AboutninecasesofadulttetanusNursing[Abstract]ObjectiveToinvestigatethecharacteristicsofadulttetanuscare.MethodsSummaryninecasesoftetanuscareexperiencewerecured,7casesand2deaths.Conclusionearlyandaccurateuseofserumtetanusantitoxin(TAT,andothermedicationstocontrolseizuresusingstable,closeobservationofdiseaseandintensivecareisthekeytocurethedisease.[Keywords]adulttetanustetanusantitoxinserumCareTetanusiscausedbythetetanusbacteriainvadethebodyofaspecificinfection,iscausedbyabacterialtoxintolocalandwholebodymusclerigidity,spasmsandconvulsionscharacterizedbyatoxemia.Tetanusbacillusiswidespreadbuildinthesoilandhumanfaeces.Whenthereisanopenbodyinjury,especiallydeepandnarrow,necrotictissue,mixedwithaerobicwoundinfections,thehypoxiaenvironmentconducivetothegrowthoftetanusbacteria,pathogenscan[1]In2009May2011Maythisgroup9patientsadmittedtoadulttetanus,cured7cases,2deaths.arereportedasfollows:1ClinicaldataThegroupof9patients,5malesand4females,7casesoffarmerswereaged32-85yearsofage,lengthofstay5-32days,ofwhichtwocasesoftracheotomy,mechanicalventilationin1case,9patientsinjuryin1patientinthelocalprimaryhospitalfortetanusantitoxininjection,therestwerenotreceivingtetanusantitoxininjection.aftertheonsetoftreatment,orreferralbythelocalhospital6-12daystimeresults:cured7cases,2deaths.2Nursing2.1wereplacedinthewardenvironment,asingleroomward,bedblockingprotection,lightcurtains,thesickroomtokeepquiet,poorlylit,soundandlighttoavoidvibrationstimulation,temperature15-20℃.2.2spasmtwitchpsychologicalcareintheinterimperiod,theincidenceoftetanuspatientlyexplaintothepatient,clinicalmanifestations,treatmentandprognosisofknowledge,therebyeliminatingthepatient’sstress,fearandsuspicion,itisrelativelyquietandstablementality,thefirm’sconfidenceinovercomingthe2diseaseandactivelycooperatewithtreatment.Inaddition,patientsshouldfocusonabriefintroductiontotheknowledgeoftetanus,lifttheideologicalconcerns,andactivelycooperatewithtreatmentandcare,sleepandrestateasetofullyunderstanditsfactorscanreducetheadversestimulation,especiallyinpatientswithventilator-assistedbreathingreducemachinealarms,reducingtheseizure.2.3Observationofdisease2.3.1closeobservationandtimelyemergencytreatmentcontinuousECGmonitoringandtimelycontrolofseizure.Timelyapplicationoflargedosesofantibiotics,earlyuseofintramuscularinjectionofimmuneglobulin.Sedativesprescribedwhensevereattack,observethepatientbreathing,keeptheairwayopen.Protectpatients,theoralcavitymolarteethsetbetweentheheadwrappedingauzepadoraspatulatopreventtonguebiting,elbow,kneepadsettoprotectthejoints,tendonruptureandfractureprevention.Bedsidewithtracheotomykitsandemergencymedicine,items.frequentsevereattacksweretobetracheotomyventilator-assistedbreathingbythe3patient’swoundhashealed,toobservewhetherdeepthroatinfection,ifindeedrecoveredandcannothandle.Theremustbethoroughlyinfectedwounddebridement,taboosuture.deepandnarrowwoundinfectionweregivendebridementtreatment.2.3.2closeobservationofvitalsignsinpatientswiththediseasegenerallyconscious,therearenohighfever,highfeveroftenpromptedtheemergenceofpneumoniaandcomplications.Tetanustoxincanaffectthesympatheticnerve,causingsweating,unstablebloodpressure,socloseobservationofvitalsignsisveryimportant.2.3.3Inadditionweobservedcomplicationscloseobservationofvitalsigns,trauma,urinaryretention,wemustalsocarefullyobservewhetherthebreathingd...