Title: ???????? Nursing: acute abdomen
1 ??????????
( Increased intracranial pressure nursing)
2????
- ??
- ????????????????????
- ??
- ???????????????????
- ??
- ????????????
- ?????????????????
3? ? (Emphasis)
1????????????????????????????????????
2?????????????
4? ? (Difficulty)
-
- 1?????????
- Â
- 2????????????????
- 3??????????????
5???????
- ???????????????????
- ???????????????,????
- ?????200mmH2O,????? ??? ?
- ????????????
- ?
- ?
6 ( Intracranial pressure ICP)
?????????????????
??????
??
7 ??????
????? ??0.72.0kPa(70 200mmH2O)
??0.51.0kPa(50100mmH2O)
8????????
- ?????(cranial cavity matter)
?????????? ????80??(11501350ml) ????10(150ml) ?
??211 ???? 14001500ml,??????? ???,???????????
10
11
80
9???????????
- ??????????????,????????????? ???????
- ?????????????????????
- ?ICP???????????????? ? ???
?????? ???icp??
???? ?? ??
?ICP???????? ? ????
?????? ?icp??
10???????????
???? ????????,???????10,??????????????????
?? ? ????????????(???????),???????????,?????????
????
11????/??????)
? ? ?
(mmHg)
???? (ml)
12???????????
- ?????????
- ????????
- ????????????
- ?????
- ?????????????
- ????????9.312kPa(7090mmHg)?
- ???????????,?????????????
13????????
- ???????????????
-
- ?????
-
- ?????
-
- ??????
-
14????????
??????? ?
?????
?????
15??????????
???????????????
???????? ????????????????
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??????
16 ????
- ?? ?????
- ??????????,??????????????????????????,?????
???????????????????????????????,?????????????? -
17 ????
- ??
- ???,??????,?????
- ??????????
- ??????? ?
- ????
- ??????????
18 ????
? ?
?
? ?
?
?
???????
19 ????
- ????
- ????????? ,??????,????
- ?????????,????????????
- ?????????(1 ?2 ?)
- ???,????????,?????,?60?/?,???
-
- ??????? ????????????
20ICP????????????????
21????
- ??X?
- cT?MRI
- ??????????????
- ????
22 ??
- ???
- ??,??????????
- ??(CT?MRI?DSA?X????)
23????
????????????????
24????
- ?????
- ????(?????)
- ???? ?????
- ??? ???????
- ??????
-
- ??????
25 ????
- ????
- ?????????(?? ??? ??)
26 ????
- ??
- ????????(????????????)
- ????(??????????)
- ?????????
- ??
- ????????????
- ????????????????????,??????????
-
27???????/??
- ???????
- ????????
- ??
- ?????? ??
28????
- ???? / ??,?????
- ???????
- ???????? ????? ????????
- ????????????????????
29????(?)
1???????, ????????? ????? ??? ????15-30?
??????? ?,????? ??? ?????,?
?????, ?? ????
30???? (?)
????? ???? ?????????
??????? ?,?? ?? (24?????2000ml ,
??600ml )
??????? ????? ? ??????
31???? (?)
?????? ?????? ??? ?????????? ?
??????? (????????) ???????? ??? ??????
??????????,?????? ?????,???????? ??????
32 ???? (?) (3)????
??????? ????????20???125-250ml
????????1020mg ?????????????
???????????????,?? ????
,??????????????,??????1500-2000ml/??
??????????? ?????
33???? (?)
(3)????
??????? ?? ????510mg
?????100mg ????????
???????? ???????????? ??
34 ???? (?)
?????????
PaO2 90100mmHg PaCO2 2530mmHg
35???? (?)
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???? ????? ???????
??????
????? ?????????
???????? ?????????????
36???? (?)
?????????
- ???? ??????????????
- ??????????
37???? (?)
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?????
- ?????
- ??????????
- ????????????
- ??????
- ?????????
- ??????????
- ????????
- ??????
- ????
38???? (?)
?????????
- ???????????1????
- ???????3234?,??3133??
- ???????,????????
- ????????? ??? ????????????,??gt100?/?,????,??lt100m
mHg,??????????? - ???
- ?????? ????? ??? ?? ???
39???? (?)
- ????????
- ????????
- ???????,?
- ?????????
- ????????
????
40???? (?)
- ????????
- ?????????45cm??34cm
- ????????
- ????????????????????????,???????
- ???????????????????
????????,??????????????
41???? (?)
- ????????
- ????????
- ? ???????,???????,???
- ????,??????????
42???????(6)
- ? ??????
- ???? ????
- ??????1015cm?
- ????????,
- ?????????
- ? ???????
- ?????lt500ml
- ??????????
-
43???????(6)
- ???????
- ?????????????,
- ???????????
-
44???????(6)
???????
- ???????
- ????
- ??????
- ???????????
- ????????? ????
- ?????????????
45???????(6)
- ? ??????
- ????????
- (?)?????120150mmH2O
- ???????????
- ????????
- ????????????
- (?)?? ?? ?? ?? ??
46???????(6)
???????? ??????????
??X???????????? ????????,???????
? ????,???????????? ?????????
??????????
47???????(6)
- ????????
-
-
- ????????????????????
-
-
-
48???????(6)
- ? ??????????
- ?????????,??????????
- ? ??????????????????,?????????3-4?,???5-7??
49???????(6)
- ?????????
- ???????????????
- ??1-2????????,???????
- ?????????????,????????
- ???????????????????
50???????(6)
???????????????
??????????? ?????????
????????????? ???????????
???????? ??? ????????
???????
??????????
51???? (?)
- ?????????
- ????????????????
- 24???????
52???? (?)
53???? (?)
Glasgow?????
54???? (?)
55????
- ???? ???? ?????
- ???? ?????? ?????
- ?????? ????????????
56? ? ? ?
- (anxious cerebral-hernia)
????
???????????????,????????????,???????????
??, ?????????????????,?????????????
57 ????
(anxious cerebral-hernia)
?????
?
? ? ?
????
58?????????????
59????????????
60??
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61? ?
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- ?????????????
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62???????
- ?????????????
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63???????
64????
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65 ????
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66????
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- ????????????????????,?????????????
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67 ? ? ? ??
- ???????????????
- 1.????????????
- 2.???????????????
- ???????
- ??????
- ???
- ?
68??????/??
69???????
- 1? ?????? ???,?????,???????
- 2? ?????????????,?????
- 3????????????????????,????????????
- 4? ??????????,??????????????????
- 5???? ?????????
70Thank you !