RESUMEN
Objective:To introduce a phased evaluation for severe traumatic brain injury in clinical nursing, to promote catheter removal planning. Methods:A case of severe traumatic brain injury in our hospital in October, 2018 was reviewed. Results:This case accepted a phased evaluation about consciousness, condition of tracheotomy and extubation, bladder safety capacity and residual urine volume, and the rehabilitation nursing targeted to the results. After 54 days of treatment and care, all the catheters were removed in a planned way. Conclusion:The phased evaluation for severe traumatic brain injury may promote the planning of catheter removal, prevent repeated tube placement, and facilitate the recovery of patients.
RESUMEN
Spasticity is one of the common symptoms in patients with spinal cord injury, the mechanism can be summarized that the disappearance of the inhibition signals of descending pass of the spinal cord lead to the change of the balance between the circuit of the feedback and feedforward formed by the intra spindle muscle and extra spindle muscle, and the spasticity appear. Transcranial magnetic stimulation (TMS) can release the spasticity through increasing the excitability of the inhibitory interneurons to decrease the excitability of the spinal level. This article discussed about the mechanism of the spasticity after spinal cord injury first and then summarized the application and the therapeutic theory of the TMS on it.