摘要
目的探讨茂名市中医院对颅脑损伤患者并发消化道出血的观察及护理,总结经验措施。方法自2009年10月至2010年5月间,茂名市中医院共收治颅脑损伤患者198例,其中,颅脑损伤并发消化道出血患者56例。回顾性分析56例颅脑损伤并发消化道出血患者的临床资料,对其病情、时段及呕吐物、排泄物,生命体征等进行严密的观察并采取及时有效地护理措施。结果 56例患者中,脑干损伤并发消化道出血17例,脑内血肿并发消化道出血21例,硬膜下血肿并发消化道出血10例,硬膜外血肿并发消化道出血8例;在伤后7h内出现消化道出血的患者22例,在伤后14h内出现消化道出血的患者34例。56例患者经过及时有效的治疗和护理,53例痊愈出院,2例脑干重度损伤就抢救无效死亡,1例中途放弃治疗。结论严密的观察并及时有效的护理,对颅脑损伤并发消化道出血的患者至关重要。
Objective To discuss the Maoming Traditional Chinese Medical Hospital for gastrointestinal bleeding in patients with traumatic brain injury and nursing observation to sum up the experience measures.Methods From October 2009 to May 2010,the Maoming Traditional Chinese Medical Hospital treated a total of 198 cases of patients with head injury,in which patients with brain injury with 56 cases of gastrointestinal bleeding.Retrospective analysis of 56 cases of gastrointestinal bleeding in patients with traumatic brain injury with clinical data of their condition,time,and vomit,excrement,and other vital signs were observed closely and to take timely and effective care measures.Results 56 patients,brain stem injury with 17 cases of gastrointestinal hemorrhage,intracerebral hematoma in 21 cases with digestive tract bleeding,subdural hematoma,10 cases of digestive tract bleeding,epidural hematoma complicated by gastrointestinal bleeding in 8 cases;after injury 7 hours in patients with gastrointestinal bleeding occurred in 22 cases,within 14 hours after injury there were 34 cases of gastrointestinal bleeding.56 patients through timely and effective treatment and care,53 patients were discharged,and 2 cases of severe injury to the brain stem died,and 1 drop out treatment.Conclusion Close observation and timely and effective care for brain injury patients with digestive tract bleeding is essential.
出处
《中国医药指南》
2011年第13期26-27,共2页
Guide of China Medicine
关键词
颅脑损伤
消化道出血
观察及护理
Traumatic brain injury
Gastrointestinal bleeding
Observation and nursing care
