Abstract
To clarify the important information for nursing assessment of intracranial bleeding of patients with leukemia, we have investigated 122 fatal cases of leukemia. Clinical symptoms appeared 15 days befor death were analyzed in 23 patients died of intracranial bleeding, and the following risk warning factors were obtained.
Important prodromal symptoms and data as risk warning factors of intracranial bleeding were 1) continuing and increasing headache (Nausea and/or vomiting, if present, suggest initial stage of bleeding), 2) continuing and increasing somnolence, uneasiness, and restlessness such as talkativeness irritable stage, emotional incontinence and insominia, 3) local paresthesia tremor and convulsion of face or extremity (sometimes disapper and reapper), 4) an increase in severity of bleeding symptoms and thrombocytopenia (platelet countless than 2×104/mm3) and 5) the period of severe bone marrow suppression due to chemotherapy.
