顱內(nèi)壓增高患者的護理課件

顱向瓜增高病人的護理Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL顱角瓜增高定義顱向瓜增高是指當顱腔角容物體積增加或顱腔容積縮小越過顱脞可代償?shù)娜萘?導(dǎo)數(shù)顱角瓜持續(xù)越過200m屏D,并出現(xiàn)頭痛、嘔吐神盤乳頭水腫等三大病征。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL顱角瓜的形戚顱用壓(wdtaenanialpeddie9cr指顱腔向容物對顱腔壁所產(chǎn)的壓力。顱腔Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL顱角瓜的形減正常顱瓜減人:0.7~20kPa(70~200mmH20)兒:05~10kPa(50~100mmH20)Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL顱向客物(cranial/cavitymatter腦織80%理學(xué)園地Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL顱膠角容物cranialcavitymatter2~11大腦中動脅Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL顱角客物rani/cavitymatter)蛛網(wǎng)膜粒腦脊液上矢狀竇室間孔蛛網(wǎng)膜粒問烈第四腦室小腦廷髓池i0%上矢狀竇腦脊液循環(huán)模式圖Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL顱向瓜的自身調(diào)節(jié)顱客積1400~1500m,顱艘容物腦組織、腦脊浪、血浪三者與顱胺容積相適,使顱角保持一定的瓜力。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL顱瓜的自身調(diào)節(jié)與代鯈◆正常的顱肉瓜有一定的波劭范圍,可隨血瓜、將、呼吸喲減勔有輞微的波動?！麸B瓜的綢節(jié)主要通過腦脊浪量的增減來實當印↑→腦脊港脊髓罔膜下腔/腦脊浪→分泌↓液一吸收t二做液一解年可當?↓腦脊液→兮潞↑吸收↓→腦脊浪量↑→不變Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL顱向瓜的自身調(diào)節(jié)代儈腦脊?jié)频拇鷥斂头e是有限的,似占顱腔客積的10%,足以應(yīng)付正常生趕收志下的顱向空間的變化?！舢旓B瓜增加到一定程威時(越過了其臨界點),其生調(diào)節(jié)能力遜澌喪失,最終產(chǎn)生嚴重的顱瓜增高。Valadononry.chAsposeslidesforNET4odi