[1]桂淑珍,杨晓兰,万承贤.脑外科重症患者并发高渗高糖非酮症昏迷的观察及护理分析[J].医学信息,2018,31(01):160-162.[doi:10.3969/j.issn.1006-1959.2018.01.063]
　GUI Shu-zhen,YANG Xiao-lan,WAN Cheng-xian.Observation and Nursing Care of Patients with Severe Brain Surgery Complicated with Hyperosmolar Hyperketose and Nonketotic Coma[J].Journal of Medical Information,2018,31(01):160-162.[doi:10.3969/j.issn.1006-1959.2018.01.063]
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脑外科重症患者并发高渗高糖非酮症昏迷的观察及护理分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年01期
页码:
160-162
栏目:
护理研究
出版日期:
2018-01-01

文章信息/Info

Title:
Observation and Nursing Care of Patients with Severe Brain Surgery Complicated with Hyperosmolar Hyperketose and Nonketotic Coma
文章编号:
1006-1959（2018）01-0160-03
作者:
桂淑珍; 杨晓兰; 万承贤
江西省人民医院脑外科重症监护室，江西南昌330006
Author(s):
GUI Shu-zhen; YANG Xiao-lan; WAN Cheng-xian
Department of Cerebral Surgery,Intensive Care Unit,Jiangxi Provincial People's Hospital,Nanchang 330006,Jiangxi,China
关键词:
脑外科重症; 高渗高糖非酮症昏迷; 急救护理
Keywords:
Key words：Severe department of cerebral surgery; Hyperosmolar hyperglycemic nonketotic coma; Emergency nursing
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2018.01.063
文献标志码:
A
摘要:
目的探讨脑外科重症并发高渗性高血糖非酮症昏迷护理方法遥方法动态观察病情变化及急救护理，早期发现早治 疗，及时采用输液和胃管补液相结合治疗，控制血糖及感染和治疗并发症遥结果采取上述治疗及护理后, 11 例患者中有7例患 者在第10~18 d高血糖高渗状态得到纠正,继续以上治疗方案最终各项指标均正常，治愈出院曰2 例放弃治疗自动出院曰2 例肺 部感染合并多器官衰竭死亡遥结论早期发现及时治疗，积极治疗原发病和并发症，得到及时有效的救治和护理，是提高抢救成 功率的关键遥
Abstract:
Abstract：Objective To investigate the non -ketotic coma nursing of hypertensive hyperglycemia in patients with severe brain surgery.Methods The changes of the disease and emergency nursing were observed dynamically.Early detection and early treatment were found.The combination of infusion and gastric tube rehydration was used in time to control blood sugar,infection and treatment of complications.Results After taking the above treatment and nursing care, 7 out of 11 patients were corrected in hyperglycemia state on the 10th to 18th d.All the above indexes were normal after the above treatment and were cured and discharged; 2 patients gave up the treatment and discharged automatically;2 cases of pulmonary infection with multiple organ failure died.Conclusion Early detection and timely treatment,active treatment of primary disease and complications.Timely and effective treatment and nursing is the key to improve the success rate.

参考文献/References:

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更新日期/Last Update: 2018-01-22