脑出血个案护理查房We have many PowerPoint templates that has been specifically designed to help anyone that is stepping into the world of PowerPoint for the very first time.Intelligent medical treatment汇报:xxx目录01概述print the presentation and make it into a wider field02护理评估print the presentation and make it into a wider field03护理诊断print the presentation and make it into a wider field04护理措施print the presentation and make it into a wider fieldPART 01We have many PowerPoint templates that has been specifically designed to help anyone that is stepping into the world of PowerPoint for the very first time.概 述脑出血(cerebral heamorrhage) 是指非外伤性脑实质内出血, 常形成大小不等的脑内血肿, 有时穿破脑实质形成继发性脑室内及( 或) 蛛网膜下腔积血.脑出血发生于大脑半球者占80% ,在脑干或小脑者约占20% 。脑出血好发部位多在基底节、内囊和丘脑附近。脑出血的致残率和病死率均较高,脑疝形成是导致病人死亡的主要原因。护理概述临床表现:突然头痛、头晕、恶心、呕吐,偏瘫,失语,意识障碍,大小便失禁等。诱因:排除外伤性脑出血, 其中高血压是最常见的诱因,寒冷, 炎热季节或乍冷乍热, 气候变化剧烈之季多发, 暴怒兴奋, 重体力劳作也是其主要诱因。护理概述PART 02We have many PowerPoint templates that has been specifically designed to help anyone that is stepping into the world of PowerPoint for the very first time.护理评估无诱因下出现头晕,口齿不清,半右侧肢体乏力,呕吐胃内容物一次,无大小便失禁,无抽搐,无神志改变既往有高血压病史20 余年,未遵医嘱服用降压药,喜欢食用腌制的咸菜类食品。护理评估入抢救室治疗,患者神志清,精神萎,双侧瞳孔等大等圆直径约1.5mm ,对光反射存在,右上肢肌力3 级,右下肢肌力3 级,脑膜刺激征呈阳性。Bp220/130mmHg ,HR80次/分,SPO2100%, 血常规白细胞8.2*109/L, 血红蛋白139g/L, 血小板194*109/L ,电解质K:3.88mmoL/L, 凝血功能凝血酶原时间13.4s ,凝血酶时间28.6s,血糖6.6 mmoL/L 。头颅CT 示左侧基底节区脑出血复查头颅CT 结果示出血量没有增加...