外伤性蛛网膜下腔出血伴颅内动脉瘤12例的临床护理体会

Clinical nursing experience on 12 patients with traumatic subarachnoid hemorrhage of intracranial aneurysms

外伤性蛛网膜下腔出血(SAH)病人伴有颅内动脉瘤增加了该病的危险系数,死亡率增高。当发生SAH后,颅内压力增高,脑血管痉挛,脑代谢障碍等情况易诱发脑内动脉瘤破裂出血,一旦发生破裂,血液直接进入颅底脑池的蛛网膜下腔,使颅内压进一步增高,脑疝形成,脑干受压,造成病员中枢性呼吸衰竭,引发死亡。

Patients with traumatic SAH and cerebral aneurysms are under higher risk and higher mortality rate.ln the condition of SAH,the increased intracranial pressure,cerebral vasospasm and cerebral metabolic disorders will easily induce the breaking of A tumor, of which the blood will directly enter the subarachnoid hemorrhage of cistern in the skull base to increase the intracranial pressure.As a result, the hernia will form and compress the brain stem,causing death by central respiratory failure.