Neonatal hypoxic ischemic encephalopathy and nursing observation.doc

 PAGE \* MERGEFORMAT 6 Neonatal hypoxic ischemic encephalopathy and nursing observation [Keywords:] observed neonatal hypoxic ischemic encephalopathy nursing Neonatal hypoxic ischemic encephalopathy is defined as perinatal hypoxic asphyxia, resulting in hypoxic ischemic brain damage, and a series of encephalopathy occurred in clinical performance, in some cases can be left varying degrees of neurological sequelae . is the most common neonatal central nervous system diseases, perinatal brain injury is the most common cause of neonatal disability and death one of the main. And care is a key part of comprehensive treatment, therefore, do Early treatment and care, reduce brain damage to improve their quality of life is important. our department in December 2007 ~ December 2009 were treated in neonatal hypoxic ischemic encephalopathy 150 cases, the timely and effective rescue, 110 cases were cured , survival rate was 73.3%. Clinical observation and nursing care now summarized as follows: 1 Clinical data 1.1 General Information 150 cases, male 90 cases, female 60 cases, admission age to 4 hours after birth to 7 days. Which onset within 3 days after birth were 100 cases, 7 days, 50 cases, 60 cases of intrauterine asphyxia, parturition process 90 cases of asphyxia. 1.2 Clinical manifestations of consciousness in children according to the degree of muscle tone, primitive reflexes change, whether convulsions, respiratory failure and before central fontanelle tension, pupillary changes in the situation of clinical classification. 30 patients with mild, accounting for 20%, degree of 110 cases, accounting for 73.3%, severe in 10 cases, accounting for 6.7%. 1.3 laboratory tests. In the week after birth, within 36 hours of admission 1st CI head check, in which 40 patients with mild, moderate 80 cases, 30 cases of severe. Associated with intracranial hemorrhage in 40 patients. 1.4 Vesting. The average length of stay of 150 cases 10 days,