护理学报Issue(20)：38-41,4.
动脉瘤性蛛网膜下腔出血患者迟发性缺血性神经功能障碍的临床特点及护理
Clinical Features and Nursing Interventions of Patients with Delayed Ischemic Neurological Dysfunction after Aneurysmal Subarachnoid Hemorrhage
摘要
Abstract
To summed up the clinical features and nursing interventions of 42 patients with delayed ischemic neurological dysfunction (DIND) after aneurysmal subarachnoid hemorrhage (aSAH). The clinical features of DIND included psychological disorders, complicated psychical factors, elevated intracranial pressure, increased blood viscosity, cerebral vasospasm, aneurysmal re-rupture and complications such as central high fever, water electrolyte imbalance and lung infection. To improve clinical efficacy, some distinctive nursing interventions should be implemented. These measures included valuing psychological nursing to prevent the cause of cerebral vasospasm and aneurysmal re-rupture; paying attention to the warning symptoms and controlling patients ’ blood pressure, monitoring closely and analyzing dynamicly the results of intracranial pressure, hematocrit, transcranial Doppler (TCD) and brain CT. The abnormal data should be reported to the doctor at once and precaution and nursing were inevitable for other complications. The clinical efficacy was evaluated by Glasgow Outcome Scale (GOS) and the results were as follow:17 cases had GOS scores 1, 11 had 2, 4 had 3, 2 had 4, 8 had 5 and the mortality was 19%.关键词
颅内动脉瘤/蛛网膜下腔出血/迟发性缺血性神经功能障碍/护理Key words
intracranial aneurysm/subarachnoid hemorrhage/delayed ischemic neurological dysfunction/nursing care分类
医药卫生引用本文复制引用
郭小叶,魏艳,赵书敏,贺慧兰,白岗..动脉瘤性蛛网膜下腔出血患者迟发性缺血性神经功能障碍的临床特点及护理[J].护理学报,2013,(20):38-41,4.基金项目
陕西省“13115”科技创新工程重大科技专项计划资助项目 （）
