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辽宁中医药大学附属医院 重症康复科, 辽宁 沈阳, 110031
网络出版日期:2022-11-18,
收稿日期:2022-10-31,
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陈健. 亚低温脑保护治疗1例重症高血压脑出血患者的护理体会[DB/OL].中西医结合临床案例库, 2022.
Jian CHEN. Nursing care of a patient with severe hypertensive intracerebral hemorrhage treated with mild therapeutic hypothermia[DB/OL].Clinical Archives of Integrative Medicine, 2022.
陈健. 亚低温脑保护治疗1例重症高血压脑出血患者的护理体会[DB/OL].中西医结合临床案例库, 2022. DOI: 10.12209/CAIM202210310101.
Jian CHEN. Nursing care of a patient with severe hypertensive intracerebral hemorrhage treated with mild therapeutic hypothermia[DB/OL].Clinical Archives of Integrative Medicine, 2022. DOI: 10.12209/CAIM202210310101.
本文报告1例亚低温治疗辅助治疗重症高血压脑出血患者的护理体会。护理要点:细致全面的护理评估;严密的颅内压变化观察;血流动力学监测下冰盐水诱导联合冬眠合剂快速降温;合理使用预防肌颤药物防治寒战;落实集束化VAP预防措施,做好机械通气的护理;肠道营养的护理及早期康复护理。
A case of severe hypertensive intracerebral hemorrhage treated with mild therapeutic hypothermia was reported. Key points of nursing: Careful and comprehensive nursing evaluation; Close observation of intracranial pressure changes; Rapid cooling induced by ice saline under hemodynamic monitoring; Rational use of drugs to prevent muscle fibrillation to prevent shivering; Implement the cluster VAP prevention package and do a good job in the nursing of mechanical ventilation; Nursing of intestinal nutrition and early rehabilitation nursing.
颅脑创伤亚低温脑保护机械通气
craniocerebral injurymild therapeutic hypothermiabrain protectionmechanical ventilation
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