脑出血的护实际文：高血压脑出血术后护理(国外英文资料).docVIP

脑出血的护理论文：高血压脑出血术后护理(国外英文资料) Nursing paper for brain hemorrhage: Postoperative care of hypertension Keywords brain hemorrhage postoperative care Clinical data In 2007 ~ 2009, 42 patients were treated for hypertension. There were 29 men, 13 women, 47 to 88 years old, and an average age of 67.5 years. All underwent CT examination, the amount of blood was 20 ~ 60ml, 4 cases of narcolepsy in hospital, 20 in shallow coma, 12 in moderate coma and 6 in deep coma. There were 22 cases of cerebral hernia. Blood pressure is above 180/100mmhg. There were 37 cases of cranial hematoma removal, 5 cases of ventricular puncture. All 35 cases were discharged and 7 died. Nursing measure Patient observation: the change of consciousness status after operation is one of the most important signs. The GCS score allows you to observe the level of awareness and awareness. It is important to observe the pupils effect on the occurrence and development of intracranial hemorrhage after postoperative diagnosis. Controlling blood pressure: effective control of blood pressure after surgery is one of the keys to preventing bleeding. The multifunctional monitor monitors blood pressure and maintains a stable blood pressure after surgery. Effective control of cerebral edema and prevent bleeding. Besides good with dehydrant, according to the monitoring data of blood pressure, can use static drop micro pump injection oral antihypertensive agents, sodium nitrate, to maintain blood pressure in 140-160/90-100 MMHG, unfavorable excessive step-down, otherwise is bad for the brain functional recovery. Intensive care: oral care: keep your mouth clean, moist, and oral care four times a day to prevent oral inflammation. To take a bedsore: turn the body at the back one time every two hours and massage the pressure area. The nursing of the nasal feeding: after daily line of nasal feeding, apply lukewarm water to wash the nasal feeding tube and keep it open. High heat care: in addition to the heat and heat treatment