Nursing care of severe head injury.doc

 PAGE \* MERGEFORMAT 7 Nursing care of severe head injury [Keywords:] severe brain injury; nursing Acute severe brain injury is common injury neurosurgery, with an incidence of 30% to 50% [1]. Undergraduate January 2006 -2008 frontal lobe in June were treated with psychiatric symptoms in patients with brain injury, 106 cases by the timely diagnosis and treatment and my nurse of intensive care, to obtain satisfactory clinical results, now nursing reported as follows. 1 Clinical data 106 patients in this group of men and 84 cases, 22 females, aged from 15 to 75 years, admission GCS score 3 to 8 points, including primary brain stem injury in 18 cases, 39 cases of multiple cerebral contusion, cerebral contusion with intracranial hematoma in 36 cases, combined with other parts of the brain contusion injury in 13 cases. this group of patients 42 cases hematoma evacuation to trauma craniotomy, 31 cases of decompression craniectomy, and the remaining patients conservatively according to the disease treatment, including dehydration, bleeding, prevent infection, nutrition, drugs, brain. including 28 cases of tracheotomy. Results 106 patients recovered in 97 cases and 9 died. 2 Care 2.1 observing closely changes in the awareness of patients should be closely observed, pupils, changes in vital signs. Consciousness is to determine the severity and brain function in patients with a reliable indicator of the state, the pupil is to determine changes in condition after brain injury is an important indicator. If Patients in a coma, brain herniation is the most dangerous stage of disease progression, there is a high two slow: slow and loud pulse, breathing slow and deep, the performance of blood pressure, intracranial pressure and more tips. the side of the pupil sexual dilated, light reflex, that has formed hernia, the surgery is already too late. so they requested that nurses have a high sense of responsibility and be proactive on the condition, 15 ~ 30min obs