英汉双语护理查房.pptxVIP

英汉双语护理查房第1页/共22页第2页/共22页护理查房目的（The purpose of this nursing round)1.掌握脑梗死的定义及临床表现 Master the definition and clinical manifestations of cerebral infarction2.熟悉脑梗死的治疗及护理 Be familiar with the treatment and the nursing care3.进一步培养护理人员临床思维能力 Further training the clinical thinking ability of nurse4.加强护患沟通能力，提供更好的服务Strengthen the communication skills, to provide better service for the patients 第3页/共22页临床资料 The introduction of the patient’s condition 病情介绍(Case history introduction) 15床，董家田，男性，65岁，因言语不清、饮水呛咳加重4天来诊，门诊以“脑梗死收住院。既往有高血压、糖尿病，脑梗死，冠心病病史。遗留有右上肢持物不能，需扶物行走。 Bed 15，Dongjiatian , male ,65 year’s old .He was admitted to our hospital because of glossolalia ,water choking cough aggravating for 4 days. Past medical history has hypertension,diabetes, coronary heart disease and other medical disease. After that, his right upper limb can’t hold and need help to walk.第4页/共22页临床资料 Physical examination 查体(PE) T：36.6℃ P：74次/分 R : 18次/分 BP: 170/106mmhg,神志清，构音障碍，伸舌居中，右上肢近端肌力2级，远端肌力3级，右下肢肌力2级，右侧肢肌张力略高。 T：36.6 degree centigrade P：74times／minute R: 18 times／minute BP: 170/106mmhg. Old male ,conciousnes, dysarthria,his right upper limb proximal muscle strength is lower than level 2,distal level 2,right lower limb muscle strength is level 3.The muscle tention is slightly higher.第5页/共22页肌力分级No contraction of muscle visible没有肉眼可见的肌肉收缩0Flicker or trace of contraction visible1仅有肉眼可见的肌肉收缩Active movement at joint, with gravity eliminated去除重力情况可看到关节活动2能对抗重力 Active movement against gravity能对抗重力和部分阻力Active movement against gravity and some resistance34肌力正常 Normal power5第6页/共22页 辅助检查(Auxiliary examination ) 颅脑CT未见出血。（No bleeding） 颅脑MRI+MRADWI示桥脑高信号。MRA提示多发血管狭窄。（MRI showed that there are many intracranial vascular stenosis) 第7页/共22页 影像学检查 (Imaging examination)第8页/共22页诊断(Diagnosis)1.脑梗死(cerebral infarction)2.糖尿病（Diabetes）3.冠心病（Coronary heart disease）4.颈动脉粥样硬化(Carotid artery atherosclerosis)5.颅内动脉狭窄(Intracranial artery stenosis)6.高血压病(Hypertention)第9页/共22页脑梗死的定义(The definition )定义：由于各种原因所致的局部脑组