亚低温治疗重型颅脑损伤患者的护理 |
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引用本文: | 靖伟,陈晓萌,姜永政.亚低温治疗重型颅脑损伤患者的护理[J].中国当代医药,2010,17(17):102-103. |
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作者姓名: | 靖伟 陈晓萌 姜永政 |
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作者单位: | 山东省邹城市红十字会急救中心神经外科,山东邹城,273500 |
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摘 要: | 目的:探讨亚低温治疗重型颅脑损伤患者的护理措施。方法:对151例重型颅脑损伤患者经用控温毯、冰帽,同时给予冬眠治疗,配合呼吸机辅助呼吸进行治疗。严密观察生命体征,控制温度,监测颅内压,做好呼吸道护理、口腔护理、皮肤护理,加强营养等对症支持治疗。结果:本组恢复良好(恢复劳动力)57例,占37.7%;轻残(活动有障碍)30例,占19.9%;中、重残(生活部分自理,不能自理或植物状态)19例,占12.6%;死亡45例,占29.8%。结论:亚低温治疗重型颅脑损伤效果满意,使患者病死率、致残率大大降低,具有临床护理推广价值。
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关 键 词: | 颅脑损伤 亚低温 护理 |
The nursing for patients with the serious head injury by the sub-iow temperature treatment |
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Authors: | JING Wei CHEN Xiaomeng JIANG Yongzheng |
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Institution: | (Red Cross Emergency Center of Zoucheng City,Shandong Province,Zoucheng 273500,China) |
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Abstract: | Objective:To explore the nursing measure with the serious head injury by the sub-low tempwrature treatment.Methods:151 patients with serious head injury were treated by controlling temperature blankets,ice hats,hibernation treat ment and life-support machines.Observing the life symptom strictly,coutrolling body temperature and monitoring cere brospinal fluid pressure and completing the respiratory tract,the oral cavity,skin nursing.Results:57 patients had restored good or restored the labor force(37.7%),30 patients were linht remnant or active barrier(19.9%),19 patients were moderate,serious disabled or took care of oneself partly,could not take care of oneself completely or vegetables(12.6%),45 patients were dead(29.8%).Conclusion:The effect of the sub-low temperature to treat the serious head injury was satisfactory.It had decreased the mortality,disability rate mostly and had promoted values for the clinical nursing. |
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Keywords: | Head injury Sub-low temperature Nursing |
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