CAJ | 학술논문

目的探讨重型颅脑复合伤合并休克的抢救及护理要点.方法通过对88例重型颅脑复合伤合并休克患者的急救护理进行回顾性分析,密切观察意识、瞳孔及动态监测生命体征、心电图,血氧饱和度、中心静脉压变化等;及时补充血容量、电解质,针对不同程度的脑损伤和不同部位的合并伤进行抢救和护理,早期介入康复护理.结果 88例患者中,经手术治疗74例,非手术治疗14例,治愈68例,致残14例,死亡6例.结论对重型颅脑复合伤的观察,除观察头部情况外,还应注意评估身体其它部位的伤情,及时止血控制休克是提高治愈率的关键,做好各期康复护理,对减少并发症的发生、促进患者康复,提高患者生命质量有重要的意义.
목적 탐토중형로뇌복합상합병휴극적창구급호리요점.방법 통과대88례중형로뇌복합상합병휴극환자적급구호리진행회고성분석,밀절관찰의식、동공급동태감측생명체정、심전도,혈양포화도、중심정맥압변화등;급시보충혈용량、전해질,침대불동정도적뇌손상화불동부위적합병상진행창구화호리,조기개입강복호리.결과 88례환자중,경수술치료74례,비수술치료14례,치유68례,치잔14례,사망6례.결론 대중형로뇌복합상적관찰,제관찰두부정황외,환응주의평고신체기타부위적상정,급시지혈공제휴극시제고치유솔적관건,주호각기강복호리,대감소병발증적발생、촉진환자강복,제고환자생명질량유중요적의의.
Objective To explore the rescue and nursing point of severe craniocerebral injury patients with shock.Methods Review and analyse 88 cases of severe craniocerebral injury patients with shock.Through observeing consciousness,pupil,life sign,cardiogram,SPO,central venous pressure changes ect.,supply blood-volume and electrolyte in time.Rescue and nursing separate with different dgrees of severe craniocerebral injury and associated injury of differnet parts,and early Intervention of rehabilitation nursing.Results Total 88 cases,there are 74 cased with surgical therapy,14 cases with non-surgical therapy,cure 68 cases,Mutilation 14 cases,deadth 6 cases.Conclusion To be observed of severe craniocerebral injury patients,not only need to be observed the craniocerebral but also the other injury in other parts of the body,hemostasia in time in order to avoid shock is the most importance in increasing the cure rate.Do well in rehabilitation and nursing during every periods,and reduce complication,expedite patients' getting well,these are very important in increasing the quality of life for patients.