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Jingdong book

神经内科护理手册（第2版）

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Jingdong book

神经内科护理手册（第2版）

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《神经内科护理手册（第2版）》遵循“专病专护”的原则，在参考常规护理程序的基础上，结合临床实际过程中各专科常见疾病、多发疾病护理的难点、重点分别做了详尽的阐述，内容包括各专科常见疾病概述、护理评估、临床常见症状评估、辅助检查评估、主要护理问题、护理目标、护理措施、常见并发症的预防与护理、护理常规操作、各专科特殊检查护理及护理新技术、新业务和相关知识等，写作上特别注重对护理人员临床护理技能的提高，具有很强的可读性与实用性。
Catalogue

第一章 总论
第一节 绪论
第二节 神经系统的解剖
第三节 神经系统疾病患者的护理评估
第四节 神经系统常用诊疗技术及护理

第二章 周围神经疾病的护理
第一节 概述
第二节 三叉神经痛的护理
第三节 特发性面神经麻痹的护理
第四节 急性炎症性脱髓鞘性多发性神经病的护理

第三章 脊髓疾病的护理
第一节 概述
第二节 急性脊髓炎的护理
第三节 脊髓压迫症的护理
第四节 脊髓空洞症的护理
第五节 脊髓亚急性联合变性的护理
第六节 脊髓血管疾病的护理
第七节 脊髓疾病的护理

第四章 脑血管疾病的护理
第一节 概述
第二节 短暂性脑缺血发作的护理
第三节 缺血性脑卒中的护理
第四节 出血性脑卒中的护理
第五节 脑卒中危险因素及健康教育
第六节 脑血管疾病介入治疗的护理

第五章 脱髓鞘疾病的护理
第一节 多发性硬化的护理
第二节 急性播散性脑脊髓炎的护理
第三节 视神经脊髓炎的护理

第六章 神经系统变性疾病的护理
第一节 帕金森病的护理
第二节 阿尔茨海默病的护理
第三节 运动神经元病的护理

第七章 中枢神经系统感染性疾病的护理
第一节 单纯疱疹病毒性脑炎的护理
第二节 病毒性脑膜炎的护理
第三节 结核性脑膜炎的护理
第四节 新型隐球菌脑膜炎的护理
第五节 化脓性脑膜炎的护理
第六节 脑囊虫病的护理
第七节 中枢神经系统感染的护理

第八章 神经肌肉疾病的护理
第一节 重症肌无力的护理
第二节 神经肌肉活检术的护理

第九章 癫痫的护理
第一节 癫痫的护理
第二节 视频脑电图监测的护理

第十章 神经系统疾病的专科护理
第一节 人工气道的护理
第二节 有创机械通气的临床护理
第三节 压疮护理
第四节 神经性吞咽障碍的护理
第五节 神经疾病营养风险筛查与营养支持
第六节 跌倒的评估与护理
参考文献
Book Abstract

《神经内科护理手册（第2版）》：
尿管可能堵塞的情况下才进行膀胱冲洗。鼓励患者多饮水，增加尿量，可以起到稀释尿液、生理性冲洗膀胱的作用，可减少细菌进入尿道的机会，预防感染。
B.尿管的选择：尿管的选择对于预防尿路感染有重要意义，尽量选择较为细软的尿管，可以减少黏膜损伤，减少对前列腺管开口处的挤压，减少导尿管与尿道壁问的压力，有利于预防感染。有研究表明：硅胶导尿管，对黏膜刺激小，毒性较小；硅处理乳胶导尿管、塑料导尿管毒性中等；橡胶导尿管具有较大的毒性，易引起尿道炎症。医用硅胶导尿管道壁改型加涂抹缓释抗生素润滑胶的方法，经临床对照实验可明显降低尿路感染发生率。在尿管表面结合一层医用高分子材料——聚乙烯吡咯烷酮，使尿管遇水后具有极为润滑的表面，可减少导尿对黏膜的损伤。一种表面包一层银合金的新型尿管，经临床对照实验证明可以减少菌尿发生。
C.导尿操作注意事项：导尿操作上应该严格无菌技术，操作轻柔，尽量减少黏膜损伤，对于尿道狭窄、前列腺增生插管困难者，严禁反复插管。导尿操作时，在插管前向尿道内注入兼具局部润滑和麻醉作用的丁卡因缓释剂（利宁）3～5ml，同时润滑尿管，2～3min后再置管，可减轻患者疼痛和黏膜损伤。对于外科手术患者，宜选择在麻醉后行导尿术，可以减少术前导尿所致的患者不适和尿道黏膜损伤，导尿最佳时机在麻醉完全起效后10min，加强局部麻醉和尿道润滑效果会更好。
D.尿道口清洁与消毒：保持尿道口清洁是预防尿管相关泌尿系统感染的重要措施，但目前关于尿道口清洁时到底是否使用消毒液尚未有定论，有研究指出用0.5％聚维酮碘消毒尿道口可以减少尿路感染的概率。
……

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