英汉双语护理查房课件
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heart disease and other medical disease. After
that, his right upper limb can’t hold and need help to walk.
英汉双语护理查房
临床资料 Physical examination 查体(PE)
T：36.6℃ P：74次/分 R : 18次/ 分 BP: 170/106mmhg,神志清，构音障 碍，伸舌居中，右上肢近端肌力2级 ，远端肌力3级，右下肢肌力2级， 右侧肢肌张力略高。
英汉双语护理查房
危险因素(Risk factor)
2022012/13//31/111
英汉双语护理查房
1010
脑梗死临床表现 (Clinical manifestation)
患者临床症状与脑内梗死部位密切相关 VTS_01_1(0008060).vob
英汉双语护理查房
一、出血性or缺血性？(Intracerebral hemorrhage or cerebral infarction)
出血？ 缺血？
2022012/13//31/111
英汉双语护理查房
1212
二、静脉溶栓治疗 (Intravenous thrombolysis treatment)
发病时间:是患者最后看起来正 常状态的时候为发病时间，而 不是发现症状时间
4.5小时
2022012/13//31/111
T：36.6 degree centigrade P：74times／ minute R: 18 times／minute BP: 170/106mmhg. Old male ,conciousnes, dysarthria,his right upper limb proximal muscle strength is lower than level 2,distal level 2,right lower limb muscle strength is level 3.The muscle tention is slightly higher.
英汉双语护理查房
诊断(Diagnosis)
1.脑梗死(cerebral infarction) 2.糖尿病（Diabetes） 3.冠心病（Coronary heart disease） 4.颈动脉粥样硬化(Carotid artery
atherosclerosis) 5.颅内动脉狭窄(Intracranial artery
Strengthen the communication skills, to provide better service for the patients
英汉双语护理查房
临床资料 The introduction of the
patient’s condition
病情介绍(Case
history introduction)
stenosis) 6.高血压病(Hypertention)
英汉双语护理查房
脑梗死的定义(The definition )
定义：由于各种原因所致的局部脑组织区域 血液供应障碍，导致脑组织缺血缺氧性坏 死，进而产生的临床上对应神经功能缺失 表现(A stroke is a brain injury caused by an abnormality of the blood vessels supplying the brain.)
2.熟悉脑梗死的治疗及护理
Be familiar with the treatment and the nursing care
3.进一步培养护理人员临床思维能力
Further training the clinical thinking ability of nurse
4.加强护患沟通能力，提供更好的服务
பைடு நூலகம்
颅脑CT 颅脑MRI+MRA
未见出血。（No bleeding）
DWI示桥脑高信号。MRA提示多发血管狭窄。（MRI showed
) that there are many intracranial vascular stenosis
英汉双语护理查房
影像学检查 (Imaging examination)
脑梗死病人护理查房
(Nursing round about the patient of cerebral infarction)
英汉双语护理查房
护理查房目的（The purpose of this nursing round)
1.掌握脑梗死的定义及临床表现
Master the definition and clinical manifestations of cerebral infarction
15床，董家田，男性，65岁，因言语不 清、饮水呛咳加重4天来诊，门诊以“脑梗 死收住院。既往有高血压、糖尿病，脑梗 死，冠心病病史。遗留有右上肢持物不能 ，需扶物行走。
Bed 15，Dongjiatian , male ,65 year’s old .He was admitted to our hospital because of glossolalia ,water choking cough aggravating for 4 days. Past medical history has hypertension,diabetes, coronary
英汉双语护理查房
肌力分级
0
没有肉眼可见的肌肉收缩 No contraction of muscle visible
1 仅有肉眼可见的肌肉收缩 2
Flicker or trace of contraction visible
Active movement at joint, with gravity eliminated
3 能对抗重力 Active movement against gravity
4
能对抗重力和部分阻力Active movement against gravity
and some resistance
5
肌力正常 Normal power
英汉双语护理查房
辅助检查 (Auxiliary examination )
that, his right upper limb can’t hold and need help to walk.
