小儿结核性脑膜炎昏迷期护理体会及观察
Medical Innovation of China(2010)
Abstract
总结结核性脑膜炎昏迷期的护理经验,结核性脑膜炎患儿易出现昏迷,同时因颅内压增高并发脑疝。应密切观察神志、瞳孔、生命体征变化。对兴奋性高的患儿给予适量的止惊剂防止惊厥发生,在患儿惊厥时,应平卧,头偏向一侧,保持呼吸道通畅,予以吸氧,同时作好安全护理,同时注意昏迷患儿的观察与护理。本组87例均为昏迷患儿,惊厥和抽搐52例,低钠血症56例,消化道出血6例,吸人性肺炎6例,口腔霉菌感染21例,除3例脑疝患儿家属放弃治疗,自动出院外,其余经过积极治疗和护理均好转出院。
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