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脑干肿瘤术后合并应激性高血糖患者的护理
引用本文:郭迎春,张颖. 脑干肿瘤术后合并应激性高血糖患者的护理[J]. 中国实用护理杂志, 2011, 27(1). DOI: 10.3760/cma.j.issn.1672-7088.2011.01.012
作者姓名:郭迎春  张颖
作者单位:首都医科大学附属北京天坛医院综合ICU,北京,100050
摘    要:目的 探讨脑干肿瘤术后合并应激性高血糖患者的护理方法.方法 对56例脑干肿瘤术后合并应激性高血糖患者的医疗护理措施进行回顾分析.结果 经过针对性的治疗和护理,56例脑干肿瘤术后合并应激性高血糖患者临床治愈48例占86%,好转6例占11%,死于多器官功能衰竭2例占3%.结论 对脑干肿瘤术后合并应激性高血糖患者要尽早进行胰岛素强化治疗,密切观察神志、瞳孔及生命体征变化,同时加强感染、消化道出血等常见并发症的护理,还应重视患者的饮食、心理及康复指导.
Abstract:
Objective To explore nursing methods of postoperative patients with brain stem tumor complicated with stress hyperglycemia. Methods The medical and nursing measures of 56 postoperative patients with brain stem tumor complicated with stress hyperglycemia were analyzed retrospectively. Results Among 56 cases, 48 cases were clinically cured, 6 cases was improved, 2 cases died of multiple organ failure. Conclusions It is especially important to intensify insulin therapy, necessary to closely observe the patients' consciousness, pupils and the change of vital signs. Meanwhile, strengthening nursing on common complications such as infection and gastrointestinal hemorrhage, and paying more attention to patients' dietary, mental state and rehabilitation are also important measures.

关 键 词:脑干肿瘤  应激性高血糖  护理

Nursing care of postoperative patients with brain stem tumor complicated with stress hyperglycemia
GUO Ying-chun,ZHANG Ying. Nursing care of postoperative patients with brain stem tumor complicated with stress hyperglycemia[J]. Chinese Journal of Practical Nursing, 2011, 27(1). DOI: 10.3760/cma.j.issn.1672-7088.2011.01.012
Authors:GUO Ying-chun  ZHANG Ying
Abstract:Objective To explore nursing methods of postoperative patients with brain stem tumor complicated with stress hyperglycemia. Methods The medical and nursing measures of 56 postoperative patients with brain stem tumor complicated with stress hyperglycemia were analyzed retrospectively. Results Among 56 cases, 48 cases were clinically cured, 6 cases was improved, 2 cases died of multiple organ failure. Conclusions It is especially important to intensify insulin therapy, necessary to closely observe the patients' consciousness, pupils and the change of vital signs. Meanwhile, strengthening nursing on common complications such as infection and gastrointestinal hemorrhage, and paying more attention to patients' dietary, mental state and rehabilitation are also important measures.
Keywords:Brain stem tumor  Stress hyperglycemia  Nursing
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