ObjectiveTo explore the application effect of continuing nursing based on Omaha system in postoperative rehabilitation of patients with hypertensive cerebral hemorrhage.Methods A total of 37 patients with hypertensive cerebral hemorrhage in neurosurgery department of the First Hospital of Jiaxing from July 2015 to February 2016 were recruited as the intervention group,while 34 patients with hypertensive cerebral hemorrhage from November 2014 to June 2015 were selected as the control group. Patients in the control group received postoperative general nursing for patients with hypertensive cerebral heorrhage. Patients in the intervention group received continuing nursing based on Omaha system beside general nursing which lasted 8 weeks until after discharge. Patients′ behavior,cognition and status were compared between two groups to evaluate the nursing effects.Results Omaha system contains four aspects including environment,psychology and society,physiology and health-related behavior. Nursing problems found in the intervention group were related to previous four aspects. A total of 21 problems were sorted out. The scores of behavior,cognition and status in the intervention group were (2.86±0.23),(2.51±0.53) and (3.39±0.41),which were higher than those in the control group [(2.17±0.54),(1.62±0.49) and (2.44±0.37)] (P<0.05).Conclusions Continuing nursing based on Omaha system shows the common problems in postoperative rehabilitation of patients with hypertensive cerebral hemorrhage and provides standardized proposal for rehabilitation nursing to achieve better nursing effects.

The clinical data of a child with bronchial Dieulafoy disease treated in Wuhan Children′s Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, was analyzed retrospectively.The patient was a 9-month-old boy, who was admitted to hospital due to " intermittent hematemesis vomiting blood for 6 hours" . Chest CT suggested ground-glass opacity in both lungs.Electronic bronchoscopy showed that the neoplasm bulged into the lumen at the opening of the right inferior lobar bronchus, and fresh blood oozed from the basal segment of the neoplasm during the operation.Bronchial arteriography and transcatheter bronchial artery embolization were performed due to recurrent hemoptysis, during which the patient was diagnosed with bronchial arterial vascular malformation and finally diagnosed with bronchial Dieulafoy disease after consulting the relevant literatures.The disease is infrequent and characterized by rupture hemorrhage of bronchial submucosal malformed artery, the etiology and pathogenesis of which are still unclear, and it may be related to congenital vascular malformation in children.Bronchoscopy for hemoptysis of unknown cause in children should be performed with caution.If small and smooth protruded nodular lesions are seen under the bronchoscope, the bronchial Dieulafoy disease should be considered, and the lesions should not be touched too much or subjected to biopsy blindly.Fatal massive hemorrhage can be avoided by bronchial arteriography and bronchial artery embolization.