一例椎管内占位伴不完全瘫痪合并慢阻肺患者的护理
Care of a Neuraxial Mass with Incomplete Paralysis and COPD

本文总结了1例椎管内占位合并不完全瘫痪同时伴有慢性阻塞性肺疾病患者的全面护理过程及成效。该患者先后施行了椎管内病损切除术以及胸椎内固定术。在整个治疗与护理期间，通过采取一系列针对性的护理措施，患者的呼吸功能得到了全程的有效改善，从术前的呼吸不畅逐渐转变为呼吸平稳顺畅。术后，患者双下肢的感觉逐渐恢复敏锐，肌力也逐步增强，从最初的无力状态到能够进行一定程度的自主活动。此外，护理团队通过积极有效的预防措施，成功避免了深静脉血栓的形成，极大地降低了患者面临的潜在风险。经过精心护理，患者的神经肌肉功能得到了显著改善，身体机能得以逐步恢复，生活质量大幅提升。最终，患者在医护人员的共同努力下好转出院，为类似病例的护理提供了宝贵的经验借鉴。
This article summarizes the comprehensive care process and effectiveness of a patient with neuraxial mass combined with incomplete paralysis and chronic obstructive pulmonary disease. The patient underwent neuraxial resection and thoracic fixation. During the whole treatment and nursing period, through a series of targeted nursing measures, the patient’s respiratory function was effectively improved throughout the whole process, and the breathing gradually changed from poor breathing before surgery to stable and smooth breathing. After the operation, the patient’s sensations in both lower limbs gradually regained sharpness, and the muscle strength gradually increased, from the initial state of weakness to the ability to perform a certain degree of autonomous movement. In addition, the nursing team successfully avoided the formation of deep vein thrombosis through proactive and effective preventive measures, greatly reducing the potential risks faced by patients. After careful care, the patient’s neuromuscular function has been significantly improved, physical functions have been gradually restored, and the quality of life has been greatly improved. In the end, the patient was discharged from the hospital with the joint efforts of the medical staff, which provided valuable experience for the care of similar cases.