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去大脑强直是疾病危重的重要标志,是脑干损伤的一个重要体征。主要是由于中脑及脑桥上部由破坏性或压迫性病变,如:脑干外伤、重度脑外伤、颅内出血或脑组织水肿所致小脑幕裂孔疝压迫脑干~([1])。也可发生于代谢性的疾病,如:低血糖、中毒或缺氧。典型病例出现颈后仰,四肢过伸,呈角弓反张状态。这种病人神志不清,四肢不能动,生活完全不能自理,如护理不当,非常容易出现褥疮、腹部感染等并发症~([2]),从而加重病情,影响预后。因此,加强护理,特别是体位及皮肤的护理是非常重要的。
Going to the brain is an important indicator of critical illness and is an important sign of brain stem damage. Mainly due to the destruction of the upper brain and pons and palsy by destructive or oppressive lesions, such as: brainstem injury, severe traumatic brain injury, intracranial hemorrhage or brain tissue edema induced cerebellar crack hernia to suppress brain stem ~ ([1]). May also occur in metabolic diseases, such as: hypoglycemia, poisoning or hypoxia. Typical cases of cervical backwards, extremities, angular bow was anti-Zhang state. Such patients unconsciousness, limbs can not move, life can not take care of themselves, such as improper care, prone to bed sores, abdominal infections and other complications ~ ([2]), thus aggravating the condition, affecting the prognosis. Therefore, it is very important to strengthen nursing care, especially body posture and skin care.