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目的总结小儿重型颅脑损伤的护理经验,提高护理质量。方法回顾性分析我院2013年12月至2014年12月收治的65例重型颅脑损伤患儿(GCS≤8分)的临床救治、护理过程及临床转归,总结病情观察、常规重症护理、及心理支持等。结果 65例患儿通过全面的护理,痊愈41例(63.0%);预后不良19例(29.2%):中残11例(16.9%),重残8例(12.3%);植物状态生存2例(3.0%);死亡3例(4.6%),其中有2例(3.0%)为家属放弃治疗者。结论小儿重型颅脑损伤患儿急性期应配合医生对患儿展开迅速有序的抢救措施;对其实施全面、细致的整体护理能有效的降低并发症的发生率,提高患者的治愈率及生活质量;加强与患儿家属的沟通并给予针对性的心理护理,能够有效建立相互信任的良好护患关系,使其积极主动的配合治疗和护理。
Objective To summarize the nursing experience of children with severe craniocerebral injury and to improve the nursing quality. Methods The clinical data of 65 children with severe craniocerebral injury (GCS≤8) admitted from December 2013 to December 2014 in our hospital were analyzed retrospectively. The clinical course, clinical course and clinical outcome of 65 patients with severe craniocerebral injury were retrospectively analyzed. The general condition, routine intensive care, And psychological support. Results Sixty-five children (63.0%) were cured through comprehensive nursing care. Nineteen (29.2%) had poor prognosis: 11 (16.9%) had severe disability and 8 (12.3%) had severe disability. Two (3.0%), 3 deaths (4.6%), and 2 of them (3.0%) gave up treatment to their families. Conclusion Children with severe craniocerebral injury in acute stage should cooperate with the doctor to carry out rapid and orderly rescue measures for children; to implement a comprehensive and meticulous overall care can effectively reduce the incidence of complications and improve the cure rate and life of patients Quality; strengthen communication with the families of children and give targeted psychological care, can effectively establish a good mutual trust relationship between nurses and patients, so that it actively cooperate with the treatment and care.