32 patients with diffuse axonal injury nursing.docVIP

 PAGE \* MERGEFORMAT 5 32 patients with diffuse axonal injury nursing [Keywords:] diffuse axonal injury; nursing May 2006 to October 2009 were admitted to the hospital in Xi’an Fengcheng 32 cases of diffuse axonal injury (DAI) patients. Now nursing data reported below. 1 Clinical data DAI 32 patients in this group of patients, 26 males and 6 females; aged 19 to 51 years. 15 cases in which a car accident, falls in 9 cases, the other 8 cases. Admission were different levels of coma, Glasgow (GCS) score 3 ~ 5 3, 6 to 8 minutes in 21 cases, 8 cases of 8 to 12 minutes. admission given to prevent cerebral edema after large doses of hormones impact, awaking to prevent gastrointestinal ulcer and other treatment. Results 29 patients survived restore the good life can be totally self-care in 16 cases, 8 cases of mild disability, moderate disability in 2 cases, 2 cases of severe disability, vegetative in 1 case, and 3 died. 2 Care 2.1 pupil awareness of close observation observation, vital signs, oxygen saturation, maintaining water, electrolyte, acid-base balance. 2.1.1 DAI patients with clinical manifestations of consciousness as the main performance, vital signs quickly. We carefully observe the pupil awareness of changes in time 30 min each time, with changes observed at any time and promptly report to a doctor, given 7.5% hypertonic saline reduce intracranial pressure. 2.1.2 Observation of body temperature DAI patients had varying degrees of fever, sweating. Clinic in the use of hypothermia therapy can reduce brain edema, decreased brain tissue oxygen consumption. Hibernate drug plus continuous ice cap, ice blanket cool. In this process, we should closely observe the cooling effect, so that patients with rectal temperature maintained at 32 ~ 34 appropriate. 2.1.3 close observation of changes in the circulatory system 72 h after injury, cerebral edema was the peak of intracranial hypertension. Including blood pressure, heart rate directly