Hypothermia treatment of patients with severe head injury nursing care.docVIP

 PAGE \* MERGEFORMAT 7 Hypothermia treatment of patients with severe head injury nursing care [Abstract] reasonable hypothermia therapy with appropriate clinical care can effectively reduce mortality in patients with severe traumatic brain injury and disability. [Keywords:] of mild hypothermia on severe head injury GCS Care Hypothermia has a significant neuroprotective effect after brain injury can significantly reduce mortality, morbidity. But the hypothermia therapy is often required to ventilator-assisted breathing, demanding conditions, observation difficult. Our hospital since 2004 September to December 2006 selected 62 cases with severe head injury, underwent hypothermia therapy, also achieved satisfactory results, we now report the following nursing. 1 Materials and Methods 1.1 Clinical data 62 cases were score by Glasgow coma GCS 8 points and the timegt; 6h of severe head injury patients, including 39 cases of traffic accidents, falls in 12 cases, crushed in 11 cases, 46 cases of males and 16 females, aged 5 74-year-old, non-surgical treatment of 23 cases, surgical treatment in 39 patients. 1.2 Cooling Methods This group of patients were constant state companies with Beijing P1C-A low temperature therapy blanket of ice. The specific method is: Let the patient lie on a blanket of ice cooling, the temperature sensor probe is inserted into the anus of about 5 ~ 7cm, water temperature control in the 8 12 , rectal temperature controlled at 34 ~ 36 . According to decide whether the cooling effect of drugs .4 hours supplemented hibernation rectal temperature after cooling down to 37.6 and 37 cases, 15 cases dropped to 36 , rectal temperature remained at 38 in 10 cases, 19 patients supplemented with hibernation therapy reduced rectal temperature after 35 ~ 36 . cooling rate of 1 per hour is appropriate, low-temperature treatment time is generally for 3 to 5 days. 1.3 Notes Stop the low-temperature treatment, 20