摘要
目的:总结重型颅脑外伤患者的护理措施。方法:通过对65例颅脑外伤患者定时观察其意识状态、呼吸、脉搏、血压、瞳孔及肢体活动的变化,早期发现脑水肿、急性颅内压增高等并发症,并早期治疗。结果:65例患者中,54例恢复良好,占83.08%;5例表现为轻度残疾,占7.69%;3例重残,占4.62%;3例因为严重的脑挫裂伤合并多脏器损伤而死亡,死亡率为4.62%。结论:护理人员通过严密观察患者生命体征、神志及瞳孔的变化,做好患者围手术期及术后的护理,降低了患者的死亡率及致残率,减少了并发症的发生。
Objective To summarize the nursing measures of patients with severe head trauma. Method For 65 cases of patients with craniocerebral trauma timed to observe the state of consciousness, breathing, pulse, blood pressure, pupil and limb activity changes, early detection of cerebral edema, acute intracranial hypertension and other complications, early treatment. Results Of 65 cases,54 cases showed good recovery,accounted for 83.07% ,5 cases showed mild disability, acconoted for 7.69% ;3 cases had severe disability, acconated for 4. 62%. In 3 patients, because of severe cerebral contusion and laceration complicated with multiple organ injury death, the mortality rate was 4. 62%. Conclusion Nursing staff showld mind and pupillary changes, make nursing care during operation period and postoperative nursing, reduce patients＇ mortality and mutilation rate, reduce the occurrence of complications, through closely observation of vital signs of patients.
出处
《吉林医学》
CAS
2012年第13期2838-2839,共2页
Jilin Medical Journal
关键词
重型颅脑外伤
护理
Severe craniocerebral trauma
Care
