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The Nursing Care of 78 Patients of Cerebral Stroke Complicated with Fever

Chinese Journal of General Practice(2013)

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Abstract
Objective To explore the causes and features of the fever post stroke and during hospitalization;to prevent or lessen the occurrence of fever by nursing strategy.Methods The 78 patients with fever were divided into four kinds,namely attracts,the main center heat,the dehydrated heat,the infection heat endothermically according to their own characterisics,they were given proper early nursing interventions including: ① closes observation;② physical examination;③ strictly keep the key points.Results The idea had attracted the endothermic 5 examples,the main center hot 12 examples,dehydrates the hot 3 examples,infects the hot 54 examples,unclear reason 4 examples.The rate of occurrence of fever post stroke was greatly reduced,only 25% and much lower than that reported(60%-80%) in The Second National Meeting on Therapeutic Progress of Neurologic Disease.Conclusion Attracts endothermically may alleviate voluntarily,most for cerebral hemorrhage patient.After the main center heat and the hemorrhage the hydro-cephalus,caused hypothalamus the thermotaxic center to receive giving off heat which the harm causes.Dehydrates the heat and the application massive dehydrator diuresis caused the brain organization serious dehydration,the brain cell and the thermotaxic center damage caused giving off heat to be most common this group of 54 examples obviously to decrease the proportion through the early nursing intervention which gave off heat.
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Key words
cerebral stroke complicated,nursing care,patients
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