Of mild hypothermia on patients with severe cerebral hemorrhage nursing.docVIP

 PAGE \* MERGEFORMAT 5 Of mild hypothermia on patients with severe cerebral hemorrhage nursing [Keywords:] of mild hypothermia on severe cerebral hemorrhage nursing We use 20 cases of mild hypothermia treatment in patients with severe cerebral hemorrhage, with an active care, results were satisfactory. A clinical data Choose from March 2007 to March 2008 in our hospital neurological hospital, 20 cases of cerebral hemorrhage patients were diagnosed by cranial CT, including 12 males and 8 females, aged 45 to 80 years. Admitted to hospital with mild hypothermia immediately after the instrument (Zhuhai City, and good production of medical equipment Co., Ltd, HGT  200) treatment, with routine drug treatment. Survival in this group 15 cases (75%), no 1 case of frostbite, bedsore and anti-dancing high fever. 2 cases of coagulation dysfunction, pulmonary infection occurred in 3 patients, 5 cases of respiratory disorder, 6 patients had arrhythmia, 7 patients had chills. 2 nursing 2.1 Observation of vital signs By hand, care, bedside 24h monitoring of heart rate monitors, blood pressure, respiration, pulse, oxygen saturation, per hour, records a meeting at the same time record of consciousness, sun about to rise holes changes, strict shift relief. The group, five cases of respiratory dysfunction, given respiratory stimulant, if the oxygen saturation of 90% or less, to give breathing machine-assisted breathing. 2 cases of heart rate less than 50 times / min, after atropine treatment recovery. 3 cases of heart rate (50 ~ 60) beats / min, after rewarming recovery. 2.2 Temperature Care 24h continuous monitoring of the nasal cavity, the rectal temperature in an hour recording a time. Ensure that patients with nasal temperature 33 ℃ ~ 34 ℃ , anal temperature 33 ℃ ~ 35 ℃ . If the patient temperature higher than 36 ℃ , said Minya poor low-temperature treatment; if less than 33 ℃ , easy to respiratory, circulatory disorders; if less than 28 ℃ readily from ventricula