Patients with acute cerebral hemorrhage nursing.doc

 PAGE \* MERGEFORMAT 7 Patients with acute cerebral hemorrhage nursing [Abstract] Cerebral hemorrhage is the non-traumatic rupture of blood vessels within the brain parenchyma bleeding, a common and frequently-occurring disease of the nervous system, mainly due to sclerosis and cerebral vascular diseases related to, characterized by acute onset, mortality and disability rate, high incidence of complications [1] .2007 February -2009 In March, our department treated 129 cases of cerebral hemorrhage, intracranial pressure in lower blood pressure and control the treatment of cerebral edema based on the multi-faceted condition observed reduced mortality, reduced complications, are presented below. [Keywords:] cerebral hemorrhage, the patient, the acute phase, care 1 Clinical data 1.1 General information: The group of 129 cases of cerebral hemorrhage in men and 75 cases and 54 female patients aged 41-86 years, mean age 65 years. Were confirmed by CT brain hemorrhage, of which 83 cases of basal ganglia hemorrhage, thalamic hemorrhage 25 cases of lobar hemorrhage in 19 cases, 2 cases of brain stem hemorrhage. bleeding 5-72ml, an average of 32.4ml. 1.2 Results: 121 patients were cured, length of stay 7-39d, an average of 15d, 4 of which were pulmonary infection were cured without pressure ulcers, gastrointestinal bleeding occurred. 7 died, including 1 case of brain stem hemorrhage , 2 cases of basal ganglia hemorrhage, thalamic hemorrhage in 4 cases. 2 Care 2.1 absolute supine rest, keep quiet and avoid moving the head, restlessness attention to the protection of patients, head elevation 15-30 degrees to prevent brain edema and reduce intracranial pressure. 2.2 The close observation of changes in condition, regular measurement of vital signs and make a detailed record. For monitoring the condition of patients, coma in patients with Glasgow coma scale (GCS4-6 times / d, observed pupil awareness of each 30min1 times, if the ris