 腰部活动障碍间歇性跛行 直腿抬高试验及加强实验阳性 马尾综合征 感觉及运动功能减弱 This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcompute

    9、r. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.症状间歇性跛行腰痛马尾综合征下肢放射痛临床表现脱出的髓核或脱垂的椎 间盘组织压迫马尾神经主要表现为大、小便障碍,会阴和肛周感觉异常最先出现的症状 绝大多数患者是腰 4 5、腰 5骶 1间隙突出,表现为坐骨神经痛。This paper mainly introduces the design of an intelligent temperature control system which realize

    10、s the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.典型坐骨神经痛是从下腰部向臀部、大腿后方、小腿外侧直到足部的放射痛,在喷嚏和咳嗽等腹压增高的情况下疼痛会加剧。放射痛的肢体多为一侧,仅

    11、极少数中央型或中央旁型髓核突出者表现为双下肢症状坐骨神经痛临床表现This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the sy

    12、stem are AT89C51 microcontroller and DS18B20 temperature sensor.与病变腰椎间隙棘突旁 1cm,向下肢放射压痛、叩痛感觉及运动功能减弱直腿抬高试验及加强实验阳性Source : Arthur D.Little肢体麻木或膝反射减弱腰部活动障碍 前屈受限腰部侧凸体征This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measuremen

    13、t and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.腰部有无侧突椎间盘有无狭窄 .黄韧带有无增厚椎间盘突出的方向,大小等椎管形态神经脊髓受压情况X线 MRI CT辅助检查This paper mainly introduces the design of an in

    14、telligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.非手术治疗绝对卧床骨盆牵引物理治疗

    15、皮质激素硬膜外注射髓核化学溶解法 适应症 : 病史超过三个月,严格保守治疗无效或保守治疗有效,但经常复发且疼痛较重者; 首次发作,但疼痛剧烈,尤以下肢症状明显,患者难以行动和入眠,处于强迫体位者; 合并马尾神经受压表现; 出现单根神经根麻痹,伴有肌肉萎缩、肌力下降; 合并椎管狭窄者。处理原则手术治疗适应症:初次发作、病程较短且经休息后症状明显缓解,影像学检查无严重突出者椎板切除术和髓核切除术椎间盘切除术经皮穿刺髓核摘除术This paper mainly introduces the design of an intelligent temperature control system whi

    16、ch realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.123 非手术治疗骨盆牵拉物理治疗绝对卧床休息l初次发作时,应严格卧床休息l卧床休息 3周后可以佩戴腰围保护下起床

    17、活动l3个月内不做弯腰持物动作l可以增加椎间隙宽度,减少椎间盘内压,l椎间盘突出部分回纳,减轻对神经根的刺激和压迫l理疗和推拿、按摩 处理原则This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microc

    18、omputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.123 非手术治疗髓核化学溶解法皮质激素硬膜外注射l皮质激素是一种长效抗炎剂l可以减轻神经根周围炎症和粘连l一般采用长效皮质类固醇制剂 +2%利多卡因l每周一次, 3次为一个疗程, 2-4周后可再用一个疗程l利用胶原蛋白酶或木瓜蛋白酶l注入椎间盘内或硬脊膜与突出的髓核之间l选择性溶解髓核和纤维环 , 而不损害神经根l以降低椎间盘内压力或使突出的髓核变小从而缓解症状处理原则This paper

    19、mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20

    20、 temperature sensor.123 手术治疗椎间盘切除术脊柱融合术经皮穿刺髓核摘除术椎板切除术和髓核切除术(最常用)l初次发作时,应严格卧床休息l卧床休息 3周后可以佩戴腰围保护下起床活动l3个月内不做弯腰持物动作l可以增加椎间隙宽度,减少椎间盘内压,l椎间盘突出部分回纳,减轻对神经根的刺激和压迫处理原则lX线下切除或吸出椎间盘This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature m

    21、easurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.n 患者朱蓉,女, 19岁,因 “ 腰痛伴有下肢麻痛半年,加重 1月 ” 。于 2014年 7月 22日入院。于 7月29日 腰麻下行 “ 腰椎间盘切除伴椎板切除术 ” ,于 8月 4日出院n 主

