术后延迟面部神经麻:一个外科医生的梦
Gulistan Bano1, Sumeet Angral2, Ksbs Krishna Sasanka1
1Otolaryngology-Head and Neck Surgery, All India Institute of Medical Sciences, Deoghar, Deoghar, IND.
Cureus
|May 22, 2024
概括
手术后延迟面部神经麻 (DFNP) 可以通过保守的管理来解决. 这一案例凸显了患者咨询和耐心对于面部神经麻完全恢复的重要性.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术并发症 手术并发症
背景情况:
- 面部神经对头部和部功能至关重要.
- 面部神经麻会导致严重的身体和心理痛苦.
- 皮质乳腺外科手术带有风险,包括潜在的神经损伤.
研究的目的:
- 报告一个晚期面部神经麻 (DFNP) 的病例.
- 讨论DFNP的管理和恢复.
- 强调患者咨询在管理DFNP中的重要性.
主要方法:
- 一个21岁的男性患者的案例研究.
- 对面部神经麻延迟发作的观察 (手术后的第八天).
- 保守的管理方法.
主要成果:
- 患者在第52天完全康复.
- 保守的治疗有效地解决了麻.
- 除了支持性护理之外,DFNP在没有具体干预的情况下得到解决.
结论:
- 在皮质乳腺手术后延迟的面部神经麻可能具有有利的预后.
- 保守的管理和患者的放心是关键.
- 对患者和家人进行全面的咨询对于管理期望和心理影响至关重要.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...


