Patients positive for syphilis antibodies Nursing -

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Surgical care in patients with syphilis antibody positive experience

illanceprogramme 【JJ. Lancet, 2007,369 (9556) :132-1382 Zhao Dynasty. 【M】 Clinical Dermatology. Nanjing: Jiangsu Science and Technology Press. 2001,513-514 About the author: Xiao Qiao Xian, female, 36 years old, college education, graduated from the Guangzhou Medical College, charge nurse. (Received 13: 2008 a lo-14) observed in patients with acute cerebral hemorrhage and nursing Yanjie Fang Wang Ruifeng Wang Lili (Linxian People's Hospital, Linxian County, Shanxi 0332oo) 【Abstract】 Objective To summarize the condition of acute cerebral hemorrhage observation and nursing experience. Method of close observation of the condition of patients with acute cerebral hemorrhage changes, to carry out dietary, psychological, and other specialist care,[link widoczny dla zalogowanych], to maintain stable blood pressure, body and skin protection, strengthen the body functional exercise. Results Of the 78 patients,[link widoczny dla zalogowanych], 62 cases basically recovered, 3 died. Conclusion Patients with acute cerebral hemorrhage, through scientific observation and nursing care and effective disease can improve efficacy, reduce the killing rate, reduce disability. Key words cerebral hemorrhage cerebral hemorrhage disease observation care is a common disease, the incidence of cerebrovascular accidents accounted for 10% 17%, with a sudden onset, rapid evolution of consciousness, limb paralysis, aphasia and other characteristics, is dead and morbidity rates are high of a cerebral vascular disease, cerebral hemorrhage in the acute phase of illness and care are properly observed, the maintenance of life and prognosis of patients have a major impact 【I】. * Department of Neurology,[link widoczny dla zalogowanych], now in our hospital on June 1, 2006 June 2008 78 patients with cerebral hemorrhage observed in patients with acute illness and nursing as a summary. The clinical data of 1 were 78 patients in this group of patients, 56 males and 22 females; age of 40 years to 77 years, mean age 57.3 years, 40 years old 60 years old 63 cases, accounting for 80.8%, 60 years old 15 cases, accounting for 19.2%. The patients were diagnosed by brain CT, which improved after conservative treatment of 62 cases were discharged; 12 cases due to an increase in the amount of bleeding into the surgical treatment of Neurosurgery; 3 patients died due to excessive hematoma; 1 patient discharged. Awareness of the disease observed 2.1 2 observation of consciousness is the most prominent acute cerebral hemorrhage symptoms, state of consciousness is to determine the efficacy and prognosis of the main indications. Almost 80% -90% of patients with cerebral hemorrhage have different levels of consciousness, manifested as confusion, sleepiness,[link widoczny dla zalogowanych], lethargy and coma. Prompted increased awareness of barriers to the increased amount of bleeding or the occurrence of cerebral hernia, reduce the sense of disorder is an important indicator of improvement condition [21. 2.2 pupil pupil observed changes observed must be continuously observed repeatedly compared pupil changes in size and light reflex directly reflect changes in intracranial disease. If the pupil dilated after first shrinking, bleeding should be considered; if the sexual side of the dilated pupil, light reflex sluggish, compared with the symptoms of hernia; if bilateral miosis, showing needle-like change, you should consider the brain stem out 』0l. 2.3 The temperature, pulse, respiration, blood pressure, body temperature fluctuations observed 2.3.1 is increased in patients with signs of illness, but also indicates complications. Body temperature may not only increase the bleeding, but also increase the incidence of cerebral edema caused herniation, while the increase of temperature accelerated nerve cell metabolism, promotes cell death. Cerebral hemorrhage, especially in the thalamus hemorrhage or bleeding broken into ventricles, accompanied with high fever, and most of central heat. 2.3.2 pulse, breathing pulse and breathing is the key to sustaining human life,[link widoczny dla zalogowanych], according to the bleeding site on the cardiac and respiratory various different effects. Heavy bleeding on the screen, and cerebellar tonsillar herniation can cause bleeding, leading to cardiac arrest, respiratory arrest; direct damage or compression of brain stem hemorrhage caused respiratory center respiratory rhythm disorders, breathing waves and nods like breathing and even respiratory arrest ; such as the cardiovascular center is caused by fast or slow heart rate, and even cardiac arrest. 2.3.3 Blood Pressure High blood pressure is a major risk factor for cerebral hemorrhage, high blood pressure can cause hematoma expansion is too low, causing insufficient blood supply to the brain, brain tissue hypoxia, cerebral edema increased. Therefore, changes in blood pressure should be monitored closely, the blood pressure control at an appropriate level. 3 3.1 General nursing care of patients with acute cerebral hemorrhage required absolute bed rest, against moving to ensure a quiet environment. Comatose patients should be regularly turn over call-back, clear 1:3 cavity secretions, El cavity and respiratory tract intubation, covers damp cotton. Mydriasis and eyelid closure insufficiency should be dark and covered gauze. Hyperthermia were given blankets and ice caps ice physical cooling. 3.2 diet nursing this group of patients accompanied with chewing or swallowing difficulties, eating, water should be slowly, to prevent choking, if necessary, line of nasal feeding, food should be high-calorie, high-protein 210, Medical Forum 2009, Volume 13 3 HEAD month

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