摘要
总结12例开颅术后应用丙戊酸钠引起丙戊酸钠中毒性脑病患者的护理。丙戊酸钠脑病的临床表现与颅脑术后颅压增高的临床表现很相似，护士密切观察病情变化，早期识别丙戊酸钠脑病，还需要早期配合医师进行肝功能、血氨、血气分析等各项监测，做好用药护理及心理护理，并落实各项安全措施。本组1例患者因病情较重，转至重症监护病房治疗后自动出院，其余11例于停药后1—3d意识逐步恢复至正常，直至康复出院。
This paper summarizes the nursing care of 12 patients with valproate-induced hyperammonemic en- cephalopathy（VHE） after craniotomy. The clinical manifestations of VHE were similar to intracranial hypertension. Early detection of VHE requires nurses to observe the patients closely and cooperate with physicians to monitor liver function, blood ammonia and blood gas analysis. Moreover, medication nursing and psychological care are important for the patients. One patient was transferred to the intensive care unit and 11 recovered to normal consciousness one to three days after drug withdrawal.
出处
《中华护理杂志》
CSCD
北大核心
2014年第3期290-292,共3页
Chinese Journal of Nursing
关键词
丙戊酸
神经中毒综合征
护理
Valproic Acid
Neurotoxicity Syndrome
Nursing Care
