Nursing diffuse axonal injury.doc

 PAGE \* MERGEFORMAT 7 Nursing diffuse axonal injury Of: Weixiu Xia, Wei-step, well forever Min, Jin Guirong [Abstract] Objective To observe the nursing intervention on diffuse axonal injury (DAI) ( type and type ) quality of life. Methods of patient admission GCS score, according to ratings to develop nursing interventions, the use of airway management, hypothermia, nasal feeding Nutritional support and strengthen the basic nursing care. Results through a series of attentive care, reduce mortality, morbidity, improved quality of life of patients. Conclusion enhance the confidence of the families of patients and reduce complications. [Keywords:] diffuse axonal injury; respiratory tract; mild hypothermia; nasogastric nutritional support Diffuse axonal injury (diffuse axonal injury, DAI) ( type and type ) for heavy closed head injury, is caused by severe disability after injury and the survival of plants common cause of death [1]. It is the violence with the inertia of the light forward into the deep deep structure caused by brain damage, leading to different degrees of axonal damage and clinical manifestations: prolonged coma, its performance is inconsistent with the CT imaging, MRI applications DAI particular needle the size of the resolution of bleeding and non bleeding able to distinguish lesions and improve the diagnosis of DAI [2]. 1 Clinical data 1.1 General information on the Third Hospital of Hebei Medical University, Surgery in 2004-2008 admitted DAI 76 cases, admission assessment of DAI ( type and type) of 51 cases, including 43 males and 8 females, aged 8 to 72 years old, all cases were confirmed by MRI. After 4 weeks of treatment, 2 died, 27 cases of conscious, light coma in 19 cases, moderate in 3 cases coma. 1.2 Clinical symptoms persist more than 3 weeks coma, admission GCS score 3 to 6 points, shortness of breath, body rigidity, or to present to the cortex of the brain stiffness, slow pupillary light reflex or the pupil when