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高血压脑出血开颅血肿清除患者手术前后的护理 被引量:13

Nursing Care of Patients with Hypertensive Intracerebral Hemorrhage after Craniotomy Evacuation of Hematoma
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摘要 目的:探讨高血压脑出血(Hypertensive intracerebral hemorrhage,HICH)开颅血肿清除术后的护理要点.方法:对54例高血压脑出血患者行开颅血肿清除术的术前护理、术后护理及并发症的护理进行总结.结果:54例患者死亡4例,自动出院3例,植物人2例,重度残疾8例,中度残疾34例,好转3例.结论:高血压脑出血开颅血肿清除术的手术期护理尤其重要,术后应控制血压在正常水平,防止再出血和脑缺血,预防感染,加强功能锻炼以促进患者的恢复. Objective: To investigate the nursing points of patients with hypertensive intracerebral hemorrhage(HICH) undergoing hematoma evacuation.Methods: The preoperative nursing care,postoperative nursing care and complications nursing care of 54 cases of hypertensive intracerebral hemorrhage,who underwent craniotomy evacuation of hematoma,were summarized.Results: In 54 patients,4 patients died,3 cases automatically discharged,3 cases were in vegetative state,8 cases were severe disability,34 cases were moderate disability,3 cases were improved.Conclusion: Operative nursing care is especially important,should pay attention to maintaining the stability of blood pressure to prevent rebleeding and cerebral ischemia,preventing infection,enhancing functional exercise can promote the recovery of patients.
作者 赵山鹰
出处 《内蒙古民族大学学报(自然科学版)》 2012年第3期357-358,共2页 Journal of Inner Mongolia Minzu University:Natural Sciences
关键词 高血压脑出血 开颅血肿清除术 护理 Hypertensive intracerebral hemorrhage Craniotomy evacuation of hematoma Nursing care
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