Kết quả chăm sóc người bệnh sau phẫu thuật chấn thương sọ não tại bệnh viện hữu nghị việt đức năm 2022

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Trọng Quân Đào, Bích Ngọc Hoàng, Thị Hoa Hoàng, Thị Minh Phương Hoàng, Ngọc Sao Nguyễn, Thanh Nam Nguyễn, Thị Diệu Hương Nguyễn, Văn Thảo Vũ

Ngôn ngữ: vie

Ký hiệu phân loại: 617 Miscellaneous branches of medicine Surgery

Thông tin xuất bản: Tạp chí y học việt nam (tổng hội y học việt nam), 2022

Mô tả vật lý: 73-78

Bộ sưu tập: Metadata

ID: 489211

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A prospective descriptive study was carried out on 195 TBI patients undergoing surgery to describe the outcome of post-operative care after TBI at Viet Duc Hospital in 2022. Result(:) After surgery 6 hours, the rate of patients requiring mechanical ventilation was 25.6%, using ambu was 2.1%. At the 2nd postoperative day and discharge day, only 4.0% and 4.3% of patients with ventilator, the difference was statistically significant with p và lt
0.001. After surgery, most patients have a clear airway. After surgery, most patients were fully monitored for breathing. Consciousness monitoring(:) At the 2nd postoperative day and discharge day, the proportion of patients with GCS score of 3-8 points decreased to 0%( )and the proportion of patients with GCS score of 13-15 points increased to 91.5% and 90 .9% (p và lt
0.001)., Most of the patients were followed up with enough value at 6 hours after surgery, the first day, the 2nd postoperative day and discharge day. The majority of patients were monitored for pulse and blood pressure adequately (over 90%). Incision care(:) The rate of dry incisions reaches 100%. Regarding the dressing compliance, at the first day after surgery, 67.7% of patients were changed, 32.3% of patients were not.The majority of patients after TBI surgery were well cared.Một nghiên cứu mô tả tiến cứu được thực hiện trên 195 người bệnh CTSN phẫu thuật tại BV Việt Đức nhằm mô tả kết quả chăm sóc sau phẫu thuật CTSN tại Bệnh viện Hữu nghị Việt Đức năm 2022. Kết quả(:) Sau phẫu thuật 6h, tỷ lệ người bệnh phải thở máy là 25,6%, bóp bóng là 2,1%. Vào ngày 2 sau mổ và khi ra viện chỉ có 4,0% và 4,3% người bệnh phải thở máy, sự khác biệt có ý nghĩa thống kê với p và lt
0,001. Sau phẫu thuật, hầu hết người bệnh có đường thở thông thoáng. Sau phẫu thuật hầu hết người bệnh được theo dõi hô hấp đầy đủ. Theo dõi tri giác(:) Ở thời điểm ngày 2 và ngày ra viện, tỷ lệ người bệnh có điểm GCS 3-8 điểm giảm xuống 0% và tỷ lệ người bệnh có điểm GCS 13-15 điểm tăng lên 91,5% và 90,9% (p và lt
0,001). Đa số người bệnh được theo dõi đủ về trị giác tại các thời điểm 6h sau mổ, ngày đầu, ngày 2 sau mổ và ra viện. Đa số người bệnh được( )theo dõi mạch và huyết áp đầy đủ (trên 90%). Chăm sóc vết mổ(:) Tỷ lệ vết mổ khô đạt 100%. Về tuân thủ thay băng, tại thời điểm ngày đầu sau mổ có 67,7% người bệnh được thay băng, 32,3% người bệnh không được thay băng. Kết luận(:) ( )Đa số người bệnh sau phẫu thuật thuật CTSN được chăm sóc tốt.

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