    22、诉:腰痛伴有下肢麻痛半年,加重 1月n 现病史:患者自诉于半年前无明显诱因出现腰背部麻木、疼痛,在定西市医院行 CT检查,诊断为“ 腰椎间盘突出症 ” ,给与牵引治疗后,病情缓解不明显,患者为进一步治疗,遂来我院,根据病情,我科以 “ 腰椎间盘突出症 ” 收住入院,患者自发病以来,无头晕、头痛,无胸闷、气短,无腹胀、腹泻,饮食、睡眠尚可,大小便正常,体重无明显减轻n 既往史:无过敏史、传染病史等个案护理 病历资料This paper mainly introduces the design of an intelligent temperature control system which r

    23、ealizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.n 重要体征:n 脊柱生理弯曲存在,无后突、侧突畸形。 L5棘突右侧压痛明显,右下肢直腿抬高试验( +)( 30)及加强实

    24、验( +);左侧直腿抬高试验( -),加强实验( -);双侧西腱反射正常,右下肢跟腱反射明显减弱,左下肢跟腱反射正常,双下肢肌力、肌张力正常;右小腿后外侧感觉较对侧减退 ,四肢关节活动可,无关节畸形,无反常活动等,末梢血运、感觉良好。病理反射未引出。个案护理 身体状况This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using singl

    25、e bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.n 辅助检查: CT腰椎反弓, L5-S1椎间盘病变多考虑,个案护理 身体状况This paper mainly introduces the design of an intelligent temperature control system which reali

    26、zes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.n 辅助检查: MRI 个案护理 身体状况L5/S1椎间盘向右后突出This paper mainly introduces th

    27、e design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.

    28、护理评估 护理目标护理诊断护理措施护理评价个案护理This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are

    29、 AT89C51 microcontroller and DS18B20 temperature sensor.术前评估健康史身体状况术后评估护理评估手术情况身体状况This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single

    30、 chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.有皮肤完整性受损的危险有皮肤完整性受损的危险躯体活动障碍躯体活动障碍潜在并发症:脑脊液漏、神经根粘连、尿路感染潜在并发症:脑脊液漏、神经根粘连、尿路感染慢性疼痛慢性疼痛 与椎间盘突出压迫神经、肌肉痉挛及手术后切开疼痛有关与术后长期卧床有关与疼痛和手术有关护理诊断This paper mainly introduces the design of an intellige

    31、nt temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.护理目标病人疼痛减轻或消失病人能够使用适当的辅助

    32、器具增加活动范围病人未发生压疮病人未发生并发症,或并发症能够被及时发现和处理This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of t

    33、he system are AT89C51 microcontroller and DS18B20 temperature sensor.护理措施床头抬高 20侧卧时屈髋屈膝,双腿分开,上褪下垫枕,避免脊柱弯曲的 “ 蜷缩 ” 姿势,放松背部肌肉,以降低椎间盘压力仰卧时可在膝、腿下垫枕,避免头前倾、胸部凹陷等不良姿势俯卧时,可在腹部及踝部垫枕,以放松脊柱肌肉卧硬板床 术前护理 This paper mainly introduces the design of an intelligent temperature control system which realizes the functi

    34、on of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.完善术前准备适应性训练指导病人练习深呼吸,学会有效咳嗽及咳痰训练床上大小便术前备皮 肩胛下角至臀沟,左右过腋中线胃肠道准备术前禁食 8-12小时,禁饮 4小时

    35、术前 1日晚和次晨用肥皂水行清洁灌肠麻醉前 30分钟肌注一支阿托品护理措施 术前护理 This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components

    36、 of the system are AT89C51 microcontroller and DS18B20 temperature sensor.心理护理多发性硬化 护理措施 术前护理 This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20

    37、 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.护理措施术后遵医嘱吸氧、心电监护,特级护理生命体征,警惕 椎间隙感染下肢皮肤温度、感觉、运动恢复情况手术切口辅料无渗血术后患者携带镇痛泵观察病情 术后护理 This paper mainly introduces the design of an intelligent temperature control system which realiz

    38、es the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.体位护理术后平卧 6-8小时,防止脑脊液外漏引起头痛,之后每 2小时后轴线翻身轴线翻身:翻身时指导病人双手交叉放于胸前,双腿自然屈曲

    39、,一名护士扶肩背部,另一名护士托臀部和下肢,同时将病人翻向一侧,肩背部及臀部用翻身垫支持护理措施 术后护理 This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.妥善固定,保持通畅, 引流管不可扭曲、反折,防止脱落。及时通知医生更换敷料,保持其清洁干燥密切观察引流液色、质、量 ,警惕出血和 脑脊液漏每天更换引流袋引流管护理多发性硬化 护理措施 术后护理

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