60例高血压脑出血患者的院前护理

目的：探讨高压脑出血的紧急救护及手术前护理相关问题.方法：对我院60例外科高压脑出血的紧急救护和术前护理做阐述,患者2006-2009年收治,先经CT扫查判断治疗方式,给予绝对安静的卧床休息,减少不必要的移动;以甘露醇125ml（20%）静脉注射来控制颅压和脑水肿,高血压患者给予相关治疗,控制为150mmHg/170mmHg（1 mmHg=0.133 kPa）收缩压,90mmHg/100mmHg舒张压;入院时具有躁动和抽出的患者必须给予镇定治疗,确保脑部缺血、缺氧无进一步恶化;冰枕置患者头部角度控制在15°-30°,准备冰袋置于两侧颈动脉确保血流量减缓;建立吸氧通道,减少大脑缺氧进一步恶化;注意观察患者生命体征变化和大小便状况;根据患者自身情况手术治疗做相关准备.结果：通过相关紧急护理和手术前相关措施患者术后存活33例,死亡9例,另有18例患者放弃治疗出院.结论：重视患者入院时就紧急护理和术前的准备可有效提高患者的手术存活率与治愈率,对患者获得良好的预后具有重要意义在临床治疗前应引起高度重视.

To discuss the hemorrhage surgical treatment of emergency and preoperative nursing experience, method： 60 cases of surgical treatment were retrospectively summarized the hemorrhage of preoperative nursing measures emergency, result：according to the result of head CT examination, cerebral hemorrhage and positions of the bleeding, clinical manifestations and patient age, the choice was clear art and minimally invasive treatment hematoma, and strengthen the emergency and preoperative nursing. Live 33 cases, death abandoning therapy in 9 cases, 18 cases. Importance of intracerebral hemorrhage, conclusion early emergency care and close observation of the illness change, do it well quickly can improve preoperative preparation, hemorrhage and patient surial rates and reduce mortality and morbidity.