Observation and nursing of subarachnoid hemorrhage.doc

 PAGE \* MERGEFORMAT 9 Observation and nursing of subarachnoid hemorrhage [Abstract] Objective To investigate subarachnoid hemorrhage (SAH) patient care measures. Methods 22 cases of SAH patients on close observation of consciousness, pupil and vital signs for possible infection, vascular spasm, hernia and other complications, an effective prevention care measures. The results were 22 cases of SAH 1 died, 1 patient had pulmonary infection, were discharged after treatment and care. Conclusions and adopt effective measures to improve the care and treatment of SAH is an important guarantee for success. [Keywords:] subarachnoid hemorrhage; observation; Care Subarachnoid hemorrhage (SAH) is a cerebral blood vessel rupture the bottom or the brain surface, blood flow directly into the subarachnoid space caused a clinical syndrome, often due to congenital aneurysm, followed by cerebrovascular malformation, cranial within the tumor, pituitary apoplexy, blood disease, intracranial venous thrombosis and other complications due to anticoagulation therapy [1]. mainly as sudden severe headache, vomiting, meningeal irritation-positive, with or without disturbance of consciousness, CT and subarachnoid cisterns confirmed signs or lumbar puncture and examination of high-density increased, and bloody cerebrospinal fluid pressure can be confirmed. Through the implementation of 22 cases of the disease observed in patients with subarachnoid hemorrhage, general care, psychological care, to obtain satisfactory treatment, Nursing now reported as follows. 1 Clinical data 1.1 General Information 22 cases were from July 2006 to December 2008 the hospital admitted cases of spontaneous subarachnoid hemorrhage, of which 13 males and 9 females, aged 40 to 69 years old, given mannitol during hospitalization, speed intracranial pressure such as dehydration drop of urine therapy, and given the role of the bleeding with antifibrinolytic drugs 6 - amino acid reduces rebleeding rate,