《中国康复理论与实践》

• 康复护理 • 上一篇    下一篇

重型脑外伤并发颅内感染的护理①

廖利萍1,高英1,徐磊1,陈颖2,崔高宇3   

  1. 1.重庆市急救医疗中心,重庆市400014;2.第三军医大学大坪医院,重庆市400042;3.第三军医大学西南医院,重庆市400038。
  • 出版日期:2016-03-25 发布日期:2016-06-01

Nursing for Severe Traumatic Brain Injury Complicated with Intracranial Infection

LIAO Li-ping1, GAO Ying1, XU Lei1, CHEN Ying2, CUI Gao-yu3   

  1. 1. Department of Neurosurgery, Chongqing Emergency Medical Center, Chongqing 400014, China; 2. Department of Neurosurgery, Daping Hospital, Third Military Medical University, Chongqing 400042, China; 3. Department of Neurosurgery, Southwest Hospital, Third Military Medical University, Chongqing 400038, China
  • Published:2016-03-25 Online:2016-06-01

摘要: 目的探讨重型脑外伤并发颅内感染患者有针对性的护理措施。方法回顾2009 年1 月~2011 年12 月收治的35 例重型脑外伤并发颅内感染患者的临床资料。结果痊愈10 例,有效12 例,好转4 例,无效5 例,死亡4 例,总显效率62.86%,病死率11.43%。结论护理人员在治疗上积极配合医生静脉及鞘内注射抗菌药物,同时采取有针对性的护理措施,能够有效地控制颅内感染,改善预后。

关键词: 重型脑外伤, 颅内感染, 颅内压, 功能训练, 护理

Abstract: Objective To explore the targeted nursing care for patients with severe traumatic brain injury complicated with intracranial infection. Methods 35 patients of severe traumatic brain injury complicated with intracranial infection from January, 2009 to December, 2011 were reviewed. Results There were 10 cases cured, 12 cases improved very well, 4 cases improved, 5 cases invalid and 4 cases died. The total effective rate was 62.86% and the fatality rate was 11.43%. Conclusion Intracranial infection can be controlled effectively by the venous and intrathecal injection of antibiotics and targeted care in the patients with severe traumatic brain injury.

Key words: severe traumatic brain injury, intracranial infection, intracranial pressure, functional exercise, nursing