1 case of cesarean section after onset of eclampsi

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1 case of eclampsia seizures after cesarean section

Not self-discharge after the storm, vaginal secretions were yellow, the smell. Physical examination: T36.5 ℃, P80 beats / min, R20 beats / min, Bp18/12kPa. Shen Qing, no abnormal heart and lung, abdomen is soft, liver and spleen no time. T exist physiological reflex nervous system, since not bow 【pathological reflex. Laboratory tHbl35g, L, RBC4.2X10 Cable 4.. g, overcast by local irrigation and so on. people at the hospital on day 3, limb weakness with numbness began, the first 5 days, limb symmetry complete flaccid paralysis, hoarseness, extreme difficulty breathing, choking back water. Double King Wen and the wet lung rales. Double lower extremity muscle strength I satin, satin upper limbs I, probe reflex, pathological reflex (a). cerebrospinal fluid t intracranial pressure 1.24kPa, the appearance of colorless and transparent, RBC0, WBC2X10 / L, protein 1.40g / L, glucose 4.2mmo |, L, chloride 124retool / L, bacterial culture (a). comprehensive analysis of the condition of patients diagnosed with puerperal infection complicated with Guillain - Barre syndrome. treatment, immediately tracheotomy to maintain airway patency. krypton intravenous benzyl penicillin 0.850A NaCl 6.Og, dexamethasone Wu, energy co-Jing, day 1. intramuscular injection of vitamin B ¨ 500 ~ g cable , day 1. 5 days, started to improve muscle strength, can be self-voiding, so the removal of catheter. 2 weeks later I satin lower extremity muscle strength, upper limb muscle strength Ⅳ. vaginal discharge is normal. steroid dose in half. 4 weeks After double-arsine breath sounds clear. tracheal tube blocking test, patients without shortness of breath, can be supine sleep. 24 hours after extubation, after 6 weeks of clinical governance poultry discharged. 2 patients with acute onset back to discuss rates, there are clear vaginal secretions, color yellow, ignorant of the smell and other symptoms of puerperal infection, it can be diagnosed puerperal infection. In the middle holding infection, limb flaccid paralysis, with extreme difficulty breathing, choking back water. cerebrospinal fluid protein increased the cells in the normal London, showing a typical protein and cell sorting 'of Jilin Medical Information} lO of 1996 from the diagnosis of puerperal infection complicated with Guillain - Barre syndrome doubt. heart disease team, (Tong Zhao linked to the British series of t). Yan-Fang Li Liming Ju County Hospital, one by one Rfr Agriculture .- t? 3 - the heart is affected by the sympathetic nervous system sympathetic and parasympathetic nerve systems Xinmi double domination. through the observation of clinical practice, I found that changes in the heart of human disease has three characteristics; disease sudden change occurs in the condition} changes in the variability of the dangerous nature of the disease}. These three features at night is particularly prominent. is generally believed that a quiet night when people sleep, increased vagal tone, the coronary artery spasm, in addition to sleep after the absorption of interstitial fluid, blood solution After I increase the amount of venous return and increased supine and induce seizures. Care should do the following several aspects. l strictly connected shift on duty, stay awake, focused, strictly connected shift, patient, pharmaceutical items to have accurate , shift to a comprehensive and focused to highlight the night injections, oral medication to be accurately implemented to prevent errors .2 dense 11] observe the condition, often visits wards to fully grasp the patient's condition, often visits wards, special patient visits at any time. 2.1 patience to listen to patient complaints, any one patient complained of any of ten, were indicative of mental or physical abnormalities, the nurse on duty should be patient and listen to, and appropriate interpretation and processing of .2-2 situation carefully before going to sleep ask patients, with or without Dinner satiety, fullness, due to the vagus nerve can cause increased excitability, the heart rate, but also to raise the diaphragm, squeeze the heart, the gastrointestinal circulation of the blood, increase the burden on the heart, the spirit is stimulated, the person affected by mental stimulation Most poor sleep, nightmares, the occurrence of tachycardia. sedation may be given if the situation so that sleep .2.3 Jing good psychological care, should have complete control of the patient's psychological state, to do detailed and systematic psychological care. the same time protective care, to patients to create a good sleep environment. 2.4 observed including posture, breathing, coughing, lying, and peripheral facial lip color, purple sweet is that hypoxia, pale brick dedication will consider shock. Note that sleep posture, voice, and nocturia are normal. training on the above, according to hurt people's heart condition changes occurred during the night, so for nurses, there must be strong; l3l sense of responsibility, and life-saving humanitarian spirit, have excellent knowledge and skilled nursing care and technology, the meticulous attitude to observe small changes in patient condition, timely detection of problems and timely treatment, thereby improving the quality of care and treatment. (entropy series,[link widoczny dla zalogowanych], Cui Libo) ● ●} rII. . ■

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