颅内血肿微创清除术治疗急性脑出血的护理体会

Experiences of Nursing the Patients with Acute Intracerebral Hemorrhage after the Operation of Removal of Intracranial Hematoma

目的:探讨颅内血肿微创清除术治疗急性脑出血的护理经验。方法:对108例高血压脑出血患者,根据CT确定血肿中心的颅表定位,使用YL-I型颅内血肿粉碎穿刺针进行颅内血肿微创清除术。并给予相应的术前、术中、术后护理。结果:经治疗及精心护理,本组108例中恢复良好57例占52.78%,好转26例占24.07%,无好转15例占13.89%,死亡10例占9.26%。结论:颅内血肿微创清除术是治疗急性高血压脑出血的有效方法。重视术前准备,加强术后生命体征的监测,做好引流管的护理,及时降颅压减轻脑水肿,保持呼吸道通畅,早期给予营养支持和康复护理,是该病的护理重点,也是降低死亡率的有效措施。

Objective：To investigate the nursing experiences of minimally invasive removal of intracranial hematoma in the treatment of acute intracerebral hemorrhage.Methods：108 cases of patients with hypertensive cerebral hemorrhage were in research,locating the surface of cranial hematoma center.Smash the intracranial hematoma by LY-I type of intracranial hematoma puncture needle and give the appropriate preoperative,operative and postoperative care.Results：Through careful nursing,57 in 108 cases receive good recovery, accounting for 52. 78%. 26 cases get improved, accounting for 24.07^ while 15 cases don＇t get any improvement, accounting for 13. 89%. There are ten death cases, accounting for 9.26%. Conclusion： Minimally invasive removal of intracranial hematoma is the effective treatment of acute hypertensive cerebral hemorrhage. We should emphasize preoperative preparation, strengthening the monitoring of postoperative vital signs, drainage tube care, lowering intracranial pressure in time to alleviate brain edema and maintain the airway. Earlier nutritional support and rehabilitation care are of great importance on this disease, and this method also reduces the death rate.