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Nasogastric feeding in patients with acute cerebral hemorrhage value

Years were admitted with acute cerebral hemorrhage 10O guillotine, feel faint nasal feeding not only for those with eating and swallowing difficulties, but also to a pan on the dynamic observation of the digestive tract and medication, are presented below. One. Information 100-bed acute Blue sigh B0 male rodents hemorrhage, female 4O cases. Years - the biggest fight BO and the youngest 35 years old. Average of 59 years. Cr which prompted a fall in basal ganglia hemorrhage in 65 cases. 10 Nie bleeding down hill. Brainstem hemorrhage (including brain stem syndrome star) 24 sad, cerebral hemorrhage in 1 case. 80 sad admission coma, coma, asked up to 15 days. Minimum 2 days. An average of 6.5 days. Conscious. Difficulty swallowing solid by 1O. With upper gastrointestinal bleeding on admission were 3O cases. Second, the stomach cannula bearing in mind that adaptation Zhu selection method (a) Any indication of acute hospital admission or gnawing hemorrhage coma and swallowing difficulties, vomiting blood and they were all accompanied by black and nasal feeding tube. (B) Method 1. On the swallowing reflex, cough reflex of patients exist, when the tube inserted into 20 or so handsome ~ 24cIII cough caused by crying, then the tube back to 3 l sail sail until the end of the coughing to stop heating after rapid intubation moment to ask, can be smoothly inserted. 2. On swallowing,[link widoczny dla zalogowanych], cough reflex can also disappear when the tube is inserted into the patient 2Om ~ 24cfrI a mild resistance to the front about a sense of the back tube 1 fan ~ n. Thumb push the throat with one hand. Catchy opening to facilitate the epiglottis. The other hand the end of the tube in the belching into the prompt asked quickly, his hands move to coordinate simultaneously. Can be successful. Can be repeated many times without success. After several unsuccessful, may, by the bipolar cried intubation, should be tested through a gastric tube after intubation without 谩 into the nasal airway before. 3. Doubt associated with upper gastrointestinal bleeding in patients with nasal feeding amount of juice before taking steps to make regular checks in order to diagnose whether there is bleeding, if some solution can be removed from the stomach after pensions, regular bleeding into the stomach,[link widoczny dla zalogowanych], and drugs such as fenpropathrin ignorant Quack, 2 to 4 small boat is renal salt DW. Yunnanbaiyao other f or ice brine collected every 2 hours for the dynamic observation of gastric bleeding stopped after 6 hours to be re-nasal feeding. Protect the gastric mucosa within the previous week, to supplement the heat to maintain water and electrolyte balance control water as the principle. . Third, the effect of acute back tired friends in this group of 100 patients with bleeding down the Bank of China, 68 nasal,[link widoczny dla zalogowanych], nose Zhu Nanyang, Henan, local hospitals, 7, asked the longest when fed for 30 days. The shortest in 3 days, average 10.5 days. 6O hospital, asked the longest days. 2O shortest day, an average of 30 days. According to the second 1986-base national academic conference on cerebrovascular disease diagnosis and treatment of adopted standards, clinical governance silence fell 80. Improvement of 10 down. 1O guillotine of death. Fourth, the discussion of this method the old nose Ti. However, more practical value. According to the group experience. We believe that it is used in acute intracerebral hemorrhage of the following advantages. (A) the clinical treatment of cerebral hemorrhage patients to reduce intracranial pressure mainly dehydration. Addition of such patients in a coma, fever, patients prone to cause difficulty swallowing water, salt, electrolyte and acid-base failure Street. I like Dan Zhang Rong vein fill. Not conducive to lowering intracranial pressure, but also make the West more than shake a lot of heart in i-jung heavier load, and cardiac function did not induce barrier, pulmonary edema, making treatment difficult. Application of nasal feeding has overcome these contradictions. Give full play to the self-regulatory function of the machine Xing, maintain a stable internal environment. (B) meshing of a cerebral hemorrhage complicated with gastric syndrome (stress turn to hemorrhoids) high probability, combined with the clinical application of corticosteroids to reduce Peipi swelling of brain cells against free radicals. This is easy to induce cerebral hemorrhage, gastric tube for possible solutions to these conflicts. Can play well early detection and treatment of gastric Che stains should be the role of hemorrhoids. (---) Rights hemorrhage can lead to displacement of midline structures, Qiu Nie destroyed or damaged the lower part, caused by central high fever. We are in the application of conventional cooling and physical cooling at the same time, the temperature dropped to nasal feeding i Rong 1 ℃ ~ 5 ℃. Each 2oO ~ tOO called from a gastric tube into, but also can be applied to cool air, a cooling effect of traditional Chinese medicine sedation (Angongniuhuang, etc.) to control a knock anchor Xing Wen. Application of this group injected into the stomach Angongniuhuang three down. Effects are good. (D) cerebral hemorrhage patients because of severe illness, infection is also an important concurrent Sheng, especially among the most common respiratory tract infections. Ao diverted to prevent the secretion of the nasal airway, and allows the discharge by the throat and air Otaki into the esophagus. For frequent vomiting, or vomiting, patient movement,[link widoczny dla zalogowanych], application of residual stomach tube out of i-jung, to effectively prevent anti-vomit waterfall into the role of the airway. Effective in preventing lung infections. (E) In addition, the aim bleeding combined with intractable hiccup, we used a gastric tube into the antispasmodic agent can effectively terminate the hiccups, the lifting of flat human suffering, to play good results. In short. We believe that nasal feeding tube in patients with acute cerebral hemorrhage in the treatment and care, played a significant role.
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