英汉双语护理查房

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1、脑梗死病人护理查房(Nursingroundaboutthepatientofcerebralinfarction)护理查房目的（Thepurposeofthisnursinground)1.掌握脑梗死的定义及临床表现Masterthedefinitionandclinicalmanifestationsofcerebralinfarction2.熟悉脑梗死的治疗及护理Befamiliarwiththetreatmentandthenursingcare3.进一步培养护理人员临床思维能力Furthertrainingthecli

2、nicalthinkingabilityofnurse4.加强护患沟通能力，提供更好的服务Strengthenthecommunicationskills,toprovidebetterserviceforthepatients临床资料Theintroductionofthepatient’scondition病情介绍(Casehistoryintroduction)15床，董家田，男性，65岁，因言语不清、饮水呛咳加重4天来诊，门诊以“脑梗死收住院。既往有高血压、糖尿病，脑梗死，冠心病病史。遗留有右上肢持物不能，需扶物行走。B

3、ed15，Dongjiatian,male,65year’sold.Hewasadmittedtoourhospitalbecauseofglossolalia,waterchokingcoughaggravatingfor4days.Pastmedicalhistoryhashypertension,diabetes,coronaryheartdiseaseandothermedicaldisease.Afterthat,hisrightupperlimbcan’tholdandneedhelptowalk.临床资料Physi

4、calexamination查体(PE)T：36.6℃P：74次/分R:18次/分BP:170/106mmhg,神志清，构音障碍，伸舌居中，右上肢近端肌力2级，远端肌力3级，右下肢肌力2级，右侧肢肌张力略高。T：36.6degreecentigradeP：74times／minuteR:18times／minuteBP:170/106mmhg.Oldmale,conciousnes,dysarthria,hisrightupperlimbproximalmusclestrengthislowerthanlevel2,distal

5、level2,rightlowerlimbmusclestrengthislevel3.Themuscletentionisslightlyhigher.肌力分级0没有肉眼可见的肌肉收缩1仅有肉眼可见的肌肉收缩32去除重力情况可看到关节活动54能对抗重力Activemovementagainstgravity能对抗重力和部分阻力Activemovementagainstgravityandsomeresistance肌力正常NormalpowerNocontractionofmusclevisibleFlickerortrace

6、ofcontractionvisibleActivemovementatjoint,withgravityeliminated颅脑CT未见出血。（Nobleeding）颅脑MRI+MRADWI示桥脑高信号。MRA提示多发血管狭窄。（MRIshowedthattherearemanyintracranialvascularstenosis)辅助检查(Auxiliaryexamination)影像学检查(Imagingexamination)诊断(Diagnosis)1.脑梗死(cerebralinfarction)2.糖尿病（Di

7、abetes）3.冠心病（Coronaryheartdisease）4.颈动脉粥样硬化(Carotidarteryatherosclerosis)5.颅内动脉狭窄(Intracranialarterystenosis)6.高血压病(Hypertention)脑梗死的定义(Thedefinition)定义：由于各种原因所致的局部脑组织区域血液供应障碍，导致脑组织缺血缺氧性坏死，进而产生的临床上对应神经功能缺失表现(Astrokeisabraininjurycausedbyanabnormalityofthebloodvessels

8、supplyingthebrain.)2021/9/1810危险因素(Riskfactor)102021/9/18脑梗死临床表现(Clinicalmanifestation)患者临床症状与脑内梗死部位密切相关VTS_01_1(000807755-0008387