英语翻译(1)患者的神志：要注意患者的性格和行为有无异常,如无故大声哭或笑,衣服上下颠倒穿,往鞋窝里小便,无故地拔掉输液针头等等,这些异常行为提示有肝昏迷的先兆.如果患者神志恍惚,

英语翻译(1)患者的神志：要注意患者的性格和行为有无异常,如无故大声哭或笑,衣服上下颠倒穿,往鞋窝里小便,无故地拔掉输液针头等等,这些异常行为提示有肝昏迷的先兆.如果患者神志恍惚,
英语翻译
(1)患者的神志：要注意患者的性格和行为有无异常,如无故大声哭或笑,衣服上下颠倒穿,往鞋窝里小便,无故地拔掉输液针头等等,这些异常行为提示有肝昏迷的先兆.如果患者神志恍惚,烦躁不安,出现重复语言,计算能力和定向能力障碍,有时可呈木僵状态,则可认为患者已进入肝昏迷I‘～Ⅱ‘,此时须注意约束保护,严防坠床意外发生.从躁狂进入昏迷的患者更应做好其它生命体征的观察,同时注意口腔护理,防止外伤和褥疮.
(2)体温：通常每日测4次.重型肝炎肝细胞坏死时可以出现37℃～38℃持续低热；如突然出现高热或不规则热,就要怀疑有继发感染的可能.对重型肝炎高热使用抗生素前应做血培养并做药敏试验,以便选择更理想有效的抗菌药物.凡用物理降温和用药物退热者,每半小时应复测体温,并做记录.用安乃近等发汗退热者必须注意保暖,并多饮开水.
(3)脉搏：一般在高热和出血时脉搏加快、弦速、滑速或细速；颅内压增高时脉搏相对缓慢,均可伴随血压改变.发现后须及时通知医生,做好对症处理.
(4)呼吸：通常在肝昏迷、出血、继发肺部感染或大量腹水压迫时,均可出现呼吸异常.及时发现后应立即输氧气,并保持呼吸道通畅.如闻到肝臭提示病情严重.
(5)血压：应按常规观察,若有下降异常,提示有出血和休克的可能,颅内压升高时血压亦有可能增高.均应及时发现,请医生作相应处理.对重型肝炎作肝穿刺、放腹水处理时和处理后,需专人观察,定时测量血压并记录.
(6)瞳孔：若出现大小不等或不对称,常提示脑水肿、颅内压增高和脑疝形成,病情危急必须及时用脱水药,通知医生投入抢救.

英语翻译(1)患者的神志：要注意患者的性格和行为有无异常,如无故大声哭或笑,衣服上下颠倒穿,往鞋窝里小便,无故地拔掉输液针头等等,这些异常行为提示有肝昏迷的先兆.如果患者神志恍惚,
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(1) in patients with delirium: patients should pay attention to whether the abnormal character and behavior, such as unprovoked blubber or laugh, the clothes upside down clothing, shoes nest to urinat...

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(1) in patients with delirium: patients should pay attention to whether the abnormal character and behavior, such as unprovoked blubber or laugh, the clothes upside down clothing, shoes nest to urinate, no reason to unplug the infusion needle and so on, these abnormal behavior has prompted precursor of hepatic coma. If patients with delirious trance, irritability, duplication languages, computing power and orientation ability of obstacles, sometimes showed a state of stupor, you can consider in patients with hepatic coma has entered the I '~ Ⅱ', should be noted at this time bound to protect, to prevent falling-bed accidents. To enter the unconscious from the Manic patients should do a good job in other vital signs observation, while paying attention to oral care to prevent injury and pressure ulcers.
(2) temperature: usually measured 4 times daily. Severe hepatitis liver cell necrosis can occur when 37 ℃ ~ 38 ℃ sustained low heat; such as sudden high fever or irregular hot, it is necessary to have doubts about the possibility of secondary infection. Of severe hepatitis heat should make the use of antibiotics before blood culture and sensitivity test to do in order to choose a better and effective antimicrobial agents. Where physical cooling and the use of antipyretic drugs, and every half an hour should retest the body temperature, and make records. Analgin fever with sweating, such as those who must pay attention to warm, and drink more water.
(3) pulse: a general in the high fever and bleeding when the pulse speed up, string-speed, sliding speed or fine-speed; intracranial hypertension when the pulse is relatively slow, and can be accompanied by changes in blood pressure. Found to be timely notice of doctors, do a good job in symptomatic treatment.
(4) respiratory: usually in hepatic coma, bleeding, secondary pulmonary infection or massive ascites oppression, the abnormal breathing may occur. Timely discovered should be immediately lose oxygen, and maintain airway. Such as liver foul smell prompted a serious condition.
(5) blood pressure: should conventional observation, if it fell abnormal bleeding and shock has prompted the possibility of intracranial hypertension may also increase blood pressure. Should be timely detection, asked the doctors to deal with accordingly. Of severe hepatitis for liver puncture, when the release handle and deal with ascites, the need to observe in person, regular blood pressure measurement and recording.
(6) pupil: If size or asymmetry, often prompt the brain edema, intracranial hypertension and cerebral hernia formation in critical condition must be timely and dehydration medicine, Doctor NOTICE rescue operation.

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(1) patients should pay attention to the patient's mind: the character and behavior without any abnormalities, such as clothes or laugh, cry out aloud to wear shoes, upside nest urinate, without needl...

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(1) patients should pay attention to the patient's mind: the character and behavior without any abnormalities, such as clothes or laugh, cry out aloud to wear shoes, upside nest urinate, without needles, etc, these out transfusion abnormal behavior suggests the precursor of hepatic coma. If the patient trance consciousness, restlessness, duplicated calculation capacity and language ability, sometimes can be a barrier, can think MuJiang patients with hepatic coma already entered Ⅱ ~ I ' ', must pay attention to protect and defend drop bed restraint accident. From manic into a more should be done with other vital signs of observation, and oral health awareness, prevent bedsores and trauma.
(2) temperature: usually measured 4 times daily. Heavy-duty hepatitis necrosis of liver cells can appear 37 ° ~ 38 degrees Celsius continuous low, If appear suddenly heat or irregular hot, is suspected of secondary infection. For fulminant hepatitis antibiotic use should be made before the high blood culture and do fungi susceptibility test, in order to choose more ideal effective antimicrobial agents. Whoever with physical cooling and use of drugs, every half hour antifebrile temperature, and do reeated measure should be recorded. With such sudoriferous AnNaiJin antifebrile must keep warm, and drink more water.
(3) : generally in the pulse of heat and hemorrhage pulse quickened, string, sliding speed or fine speed, When a relatively slow superearly pulse pressure change, can accompany. After that, the doctor should promptly notify the cure.
(4) breathing: usually in hepatic coma, hemorrhage, pulmonary infection or large secondary compression may ascites breathing. After losing timely discovery immediately, and keep the respiratory tract unobstructed oxygen. If smell stinky clew severe liver.
(5) : to be observed by conventional blood pressure drop, if have, have haemorrhage and abnormal shock, intracranial pressure blood pressure may also have increased. Shall timely discovery, please ask the doctor makes corresponding processing. For liver biopsy of fulminant hepatitis, and after treatment with ascites, need special observation, timing and recorded. Measure blood pressure
Pupil: (6) if appear sizes or asymmetrical, often hint cerebral edema, superearly and cerebral hernia, formed by dehydration in emergency medicine, and must notify the doctor into rescue.

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