小儿外伤性迟发性脑内血肿的观察与护理  

Observation and Nursing Delayed Traumatic Intracerebral Hematoma in Children

作　　者：余良英[1] 张成英[1] 陈昌华[1] 何英[1] 

机构地区：[1]重庆医科大学儿童医院神经外科,400014

出　　处：《现代护理》2003年第6期434-435,共2页Modern Nursing

摘　　要：目的　探讨小儿外伤性迟发性脑内血肿的临床特点及观察护理要点。方法　回顾性分析我院 1 987年 1月～ 1 998年 1 2月收治的 2 7例小儿外伤性迟发性脑内血肿的临床资料。结果　 2 7例小儿外伤性迟发性脑内血肿中 ,行血肿清除术 1 3例 ,颅骨钻孔血管内置管 +增强尿激酶外引流术 6例 ,非手术治疗 8例。 2 6例治愈 ,1例死亡。结论　进行性意识障碍、头痛、呕吐、贫血加重和生命体征不稳定是小儿外伤性迟发性脑内血肿的基本临床特征 ,伤后 72小时这段时间是护理观察的重点。伤后 72小时仔细观察以上症状、体征 。Objective To explore clinical characteristics and nursing methods in Children with delayed traumatic intracerebral hematoma (DTICH).Methods The clinical data of twenty seven patients with DTICH from Jan. 1987 to Dec.1998 were retrospectively analyzed.Results Of 27 patients, hematoma were removed by operation in 13 patients. Six patients were treated by Indwelling catheter in the blood vessel and urokinase drainage through sphenotresia. Non operative treatment were done in 8 patients. Twenty six patients were cured, and one died.Conclusions The continuous decrease of consciousness headache, vomiting and anemia are the essential clinic features. The important period is in 72 hours after injured. It can give important evidences to doctor make earlier diagnosis.

关 键 词：小儿 外伤性迟发性脑内血肿 护理 脑损伤 缺氧 颅内压 

分 类 号：R473.72[医药卫生—护理学]