Nursing intracranial infection.doc

 PAGE \* MERGEFORMAT 10 Nursing intracranial infection [Key Words] Intracranial infection cause of Nursing Clinical data Our department in October 2008 ~ Oct. 2009 76 patients, of which 12 cases complicated by intracranial infection, the incidence of 15.8%. 8 males, accounting for 66.7%, and 4 women, 33.3%; aged 37 to 72 years, mean 61.2 years old. Etiology and Pathogenesis Intracranial infection according to the different site of infection, divided into meningitis, encephalitis and cerebral arachnoiditis clinically is sometimes difficult to be completely separated. Almost all intracranial infections are the more obvious headaches, and often is a major and starting symptoms. According to statistics, the incidence of headache was 47% to 80%, headache extent, nature of infection depends on the nature, extent and individual response. Headache mechanism: inflammation of violations of meninges, subarachnoid space or brain parenchyma, caused the site and surrounding tissue edema, leakage, softening, necrosis, or adhesion, thickening, leading to cerebral edema or hydrocephalus, intracranial pain-sensitive tissues of the traction, shift and produce traction headache. inflammatory exudate, pathogens, toxins and infection of harmful substances produced during the expansion of both the intracranial blood vessels, causing vasodilation headache. meningeal pathogens and their toxins by itself stimulation, secondary reflex muscle contraction headache. The main mechanism of headache produced are: the expansion of intracranial artery (vascular headaches), intracranial pain-sensitive tissue is traction or displacement (traction headache), intracranial feel sensitive tissue inflammation (eg, headache, meningeal irritation ), extracranial muscle contraction (tension or muscle contraction headache), conduction pain of cranial nerve and cervical nerve directly damaged or inflammation (neuritis, headache), facial lesions spread of pain (headach