10例重型颅脑损伤亚低温治疗的护理体会

Nursing of 10 Cases with Severe Head Injury by Mild Hypothermia Trearment

亚低温治疗能降低脑组织氧耗量,减少脑组织乳酸堆积;保护血脑屏障,减少脑水肿;促进脑细胞结构和功能修复;以达到保护脑组织的目的。我院从1997年8月至11月对十例重型颅脑损伤病人行亚低温治疗。通过冰毯机、冬眠肌松剂及降低环境温度,三种方法联合应用,使病人体温降到28℃-35℃。由于行亚低温治疗的病人用呼吸机维持呼吸,用冰毯机降温,同时行脑温、脑氧的监测,所以护理好病人、预防并发症的发生是十分重要的。

Brain tissue is protected by mild hypothermia treatment which may reduce cerebral oxygen consumption and lactic acid, protect BBB, abate brain edema and advance repairment of structure and function of brain cells. In 1997 from August to November, 10 patients with severe head injury were treated by mild hypothermia. The temperature of patients was reduced to 28 -35℃ by using water - circulating blanket, artificial hibernation, neuromuscular relaxant and falling of environment temperature, at the same time we used artificial assistant respiration to maintain respiration of patients and supervised brain temperature and cerebral oxygenation. So it is very important to nurse the sick well and prevent complication.