脑积液并意识障碍47例临床观察及护理

目的:探讨外伤性脑积液并意识障碍患者手术前后护理方法。方法:对47例保守治疗无效采用分流或引流术的外伤性脑积液并意识障碍患者术前加强病情观察,术后做好专科护理。结果:明显改善21例(44.7%),其中15例由昏迷转为清醒状态(31.9%);好转14例(29.8%),无效12例(25.5%)。总有效率74.5%。结论:脑积液是造成外伤性脑疝术后患者意识障碍的重要原因,术前加强病情观察,术后做好专科护理,对保证手术治疗和促进意识障碍的恢复有很大意义。

Clinical investigation and nursing of 47 the patients with hydrocephalus associated with disorder of consciousness

Objective: To explore the preoperative and postoperative nursing for the patients with hydrocephalus associated with disorder of consciousness. Methods: Close preoperative observation and special postoperative nursing was applied to 47 patients with traumatic hydrocephalus associated with disorder of consciousness. All the patients were treated with drainage or shunt due to the failure of conservative treatment. Results: 21 patients with significant effect(44.7%), 15 patients got consciousness from coma (31.9%). 14 patients were getting better (29.8%). 12 patients had inefficacy (25.5%). The total effective rate was 74.5%. Conclusion: Hydrops is the main cause to lead to the disorder of consciousness after the operation for traumatic cerebral hernia. Close preoperative observation and special postoperative nursing can ensure the effectiveness of operation and promote the recovery of consciousness.