结核性脑膜炎护理

1、nursing of tuberculous meningitis 结核性脑膜炎的护理 感染一科 覃芳华 结核性脑膜炎 我国是结核病高发病率国家，结核病 人数位居世界第2位。结核性脑膜炎是 最严重的类型，好发于15岁儿童。没 有抗结核药以前，死亡率100%。 tuberculoustuberculous meningitis meningitis the mobidity of tuberculosis is very high in our country. the number of patients who have tuberculosis stands the second in t

2、he world. tuberculous meningitis is the most serious. it chiefly occurs to children in 1-5 years old. the mortality of tuberculous meningitis is 100% before the found of anti-tuberculosis drugs. 护理诊断 nursing diagnose hyperthermiabecause the infection of mycobacterium tuberculosis。 体温过高-与结核杆菌感染有关: 护理

3、诊断 nursing diagnose altered nutrition：less than body requirements-because of fever ， and the tuberculous meningitis is a wasting diseases。 营养失调（低于机体的需要量）:由于 发热,长期疾病消耗所致. underweight 护理诊断 nursing diagnose risk for impaired skin integrity- with relation to long-term bed, excreta stimulation。 有皮肤完整性受损的

4、危险 与长期卧床 、排泄物刺激有关 护理诊断 nursing diagnose risk for infection-low immunity 有感染的危险：免疫力下降 护理诊断 nursing diagnose anxiety- because of the severe condition and poor prognosis。 焦虑-与病情危重、预后差有关。 护理诊断 nursing diagnose activity intolerance 活动无耐力 护理诊断 nursing diagnose potential complications- high icp 潜在并发症，颅高压 护

5、理措施 nursing intervention we must kept a strict watch over the patient to note the slightest change in her condition。like body temperature, pulse, respiration，blood pressure, state of mind, convulsion, double pupil change。it can help us to discovery encephalic high pressure or brain hernia early ， ar

6、e advantageous take the first-aid measures promptly。 护理措施 nursing intervention 观察体温、脉搏、呼吸、血压、神志 、惊厥、双瞳大小及对光反应情况等 ，早期发现颅内高压或脑疝，便于及 时采取抢救措施 护理措施 nursing intervention the patient should have bedrest, maintains absolutely indoor peaceful, the nursing operation concentrates as far as possible carries on,

7、 reduces to babys stimulation。 护理措施 nursing intervention 患儿应绝对卧床休息，保持室内安静 ，护理操作尽量集中进行，减少对患 儿的刺激 护理措施 nursing intervention use 20% mannitol follow the doctors advice，and right to take her medicine，like rifampin，inh， pza。 护理措施 nursing intervention they put forward such nursing measures as early remova

8、l of the undigested poisons, unobstruction of respiratory tract, right providence with oxygen to protect organs, prevention of complications like multi-organ failure, performance of mental care and discharge instructions 护理措施 nursing intervention 保持呼吸道通畅,正确地给氧,保护脏器 功能; 防止多器官衰竭等并发症的发生 ,做好心理护理及出院指导等护理

9、措施 是抢救成功的关键。 护理措施 nursing intervention take care of skin and mucous membrane, protect from infection. 皮肤和粘膜护理，防止感染。 护理措施 nursing intervention completes diet nursing, maintains the water, the electrolyte appraises babys feed and the nutritional status balanced 。 when she loss of the ability to swallow ， we must use nasal feeding to give nurture. 做好饮食护理，保持水、电解质平衡评估患 儿的进食及营养状况,不能吞咽时鼻饲营养 物保证营养供给。 护理措施 nursing intervention antiseptic and isolation is importan