on patients with severe traumatic brain injury care in the hyperbaric oxygen treatment（在严重创伤性脑损伤患者护理高压氧治疗）.docVIP

On patients with severe traumatic brain injury care in the hyperbaric oxygen treatment [Abstract] Objective: To discuss the 72 patients with severe traumatic brain injury patients undergoing single-person hyperbaric oxygen chamber pressure of oxygen in the process of care and treatment measures. METHODS: Single pressurized oxygen chamber, treatment pressure is 0.2Mpa, once a day, 10 days for a course of treatment in the rest two days, were treated with 1-6 courses of treatment. Results: The average treatment 20 times, according to Glasgow outcome efficacy of the standard of five grade classification, a good 60 cases, the residual eight cases, four cases of severe disability, vegetative state with no deaths and Conclusion: Hyperbaric oxygen treatment of severe head injury patients can effectively reduce the mortality and morbidity, promote patient wake up early, improve quality of life. 1 Clinical General Information Choose from June 2004 to November 2006 in our hospital neurosurgery hospital with severe head injury 72 hyperbaric oxygen therapy patients, diagnostic brain injury diagnostic criteria, including 49 males and 23 females, aged 15 - 56 years, mean age 35.5 years old. admission Glasgow score lt;8 points and rescue the patient by conventional craniotomy, the vital signs, body temperature lt;38.5.C, CT, under the dynamic and clinical observation of no significant bleeding, signs of herniation , 4-10 days after the injury received hyperbaric oxygen therapy in this group received hyperbaric oxygen treatment, 20 cases of disturbance of consciousness, irritability in 20 cases, organ cut in 12 cases, craniotomy in 20 cases. 2 Care 2.1 before treatment and assessment visits: before treatment by the Gaoyayangke nurses to the wards access to medical records, to understand the disease dynamics, assessing patients’ health status, to obtain the support of family friends. Each patient received treatment for 15-20 minutes in advance to evaluate the patient