迟发性外伤性颅内血肿早期观察指标的研究  

Study on early detection of delayed traumatic intracranial hemorrhage and it's nursing

作　　者：倪桂珍[1] 孙志萍[1] 余凤萍[1] 

机构地区：[1]上海市浦东新区浦南医院,上海200125

出　　处：《上海护理》2007年第2期18-20,共3页Shanghai Nursing

摘　　要：目的探讨迟发性外伤性颅内血肿的早期观察和护理在诊断和治疗中的作用。方法选择2004年4月—2006年4月收治的颅脑外伤患者120例,损伤当日血D-二聚体≥3.0μg/ml的患者51例为观察组和<3.0μg/ml的患者69例为对照组,分析两组患者伤后当日、第1天和第3天血D-二聚体、意识的变化和迟发性颅脑损伤的发生情况。结果观察组有35例发生了迟发性外伤性颅内血肿;对照组有18例发生了迟发性外伤性颅内血肿。结论颅脑损伤患者早期严密观察血D-二聚体和意识状态的动态变化,可为临床早期诊治提供依据,赢得抢救时间。Objective To study the role of early detection and it＇s nursing in the diagnosis and treatment of delayed traumatic intracranial hemorrhage. Methods From April 2004 to April 2006, 120 patients with craniocerebral trauma were recruited and divided into two groups： According to the value of D-dimer in the first day after injury, 51 patients（D-dimer≥3.0μg/m） as observation group and 69 patients（D-dimer 〈 3.0 μg/ml） as control group. The changes of D-dimer, conscious ness and occurrence ot delayed head injury were analyzed. Results There were 35 patients in observation group and 18 patients in control group who had delayed traumatic intracranial hemorrhage. Conclusion Early and close observation of the dynamic change of D-dimer and conscious ness in patients with craniecerebral trauma can help the early diagnosis and treatment.

关 键 词：迟发性外伤性颅内血肿 D-二聚体 早期观察 护理 

分 类 号：R473.6[医药卫生—护理学]