Leahy N M
University Hospital, Boston University Medical Center, Massachusetts.
Nurs Clin North Am. 1991 Dec;26(4):971-83.
The body-system alterations that occur in a patient who has suffered a cerebrovascular insult are multiple and often permanent. Even the "uncomplicated" stroke patient presents a challenge for multifaceted nursing care. The patient who develops complications secondary to the event poses even more complex issues for medical and nursing management. The proclivity for complications to evolve varies with age, brain areas involved, whether the event is hemorrhagic or nonhemorrhagic in nature, and the presence of concomitant systemic disease. Today's professional nurse has access to current technology and possesses the assessment skills and knowledge that enable early recognition of signs and symptoms foreboding potentially disastrous complications.
脑血管损伤患者所出现的身体系统改变是多方面的，而且常常是永久性的。即使是“未出现并发症的”中风患者，也对多方面的护理工作构成挑战。因该事件继发并发症的患者，给医疗和护理管理带来了更为复杂的问题。并发症发生的倾向因年龄、受累脑区、事件本质上是出血性还是非出血性以及是否存在并发的全身性疾病而有所不同。当今的专业护士能够接触到当前的技术，并具备评估技能和知识，从而能够早期识别预示着可能出现灾难性并发症的体征和症状。