英汉双语护理查房
临床资料 Physical examination 查体(PE)
T：36.6℃ P：74次/分 R : 18次/ 分 BP: 170/106mmhg,神志清，构音障 碍，伸舌居中，右上肢近端肌力2级 ，远端肌力3级，右下肢肌力2级， 右侧肢肌张力略高。
英汉双语护理查房
危险因素(Risk factor)
2022012/13//31/111
英汉双语护理查房
1010
脑梗死临床表现 (Clinical manifestation)
患者临床症状与脑内梗死部位密切相关 VTS_01_1(0008060).vob
英汉双语护理查房
一、出血性or缺血性？(Intracerebral hemorrhage or cerebral infarction)
出血？ 缺血？
2022012/13//31/111
英汉双语护理查房
1212
二、静脉溶栓治疗 (Intravenous thrombolysis treatment)
发病时间:是患者最后看起来正 常状态的时候为发病时间，而 不是发现症状时间
4.5小时
2022012/13//31/111
T：36.6 degree centigrade P：74times／ minute R: 18 times／minute BP: 170/106mmhg. Old male ,conciousnes, dysarthria,his right upper limb proximal muscle strength is lower than level 2,distal level 2,right lower limb muscle strength is level 3.The muscle tention is slightly higher.
英汉双语护理查房
诊断(Diagnosis)
1.脑梗死(cerebral infarction) 2.糖尿病（Diabetes） 3.冠心病（Coronary heart disease） 4.颈动脉粥样硬化(Carotid artery
atherosclerosis) 5.颅内动脉狭窄(Intracranial artery
Strengthen the communication skills, to provide better service for the patients
英汉双语护理查房
临床资料 The introduction of the
patient’s condition
病情介绍(Case
history introduction)
stenosis) 6.高血压病(Hypertention)
英汉双语护理查房
脑梗死的定义(The definition )
定义：由于各种原因所致的局部脑组织区域 血液供应障碍，导致脑组织缺血缺氧性坏 死，进而产生的临床上对应神经功能缺失 表现(A stroke is a brain injury caused by an abnormality of the blood vessels supplying the brain.)
2.熟悉脑梗死的治疗及护理
Be familiar with the treatment and the nursing care
3.进一步培养护理人员临床思维能力
Further training the clinical thinking ability of nurse
4.加强护患沟通能力，提供更好的服务
பைடு நூலகம்
颅脑CT 颅脑MRI+MRA
未见出血。（No bleeding）
DWI示桥脑高信号。MRA提示多发血管狭窄。（MRI showed
) that there are many intracranial vascular stenosis
英汉双语护理查房
影像学检查 (Imaging examination)
脑梗死病人护理查房
(Nursing round about the patient of cerebral infarction)
英汉双语护理查房
护理查房目的（The purpose of this nursing round)
1.掌握脑梗死的定义及临床表现
Master the definition and clinical manifestations of cerebral infarction
15床，董家田，男性，65岁，因言语不 清、饮水呛咳加重4天来诊，门诊以“脑梗 死收住院。既往有高血压、糖尿病，脑梗 死，冠心病病史。遗留有右上肢持物不能 ，需扶物行走。
Bed 15，Dongjiatian , male ,65 year’s old .He was admitted to our hospital because of glossolalia ,water choking cough aggravating for 4 days. Past medical history has hypertension,diabetes, coronary
英汉双语护理查房
肌力分级
0
没有肉眼可见的肌肉收缩 No contraction of muscle visible
1 仅有肉眼可见的肌肉收缩 2
Flicker or trace of contraction visible
Active movement at joint, with gravity eliminated
3 能对抗重力 Active movement against gravity
4
能对抗重力和部分阻力Active movement against gravity
and some resistance
5
肌力正常 Normal power
英汉双语护理查房
辅助检查 (Auxiliary examination )