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asbryobvrz · Wysłany: Nie 12:20, 20 Mar 2011

Integrative Medicine Irritable Bowel Syndrome with Diarrhea Observation of 37 Cases

And detailed work, and master pages total brain injury emergency care knowledge and skills, is to improve the success rate of the rule to save the key. Key words: Heavy preserved cranial injury emergency care surgical trauma with severe brain injury is the most common and most serious form of injury, mortality as high as 70% to 80% [1]. Common cause of the traffic accident, followed by accidental falls, personal injury and other aspects. It features glass situation critical, complex, more complications and high mortality. Therefore, to do successful treatment of early recovery is the key. Hospital emergency department from 2002 ~ 2005q rescue 90 patients with severe brain injury epilepsy who take targeted measures ~ Series rescue and care, achieve better results. Is the rule of rescue and care for small body follows. 1. Materials and Methods】. 1 The clinical data of 90 patients with traumatic brain injury group, 76 males and 14 females, aged 3 to 65 afternoon. Which closed 63 cases, 27 cases open. All patients were accounted for by head CT plaque diagnosed. 8 of 60 cases of intracranial blood (which combined subdural blood, 9, 12 cases). Na mix laceration in 28 cases, 2 cases of brain stem injury. 35 patients with varying degrees of coma. 7 patients died from first aid, accounting for 7.8%, the survival rate were 92.2% of emergency admissions of 1.2 Methods 1.2.1 do work ashamed patients with severe cranial damage organs, changes quickly, the rapid development of often accompanied by associated injuries, multiple injuries, the treatment of complex, care difficult. The wounded from the emergency department, by the wealth of clinical experience as nurses, reception of high qualification, to fully grasp the patient's body: the state, learn more about the injury situation and the time to thoroughly inspect the availability of associated injuries, to distinguish between primary and secondary, careful observation, for doctors to provide the basis for the differential diagnosis, in which patients receive timely and effective rescue. 1.2.2 Observation of consciousness exist in most brain injury patients with different degrees of consciousness (and reflect the severity of disease) [2】 to understand the brain damage in patients after total state of consciousness and its changes, can guide treatment method of implementation. Through dialogue, calling,[link widoczny dla zalogowanych], giving the right incentives,[link widoczny dla zalogowanych], a variety of reflection to determine the patient's state of consciousness. 1.2.3 Observation of vital signs measurement of respiration in turn, call out stroke, heart rate, and body temperature. Simultaneous ECG and other parameters including vital signs monitoring. Judged according to condition changes of vital signs. 1.2.4 iris observed changes in pupil pages accounted for brain injury has important clinical significance. Bilateral pupil the right to determine the shape, size and light reaction is quick to understand the most direct way of intracranial lesions. Observed changes in the pupil to master the method to detect changes in condition, help to further determine the condition into ~. Usually 1 to 2 hours of observation 1, if necessary, 15 to 30 minutes observation 1, and accurate records, detect changes, immediately notify doctor. 2 first aid and emergency care promptly and effectively, not only the threat can be mitigated in some fatal, and Qi Jin ~ step to create favorable conditions for cure. First aid measures must be rapid, decisive, accurate and effective. And press the Necessary, place the head caps, to reduce the oxygen consumption of brain cells, and placed the catheter and measurement. 2.1 to maintain airway patency and adequate ventilation in the process of oxygen is the most basic first aid, the most important measures. Effective prevention of early brain damage brain ischemia and hypoxia, will help to save the rule of the success of [3J. ~ Then the patient head to IJ,[link widoczny dla zalogowanych], the timely removal of vomit in the mouth to avoid choking. Traumatic brain injury often have different levels of consciousness, loss of normal cough reflex and swallowing function, respiratory secretions can not take the initiative to eliminate the blood, cerebrospinal fluid flows into the respiratory tract may vomit. Therefore, we must export as soon as possible with the suction device suction cavity, nasopharynx and trachea and vomit blood clot, if early tracheostomy breathing obstruction should be easy to clear respiratory secretions, relief of obstruction, increasing the effective gas exchange capacity, improve cerebral hypoxia. Data presented 【4], the patient to the hospital within 5 minutes after the completion of the emergency nurse should clean up the respiratory tract, the task of oxygen or endotracheal intubation, while the situation according to the patient breathing oxygen flow Dong Festival. 2.2 The establishment of effective and timely establishment of intravenous access intravenous access is conducive to accurate, effective,[link widoczny dla zalogowanych], quick to use first-aid medicines. Blood can be ashamed at the same time blood test, cross-matching of blood and blood gas analysis. The patient arrived at the hospital, should race against time,[link widoczny dla zalogowanych], with 14 to 16 rapid intravenous trocar puncture, puncture difficulties, should be cut intravenous catheter. And to prepare for central venous catheter and infusion based on the amount of pressure measurement control, to prevent overloading cycle, increasing brain edema and the occurrence of acute left ventricular failure and so on. Meanwhile, use of intravenous access was built in a root 2006.04MEDICINEWORLD59