CAJ | 학술논문

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.
목적:통과대노년인중형로뇌손상환자적조기구치、동태관찰급호리,적루봉부적림상경험. 호지지도공작.방법:대56례노년인중형로뇌손상환자조기엄밀관찰신지、동공、맥박、호흡、혈압급지체활동、심전도변화,준학지대병정진행판단화평고,경호지장악질병적연변과정,채취흡당호리조시.결과:치유21례(37.5%),중잔15례(26.8%),중잔8례(14.2%),사망8례(14.2%),방기치료자동출원4례.결론:조기대노년중형로뇌손상환자실시엄밀병정관찰,준학지판단병정변화,채취유효호리조시,유조우제고치유솔,강저치잔솔화사망솔.
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 ac-tivity, 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.