结核性脑膜炎护理

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1、NursingofTuberculousmeningitis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1~5岁儿童。没有抗结核药以前，死亡率100%。TuberculousmeningitisThemobidityoftuberculosisisveryhighinourcountry.Thenumberofpatientswhohavetuberculosisstandsthesecondintheworld.TuberculousMeningitisisthemostseri

2、ous.Itchieflyoccurstochildrenin1-5yearsold.ThemortalityofTuberculousMeningitisis100%beforethefoundofanti-tuberculosisdrugs.护理诊断nursingdiagnoseHyperthermia——becausetheinfectionofMycobacteriumtuberculosis。体温过高----与结核杆菌感染有关:护理诊断nursingdiagnoseAlteredNutrition：LessThanBodyRequirements---be

3、causeoffever，andtheTuberculousmeningitisisawastingdiseases。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nursingdiagnoseRiskforImPairedSkinIntegrity---withrelationtolong-termbed,excretastimulation。有皮肤完整性受损的危险与长期卧床、排泄物刺激有关护理诊断nursingdiagnoseRiskforInfection---lowImmunity有感染的危险：免疫力下降护理诊断nu

4、rsingdiagnoseAnxiety----becauseofthesevereconditionandpoorprognosis。焦虑---与病情危重、预后差有关。护理诊断nursingdiagnoseActivityIntolerance活动无耐力护理诊断nursingdiagnosePotentialcomplications---highICP潜在并发症，颅高压护理措施nursinginterventionwemustkeptastrictwatchoverthepatienttonotetheslightestchangeinhercondition。

5、LikeBodytemperature,pulse,respiration，bloodpressure,stateofmind,convulsion,doublepupilchange。Itcanhelpustodiscoveryencephalichighpressureorbrainherniaearly，areadvantageoustakethefirst-aidmeasurespromptly。护理措施nursingintervention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

6、nursinginterventionThepatientshouldhavebedrest,maintainsabsolutelyindoorpeaceful,thenursingoperationconcentratesasfaraspossiblecarrieson,reducestobaby'sstimulation。护理措施nursingintervention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nursinginterventionuse20%mannitolfollowthedoctor'sadvice，an

7、drighttotakehermedicine，likerifampin，INH，PZA。护理措施nursinginterventionTheyputforwardsuchnursingmeasuresasearlyremovaloftheundigestedpoisons,unobstructionofrespiratorytract,rightprovidencewithoxygentoprotectorgans,preventionofcomplicationslikemulti-organfailure,performanceofmentalcarean