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Acute cerebrovascular accident complicated by aspiration pneumonia,[link widoczny dla zalogowanych], asphyxia related factors


High. 2.6 4ll patients with 1-3 species of the three symptoms of stroke patients, the insertion tube is not the insertion tube and after (time) occurred aspiration pneumonia,[link widoczny dla zalogowanych], asphyxia comparison: not stomach cannula group of 54 cases of aspiration pneumonia,[link widoczny dla zalogowanych], infection rates of 13.1%, after the insertion tube (time) in 15 cases,[link widoczny dla zalogowanych], the disease rate of 3.6%. 24.0634,[link widoczny dla zalogowanych], P <0.01, the difference was statistically significant. Not insert the gastric tube aspiration pneumonia occurred, asphyxia than after the insertion tube (time) high. 3 Discussion 862 cases of patients with acute cerebral vascular accidents occurred in 64 cases of aspiration pneumonia, asphyxia, incidence 7.4%, of which 45 were fatal, fatality rate 70.3%. Stroke complicated by aspiration pneumonia, asphyxia related to many factors, including statistical results suggest: (1) unconscious barriers, gastrointestinal disorders, swallowing disorder symptoms: the above symptoms in patients with aspiration pneumonia, asphyxia was higher ; (2) impairment of neuronal function: the higher the impairment, aspiration pneumonia, a higher incidence of asphyxia; (3) the nature of stroke: hemorrhagic stroke in aspiration pneumonia, asphyxia higher than ischemic stroke. The mechanism to consider: (1) consciousness disorders or weakened cough reflex; gastrointestinal disorders were more vomiting; pseudobulbar palsy swallowing disorders swallowing more than a cough; these are the direct cause of accidental swallowing occurs. (2) The higher the degree of neuronal function impairment, disturbance of consciousness corresponding to the more common and complicated gastrointestinal disorders was significantly higher, so the higher occurrence of accidental swallowing; if symptoms of dysphagia, the incidence rate higher. (3) hemorrhagic stroke impairment of neuronal function in patients with relatively high levels, cerebral hemorrhage, subarachnoid hemorrhage patients with multiple intracranial hypertension, vomiting and other symptoms of gastrointestinal disorders are more ..., in which hemorrhage occurred the probability of disturbance of consciousness more sicker; a result, an aspiration pneumonia, asphyxia than cerebral thrombosis, cerebral infarction and other ischemic stroke patients was significantly higher. A disturbance of consciousness, gastrointestinal disorders, dysphagia symptoms of acute cerebral vascular accident cases. Insert the tube after the (time) than the insertion tube is not the aspiration pneumonia occurred, asphyxia was significantly reduced, suggesting that the insertion tube is conducive to early prevention of the occurrence of the latter. The reason to consider: (1) insert the gastric tube can be removed as soon as possible food or gastric retention, reduce vomiting; (2) associated with acute gastric mucosal lesions and bleeding, can be sucked through the tube of blood the stomach , at the same time through the tube into the acid, Huwei, bleeding and other drugs to assist in the treatment, can reduce the chance of vomiting; (3) pseudobulbar palsy impaired swallowing food via nasal feeding tube to avoid accidental swallowing occurs. Acute cerebrovascular accident combined disturbance of consciousness, gastrointestinal disorders, swallowing disorder symptoms cases, insert the gastric tube after (when) there are still 3.6% occurred aspiration pneumonia, asphyxia, its causes to consider: (1) early open diet, particularly in patients with gastrointestinal dysfunction is not improved before; (2) nasal feeding too fast or when the amount of each excess; (3) nasal upper body when the patient is not appropriate to raise 3o a 45 degree angle, and This position is not to remain long enough in the post-nasal feeding time; (4) intubation master unskilled, induce vomiting to accidental swallowing; (5) Fixed tube slippage sometimes unstable to cause suffocation; (6) NES turn over time for patients to take back. In the acute treatment of cerebral vascular accident, hemorrhagic stroke, impairment of neuronal function points higher, particularly disturbance of consciousness, gastrointestinal disorders, dysphagia symptoms, care should be a high degree of attention on to take timely measures to avoid The occurrence of accidental swallowing; insert the gastric tube is one of the very effective interventions, one of the above risk factors related to early case of the insertion tube should be emphasized; but this is not the only critical point, the insertion tube technology master, after the insertion of the nasal gastric tube technology improved, the nasal feeding precautions to comply with the time, time to shoot back and so are turning patients to prevent aspiration pneumonia, asphyxia of the important aspects of nursing.
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