34例重症脑出血患者的临床观察及护理

The Clinical Observation and Neurology for 34 Patients with Severe Cerebral Hemorrhage

目的总结34例脑出血患者的临床护理要点。方法回顾分析2010年1～12月份本院34例脑出血患者的临床资料,并总结护理经验。结果 34例中有15例脑出血患者康复后神志清醒,左侧肢体乏力可持物行走,部分生活护理可自理;5例神志浅昏迷、失语、四肢肢体偏瘫;7例神志清,言语含糊,一侧肢体偏瘫;4例植物生存,3例死亡。结论脑出血患者病情危重,病程长,加强对患者的观察和护理可以有效提高患者肢体、语言、认知功能等方面的能力,对于降低患者致残率和死亡率起着重要作用。

Objective To summarize the main nursing points for 34 patients with cerebral hemorrhage. Methods The clinical data of 34 patients with cerebral hemorrhage during Jan to Dec 2010 in our hospital were retrospectively analyzed and the nursing experience were summarized. Results With left limbs acratia but could walk by stick, 14 patients were sober and self-care. 5 patients were hemiplegic, aphasia and in a light coma. With words indistinct and one side of limb hemiplegic,7 patients were sober. 4 patients were in a vetetative state and 3 patients were dead. Conclusion The severe cerebral hemorrhage runs a long course. Strict observation and nursing help can improve their activities at limbs, language, cognition as well. It can also play a important role to reduce the disability and mortality.