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Chăm sóc Điều Dưỡng Phẫu thuật sọ não (bản tiếng Anh)

Intracranial infection (abscess) - usually staphylococci or streptococci. Cranial surgery performed to open and drain abscess. Epilepsy - Cranial surgery to remove the epileptic focus for patients whose epilepsy cannot be controlled by drug therapy. Skull fractures - for depressed fracture or fracture with loose fragments. Cranial surgery necessary to elevate depressed bone and/or remove fragments. | Care of the Client with Cranial Surgery Kathleen Ohman, RN, CCRN, EdD Developed in cooperation with Kim Scott, RN, MS Indications for Cranial Surgery Intracranial infection (abscess) - usually staphylococci or streptococci. Cranial surgery performed to open and drain abscess Epilepsy - Cranial surgery to remove the epileptic focus for patients whose epilepsy cannot be controlled by drug therapy Skull fractures - for depressed fracture or fracture with loose fragments. Cranial surgery necessary to elevate depressed bone and/or remove fragments I – Các trường hợp PT sọ não (nói chung) Kathleen Ohman, CCRN, MS, EdD Indications for Cranial Surgery Brain Tumors Steriotactical techniques used to perform biopsy and/or remove small tumors Location and type determines if surgical removal possible Tumors located in deep central areas of brain inoperable Cranial surgery performed if tumor is removable I – Các trường hợp PT sọ não (nói chung) Kathleen Ohman, CCRN, MS, EdD . | Care of the Client with Cranial Surgery Kathleen Ohman, RN, CCRN, EdD Developed in cooperation with Kim Scott, RN, MS Indications for Cranial Surgery Intracranial infection (abscess) - usually staphylococci or streptococci. Cranial surgery performed to open and drain abscess Epilepsy - Cranial surgery to remove the epileptic focus for patients whose epilepsy cannot be controlled by drug therapy Skull fractures - for depressed fracture or fracture with loose fragments. Cranial surgery necessary to elevate depressed bone and/or remove fragments I – Các trường hợp PT sọ não (nói chung) Kathleen Ohman, CCRN, MS, EdD Indications for Cranial Surgery Brain Tumors Steriotactical techniques used to perform biopsy and/or remove small tumors Location and type determines if surgical removal possible Tumors located in deep central areas of brain inoperable Cranial surgery performed if tumor is removable I – Các trường hợp PT sọ não (nói chung) Kathleen Ohman, CCRN, MS, EdD Brain Tumors (cont.) Primary tumors - arise from tissues in the brain Secondary tumors - result from metatastisis from malignant neoplasm elsewhere in body Gliomas account for 65% of primary tumors (malignant) Astrocytoma- most common glioma Oligodendroglioma-often localized frontally Glioblastoma multiforme highly malignant and invasive Meningioma and Pituitary tumors Benign Tend to recur Unless treated, all tumors cause death from increased tumor volume leading to increased ICP I – Các trường hợp PT sọ não (nói chung) Kathleen Ohman, CCRN, MS, EdD MRI showing a meningioma crossing the tentorium on left Indications for Cranial Surgery Intracranial bleeding I – Các trường hợp PT sọ não (nói chung) Kathleen Ohman, CCRN, MS, EdD Indications for Cranial Surgery Hydrocephalus Overproduction, malabsorption, or accumulation of CSF. Shunting procedure performed to drain CSF. I – Các trường hợp PT sọ não (nói chung) Kathleen Ohman, CCRN, MS, EdD Hydrocephalus (cont.)