Common complications of severe head injury prevention and care.docVIP

 PAGE \* MERGEFORMAT 12 Common complications of severe head injury prevention and care The incidence of traumatic brain injury in a gradual increase in recent years, death disability rate remains high. Yes neurosurgery, one of the important issues facing, in particular, post-operative complications [1] the occurrence of the diagnosis and treatment of disease caused certain difficulties. If a timely prevention and control, to take action against effective prevention and care, can reduce mortality, reduce disability, improve the patient’s life skills and help a speedy recovery. A pulmonary infection Pulmonary infection in patients with traumatic brain injury is one of the most common complication, in addition to antibiotics to prevent or supine lateral position should be the first lateral side or stay later in the head and neck Yang position. To maintain airway patency, master suction indications, timely and effective suction. 2h stand up for each call-back, to improve the alveolar ventilation. Tongue should be made after the fall severely ill patient, the neck elevation, if necessary, set oropharyngeal ventilation. 2 times the daily oral care, aerosol inhalation, the promotion of sputum dilution, if frequent Outu Zhe, gastrointestinal decompression should be performed to prevent aspiration and gastric reflux. If the sputum is not easy aspiration should be an early tracheotomy, the patient should be single rooms, strict disinfection and isolation. Wards to maintain a certain temperature and humidity. Suction strictly aseptic operation, put an end to more than one use, and observe the nature of sputum, color, quantity, with or without odor and so on, on a regular basis to do sputum culture. Continuous airway instillation of wetting liquid [2], to increase the number of atomization. Keep around the incision clean and dry, the timely replacement of local dressings, to prevent cross-infection. 2 intracranial infection Traumatic bra