摘要:Chiari畸形(Chiari malformation,CM)也称小脑扁桃体下疝,是小脑扁桃体向下疝入枕大孔,压迫延髓、第四脑室的后脑先天性畸形[1]。多数合并有脊髓空洞症(syringomelia,SM)。临床常见症状为头痛、声音嘶哑、吞咽困难、肢体感觉运动障碍、共济失调、呕吐、眼底水肿,以及睡眠呼吸暂停综合征、脊柱侧弯、听力障碍等特殊表现。该病出现症状的年龄为6~60岁,诊断高峰为40岁[2],发病机制尚不明确,手术方式多种多样,然而手术危险性很大,且术后并发症较多。研究表明,良好的护理措施可以减轻术后并发症,提高患者生存质量[3]。为此,本文对Chiari畸形术前术后的护理措施进行综述。
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