Nursing subarachnoid hemorrhage.doc

Nursing subarachnoid hemorrhage [Keywords:] subarachnoid hemorrhage nursing Subarachnoid hemorrhage was mainly due to congenital intracranial vascular aneurysms, arteriovenous malformations, hypertension, arteriosclerosis and other factors cause vascular aneurysm rupture into the subarachnoid space due to the blood. The clinical features are acute onset , rebleeding rate, complications and high mortality [1-2]. subarachnoid hemorrhage were given to reduce intracranial pressure after admission, stable blood pressure, bleeding, spasm, prevention of infection, if you keep abreast of changes and conditions complications, and to timely treatment and care to improve the cure rate and quality of life of patients is significant. 1 Clinical data Our hospital from January 2005 to March 2009 a total of 60 patients with subarachnoid hemorrhage treated patients, 38 males and 22 females, aged 19 to 75 years, mean age 45 years. Activities incidence of 28 cases (46.7%) , rest and sleep in the pathogenesis of 32 cases (53.3%). were confirmed by lumbar puncture, in part confirmed by CT. Clinical symptoms are headache, vomiting, psychiatric symptoms, seizures, paralysis, incontinence, and meningeal irritation, elevated blood pressure , ranging from large pupils and other signs. in which body temperature in 20 cases (33.3%); high blood pressure in 5 patients (8.3%); pupil ranging from large 8 cases (13.3%); headache and vomiting in 7 cases (11.7 %); disturbance of consciousness and mental symptoms in 12 patients (20.0%); with convulsions, epilepsy in 8 cases (13.4%). 2 Care 2.1 bed rest due to the recurrence rate within 2 weeks of onset, followed by 3 to 6 weeks, so no matter the severity of symptoms of absolute bed rest should be 4 to 6 weeks, the patient should be in bed all activities, must not be too light and because of the symptoms early ambulation. 2.2 Observation of disease (1) state of consciousness: If there fast and deep coma are prompted large amount