Causes of recurrent subarachnoid hemorrhage and nursing.doc

Causes of recurrent subarachnoid hemorrhage and nursing [Keywords:] subarachnoid hemorrhage nursing Subarachnoid hemorrhage (SAH can be divided into traumatic and non-traumatic (spontaneous two categories. Spontaneous subarachnoid hemorrhage caused by cerebral aneurysms is mainly about stroke 10% to 15% [1] . The impact of rebleeding is an important prognostic factor in SAH mortality rate as high as 60% to 100% [2]. premature activity, constipation, urinary retention, hard cough, agitation, etc. is a major cause of rebleeding. for the incentive to take the appropriate care measures to reduce rebleeding and reduce mortality of great significance. I Bureau since May 1996 ~ October 2006 167 cases of SAH patients were treated, of which due to the predisposing factor analysis of 31 cases of rebleeding, reported as follows: 1 Clinical data Our department treated 167 cases of SAH patients, 77 patients were male, female 90 cases, the youngest 18 years old, maximum 82 years, an average of 50 years, 89 cases were cured, 59 cases improved, 19 patients died, 31 cases of rebleeding caused by incentives get up in the early events in 5 cases, 10 cases of constipation, urinary retention in 7 cases, 4 cases of hard coughing, agitation in 5 cases. 2 Causes 2.1 The early events Absolute bed rest should be 4 to 6 weeks. Because wound healing ruptured cerebral aneurysms is not strong enough, get up activities, a sudden increase in blood pressure that does not heal bleeding caused by vascular splitting again. Intracranial aneurysm hemorrhage of approximately 40% of mortality , survivors of about 1 / 3 relapse. to 2 weeks after the onset of the highest recurrence rate, followed by 3 to 4 weeks, the emphasis on time in bed not less than 4 weeks [3]. 2.2 constipation, urinary retention Forced urination and urinary retention constipation hard stool, the abdominal pressure, increased blood pressure, can cause cerebral vascular rupture. 2.3 hard cough Hard coug