100例新生儿颅内出血的观察及护理

The observation and attendance of intracranial hemorrhage of newborn

目的:探讨新生儿颅内出血的病因、临床表现与护理对策,提高新生儿颅内出血的护理水平。方法:随机选择四川省遂宁市中心医院2010年1月1日～2011年12月31日期间新生儿科收治新生儿颅内出血100例,从意识、精神状态、生命体征、前囟、有无惊厥及消化系统等方面进行病情观察,及时发现病情变化,积极采用相应的护理措施。结果:治愈95例(治愈95.00%),死亡3例(病死率3.00%),放弃2例,出院半年后随访治愈的95例患儿,精神、运动、发育、智力正常86例(90.53%),发生后遗症9例(占9.47%),其中继发性癫痫3例,脑瘫6例。结论:新生儿颅内出血是新生儿期常见的一种疾病,病死率、致残率极高,存活者常有神经、运动等系统后遗症。尽早进行产前、产时干预,氧疗、降颅内压、控制惊厥、止血、恢复脑功能、早期康复治疗,加强护理等是提高新生儿颅内出血的治愈率,减少死亡率、致残率的有力措施。

Destination： to probe the etiopathogenisis, clinical situation, nursing strategy of intracranial hemorrhage of newborn; ICH. En-hancement ICH of newborn nursing level. Method： random select 100 ICH of newborn from brepho-department Central hospital of Suining, from January 1, 2010 to December 31, 2011. through consciousness,mental status,vital sign,anterior fontanel,eclampsia or not,and di-gestive system, to observation pathogenetic condition., to discover pathogenetic condition in time, energetic use corresp nursing intervention. Restdt： healing well 95 （healing ratio 95%）, death 3 （case fatality ratio3%）, 2 to give up, devel residual 9 （account 9.47%）,quor secondary epilepsy 3, cerebral palsy 6. Conclusion： intracrardal hemorrhage of newborn is common disease of neonatal period ,case fatality rate and mutilation rate is high, survival often have residual of nervous and locomotor system and so on. Give antepartum , intrapartum intervention as early as possible, oxygen therapy, intracranial pressure, control eclampsia, bematischesis, recover brain function, early rehabilitative inter-vention, intensive nursing,et is powerful measure to increase healing rate of intracranial hemorrhage of newborn and decrease case fatality ratio, mutilation ratio.