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Severe head injury patients with nerve high fever prevention of pressure sores


0-1000ml or so,[link widoczny dla zalogowanych], the temperature is 10% ~ 15 ℃ to 40-6o drops per minute rate, 10 ~ 12min after the temperature at 37.3 ~ C ~ 38 ℃ between. 2 results of observations A,[link widoczny dla zalogowanych], B,[link widoczny dla zalogowanych], C three groups of patients with pressure sores and the skin turn over time in Table 1. Table 1 The occurrence of three groups of patients with pressure ulcers and skin Phi stand for 3 Discussion 3.1 Since 1994 the Square pillow liner approach greatly reduces the introduction of cost but also reduce the nursing staff of nurses psychological pressure, it is important for patients a safe and comfortable. 3.2 Skin and body temperature is closely related to pressure ulcers, according to coma patients reported pressure ulcers occurred in 20h is unavoidable. The average pressure sores of skin temperature> 38.5 ~ C up to 40 ℃,[link widoczny dla zalogowanych], pressure sores did not occur by skin temperature average <37.5qC highest 37.6 ℃ [31. Therefore, effective control of skin temperature is the key to pressure sores is also a severe brain injury reduces cerebral oxygen protection of critical brain cells. 3.3 in patients with severe traumatic brain injury need to use sedatives to reduce the risk of increased intracranial pressure, apparently turning over inappropriate intracranial pressure is not conducive to stability. The results show that this group of cases one square pillow to help patients turn over in patients with severe head injury an effective stand on vital signs and no effect on intracranial pressure, loss of consciousness after neurosurgical patients skin pressure ulcer is difficult to control. Not in favor of foreign nursing massage of pressure areas, the research shows that massage does not help prevent bedsores J. Red due to soft tissue is a normal response to pressure to lift the pressure generally 30 ~ 40min after the fade, does not affect the pressure sores, no massage, such as persistent redness indicates that the soft tissue injury. Autopsy proved that the organization who display aggression by massage and transgender percent, without massage without tearing. The patients in the two groups were emancipated after the AB without skin massage, skin pressure ulcers has not occurred. C group of patients were emancipated after skin massage, skin pressure ulcers occurred in 1 case, although the degree of skin pressure sore I also fully explain the skin massage is ineffective, and only reduce the pressure on the skin time to effectively control the pressure sore. Mechanical ventilation after cardiac surgery observation Chun-Yan Li lO January 2006 to December 2007, a total of 151 cases of cardiac surgery. Of which 146 cases of postoperative mechanical ventilation, mechanical ventilation now observed experience are summarized below. 1, 146 patients with clinical data of patients, the average time with a machine 5h, the shortest time with the machine asked 1h, most of the unit: 136000 Central Hospital of Jilin Siping skin pressure sores in recent years has been 3.4 as medical malpractice, the emergence of pressure ulcers pain not only to patients but also to bring all levels of the hospital, and personal loss, it is focused on strengthening basic levels of hospital care, the focus shift to establish stand up cards, the implementation of pressure ulcer reporting system, easy to care management, once pressure sores of skin, the parties shall be subject to appropriate penalties, severe to bear the corresponding legal responsibility, in order to promote the skin of each nurse attaches great importance to the problem of pressure ulcers. Therefore, each nurse on this issue can not be ignored. In summary, the skin pressure sores are bed-ridden patients, especially with severe head injury patients with neurological basis of fever and difficult care issues, in order to pressure sores in patients with the skin or not does not appear to continue to develop, the author adopts a square pillow liner with effective cooling, greatly reduce the incidence of skin pressure ulcer, but also to reduce the intensity of nursing work. This method can also be recommended to other patients bedridden.