老年重型颅脑损伤早期观察及护理  

Early observation and nursing care about elderly patients with severe cerebral trauma

作　　者：郑卓双[1,2] 陈辉燕[1,2] 张晓云[1,2] 

机构地区：[1]汕头大学第一附属医院,广东汕头515144 [2]汕头潮南民生医院神经外科,广东汕头515144

出　　处：《中国民族民间医药》2009年第13期184-186,共3页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：目的:通过对老年人重型颅脑损伤患者的早期救治、动态观察及护理,积累丰富的临床经验,好地指导工作。方法:对56例老年人重型颅脑损伤患者早期严密观察神志、瞳孔、脉搏、呼吸、血压及肢体活动、心电图变化,准确地对病情进行判断和评估,更好地掌握疾病的演变过程,采取恰当护理措施。结果:治愈21例(37.5%),中残15例(26.8%),重残8例(14.2%),死亡8例(14.2%),放弃治疗自动出院4例。结论:早期对老年重型颅脑损伤患者实施严密病情观察,准确地判断病情变化,采取有效护理措施,有助于提高治愈率,降低致残率和死亡率。Objective： Early giving the elderly patients who are with severe cerebral trauma treatment, dynamic observation and care, we have accumulated abundant clinical experience and a better way to guide our work. Methods： Giving 56 elderly patients with severe cerebral trauma the early close observation of consciousness, dilated pupils, pulse, respiration, blood pressure and physical activity, ECG changes, we can accurately judged of the disease and assessment, better grasped the evolution of the disease, and take appropriate care measures. Results： 21 cases were cured （37.5%） , 15 cases were moderate disability （26.8%） , 8 cases were severe disability （14.2%） , 8 cases were dead （14.2%） , 4 cases gave up the treatment and automatic discharged. Conclusion： Early giving the elderly patients with severe cerebral trauma of tight observation, accurately judging changes of the disease, and taking effective nursing measures can increase the rate of cure and reduce the morbidity and mortality.

关 键 词：老年 重型颅脑损伤 观察 护理 

分 类 号：R473.2[医药卫生—护理学]