Coma with severe head injury sustained observation and nursing care of patients.docVIP

 PAGE \* MERGEFORMAT 11 Coma with severe head injury sustained observation and nursing care of patients [Keywords:] severe brain injury, sustained coma, hypothermia therapy Severe brain injury is common emergency brain surgery, especially in complex continuing coma patient’s condition, complications, nurses close observation, attentive care, can effectively control the disease progression and complications, and promote the rehabilitation of patients . now 68 cases of coma with severe brain injury sustained nursing care of patients report the following. clinical data in our department since September 2005 ~ September 2007 sustained severe head injury were treated 68 cases of coma patients, GCS score of lt;8 points , of which 56 males and 12 females, aged from 12 to 80 years, 52 cases of surgical treatment, non-surgical treatment of 16 cases, coma and the shortest 12 days, the longest 105 days, 62 cases of car accident injury, fall injury in 6 cases, brain setback laceration in 12 cases, 48 #8203;#8203;cases of intracranial hematoma, brain stem injury in 8 cases, combined with other organ injuries in 15 cases, 23 patients died after treatment, discharged 12 patients, the survival of plants in 4 cases, 29 patients recovered well. Observation condition 1. Observation of vital signs measured breathing rhythm should pay attention to breathing, depth, with or without shortness of breath, pause, etc., should be noted on the pulse is thready and weak or irregular loud powerful, attention, or increased pulse pressure is reduced, if there rise in blood pressure, pulse slow and strong, slow and deep breathing, suggesting that increased intracranial pressure, intracranial hematoma, or brain herniation should be alert, when the blood pressure, pulse faster, thin, weakened heart and respiratory changes by the slow tidal breathing, Tip brain stem failure, such as sudden respiratory arrest, bilateral mydriasis, suggesting that the foramen magnum herniation has occur