On the hypoxic-ischemic encephalopathy 30 cases of nursing experience.docVIP

 PAGE \* MERGEFORMAT 12 On the hypoxic-ischemic encephalopathy 30 cases of nursing experience [Keywords:] neonatal hypoxic-ischemic encephalopathy; Care Abstract: Neonatal hypoxic-ischemic encephalopathy (HIE) is the result of perinatal asphyxia caused hypoxic brain damage at birth after a series of brain performance, clinical mortality and morbidity are high. From 2001 to 2006 in our hospital treated 30 cases of children with HIE. Nursing now report its observations are as follows: A clinical data 1.1 General Information A total of 30 cases in this group, male 25, female 5 cases. One was born 1 d 20 Li, 2 ~ 3 d 4 Li, 4 ~ 5 d 5 Li, 8 d 1 Li. 1.2 Clinical manifestations 30 cases of awareness of children have changed (excitatory or inhibitory), to reduce muscle tension in 11 cases, a knee-jerk reflex activity or reduce the eight cases, 13 cases of weakened embrace reflex, sucking reflex diminished in 12 cases, the pupil larger or different sizes in 6 cases, 9 cases of convulsions, respiratory rhythm is not the whole nine cases, abnormal B-head in 5 cases, complicated by pneumonia in 13 cases; showed mild HIE 15 cases, 7 cases of moderate and severe in 8 cases. 2 nursing method 2.1 Respiratory Care HIE must first clear the respiratory secretions of children with a net absorption straw nose, mouth and throat of mucus and foreign matter and maintain airway. Give supine, head to one side, so as to avoid aggravating the airway secretions of reflux suffocation. Shoulder pillow can also be used to straighten the airway to prevent airway obstruction. Breathing did not change significantly with mild HIE, severe HIE cases, there may be central respiratory failure, in the observation, such as irregular breathing, apnea, should be immediately inhaled oxygen while providing respiratory stimulants, and inform the doctor to save, establish an effective respiratory and improve the circulation to minimize the hypoxic