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脑出血病人昏迷时间长,不能进食。大片状脑梗塞及多发性脑梗塞患者也可出现不同程度的意识障碍,可并发延髓麻痹,造成病人吞咽困难、吃食呛咳,长期不能进食,如何搞好肠内外营养问题日显突出。营养支持跟不上去,病人很快消瘦,抵抗力下降,肺部感染,褥疮及尿路感染等并发症接踵而来,给病人日后康复造成极大困难。我科从1994年以来收治31例长期不能进食的脑出血、脑干出血、脑梗塞等病人,除了在急性期给相应的降颅压、降血压、改善微循环及神经营养药物治疗外,辅助以静脉营养疗法和鼻饲加强营养,收到较好效果。
Patients with cerebral hemorrhage coma for a long time, can not eat. Large-scale cerebral infarction and multiple cerebral infarction patients may also have varying degrees of disturbance of consciousness, may be complicated by bulbar palsy, resulting in patients with dysphagia, eating cough, long-term can not eat, how to improve the internal and external nutrition day problems prominent. Nutritional support can not keep up, the patient quickly lost weight, decreased immunity, lung infections, bedsores and urinary tract infections and other complications ensued one after another, causing great difficulties to the patient’s recovery in the future. Since 1994, our department has treated 31 patients with long-term intracerebral hemorrhage, brain stem hemorrhage, cerebral infarction and other patients since 1994, in addition to the corresponding intracranial pressure, blood pressure, improve microcirculation and neurotrophic drug therapy in the acute phase, the auxiliary To intravenous nutrition therapy and nasal feeding to enhance nutrition, received good results.