Clinical Nursing tick-borne encephalitis.docVIP

 PAGE \* MERGEFORMAT 5 Clinical Nursing tick-borne encephalitis Encephalitis (brain called Sen) is a unique forest areas natural foci of tick-borne diseases, more prevalent in 5 to 8 months. In Northeast China and Russia more common. Critically ill patients in critical condition, disease potential danger, death rate. Sen brain is a neurotropic pathogen virus, mainly against the cerebral cortex, meninges, medulla oblongata, spinal cord and other nerve tissue. Rapid onset of severe illness, with sudden symptoms of high fever and meningeal stimulated, in addition there is paralysis of limbs, convulsions, syncope, cerebral edema and even herniation and respiratory failure. We clinical practice, summed up the general development of the tick-borne encephalitis care and special care programs. 1 Clinical data Our department in May 2010 -8 46 months encephalitis treated, 29 males and 17 females, aged 20-50 years old. All of a tick bite history. Cure in 20 cases, 25 cases improved, 1 died. 2 Care 2.1 Insect Isolation Hospital patients should be strictly checked front and back of clothing, thread Department, folds and pockets, and detailed examination of the patient body parts, check order, starting from the head head, ear, ears, neck, cubital fossa, axillary, umbilical, femoral , knee, especially the hair, such as shelter, or whether the tick perineum. ticks found should be destroyed or burned to the Soviet Union into 10% or 2% of children in carbolic acid. 2.2 General care 2.2.1 the time of admission to acute patients, should be given a care. Ward inspections focus on observing the patient’s body temperature, consciousness, breathing. If the body temperature gradually increased, suggesting that the disease progress has been made, should be vigilant. Sen’s encephalopathy Sometimes a sudden change in consciousness, from conscious into unconscious, especially in the high fever and convulsions are more likely when, but some pa