Observation and nursing newborns with intracranial hemorrhage.doc

 PAGE \* MERGEFORMAT 6 Observation and nursing newborns with intracranial hemorrhage Neonatal intracranial hemorrhage is a common serious diseases. More or birth trauma caused by lack of oxygen. The clinical manifestations of central nervous system excitatory or inhibitory state as the main feature. Mortality rate in the survivors are often neurological sequelae. I 14 patients admitted to hospital recently, will now report on clinical observation and nursing of the following 1 clinical data The group of 14 cases, 8 cases of premature, term labor in 2 cases, 4 cases of expired products. 3 days after birth accounted for the majority of disease, respiratory failure in 2 cases, 11 cases were cured, 1 died. 2 disease observed 2.1 Consciousness and the spirit of observation: watch for irritability, unresponsiveness, lethargy, or coma phenomenon. Children with supratentorial hemorrhage, or bleeding less dominated, early often appear excited state, difficulty falling asleep, crying disturbed brain of screaming. If the disease continues to develop, the emergence of inhibitory state, drowsiness, coma and even .14 cases of low response, the excitement in 11 cases, 3 were inhibited. We are doing the dynamic observation, to detect subtle changes in consciousness, doctors report and do detailed records, given the appropriate treatment, the children pull through. 2.2 range observed pupil size, irregular margin, said increased intracranial pressure, bilateral pupil dilation, light reflex response and all were lost, indicating a critical condition. 2.3 fontanelle observation: full anterior fontanel tension prompted increased intracranial pressure, intracranial large amount of bleeding, a doctor should be promptly reported application of dehydrating agent in order to avoid herniation. 2.4 Observation vital signs: body temperature should be closely observed, respiratory and other changes, in time to give heart and brain monitoring, o