CAJ | 학술논문

目的探讨血液透析合并脑出血患者的病情观察要点和护理。方法回顾2008年以来我院神经外科收治的20例血液透析合并脑出血患者的住院资料，总结针对各严重并发症出现的时间和采取的措施，提出此类患者的病情观察要点和护理规范。结果护理人员根据病情观察的要点，及时发现病情的变化，采取相应的治疗措施，降低了死亡率。本组20例，死亡6例，死亡率30%。结论血液透析合并脑出血患者病情重、变化快、并发症多且重、死亡率高。由于此类患者的病情涉及多学科，给整体护理带来了一定的难度，神经外科护士面临的是多学科复杂的重症患者，要求具备神经外科、肾内科、心内科、血管外科等科室的专科护理知识和技能，在此类患者的病情观察方面有一定的优势。
목적탐토혈액투석합병뇌출혈환자적병정관찰요점화호리。방법회고2008년이래아원신경외과수치적20례혈액투석합병뇌출혈환자적주원자료，총결침대각엄중병발증출현적시간화채취적조시，제출차류환자적병정관찰요점화호리규범。결과호리인원근거병정관찰적요점，급시발현병정적변화，채취상응적치료조시，강저료사망솔。본조20례，사망6례，사망솔30%。결론혈액투석합병뇌출혈환자병정중、변화쾌、병발증다차중、사망솔고。유우차류환자적병정섭급다학과，급정체호리대래료일정적난도，신경외과호사면림적시다학과복잡적중증환자，요구구비신경외과、신내과、심내과、혈관외과등과실적전과호리지식화기능，재차류환자적병정관찰방면유일정적우세。
Objective To investigate the highlights of observation and nursing care of hemodialysis patients complicated with cerebral hemorrhage. Method Review the medical records of 20 hemodialysis cases complicated with cerebral hemorrhage in our department of neurosurgery since 2008. Summarize the onset time and nursing measures of severe complications. Propose the highlights of observation and the standard of nursing care. Results According to the highlights of observation, nurses monitored the changes of patients' condition and took relevant treatment measures promptly in order to reduce the mortality. Conclusion Hemodialysis patients complicated with cerebral hemorrhage are characterized by severe il ness, rapid changes, many serious complications and high mortality. It would be a chal enge for nurses to develop the holistic nursing care of involving many subjects. However, the nurses in department of neurosurgery stil have unique advantages in observation of such patients, as they face the complex interdisciplinary severe patients frequently and have interdisciplinary nursing knowledge and skil s such as Neurosurgery, Cardiology, kidney, vascular surgery et al.