19例汶川地震伤挤压综合征患者的手术配合
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摘要
报告了19例汶川地震造成的挤压综合征患者的手术配合。12例行伤肢减压、清创术及合并伤的手术救治,4例行伤肢坏死截肢术,2例未行切开减压术,只对合并伤进行手术保守治疗,1例合并肠道压榨广泛坏死并全腹膜炎患者因多器官衰竭而死亡。针对地震挤压综合征患者病情特点进行护理,加强骨折及气性坏疽患者手术配合,巡回护士要做好维持有效血容量、严密观察病情、严格控制出入量等护理,器械护士要保障术中所需器械物品的供应,确保手术顺利进行。
This paper introduced the experience of intraoperative care of 19 patients with crush syndrome caused by Wenchuan earthquake.In order to ensure the operation to be done smoothly,the nurses should provide nursing care according to the special features of patients with crush syndrome and strengthen intraoperative care of patients with fracture and gas gangrene.The circuit nurses should help to keep patients' sufficient blood volume,observe physical sign closely and control fluid replacement strictly.Meanwhile,the instrument nurses should pass the medical instruments needed by the surgeon in time.
This paper introduced the experience of intraoperative care of 19 patients with crush syndrome caused by Wenchuan earthquake.In order to ensure the operation to be done smoothly,the nurses should provide nursing care according to the special features of patients with crush syndrome and strengthen intraoperative care of patients with fracture and gas gangrene.The circuit nurses should help to keep patients' sufficient blood volume,observe physical sign closely and control fluid replacement strictly.Meanwhile,the instrument nurses should pass the medical instruments needed by the surgeon in time.
引文
[1]付常国.四肢挤压综合征的抗氧化治疗[J].中国骨伤,2008,21(2):109-110.
[2]王洛夫,靳凤烁.挤压伤和挤压综合征[M]//王正国.实用创伤救治指导手册.北京:人民卫生出版社,2008:146-164.
[3]赵先柱,郭继卫.高强度地震灾区医院批量伤员救治的组织[M]//王正国.实用创伤救治指导手册.北京:人民卫生出版社,2008:5-11.
[4]王香莉.骨折合并气性坏疽感染的救治及护理[J].实用骨科杂志,2007,13(3):191-192.
[5]刘玉军.骨科输血[M]//丁国良,赵树华,王珍.实用输血学.上海:第二军医大学出版社,2007:193-194.
[6]钟河江.地震与挤压综合征[J].中国医药指南,2008,6(5):3-6.
[7]招伟贤,黎勇.备血不足手术大量失血的应急策略[J].中国输血杂志,2008,21(4):327-328.
[8]李翠莹,顾建文,杨涛,等.特大地震致严重挤压综合征8例的输血疗效分析[J].中国输血杂志,2008,21(8):591-593.
[9]徐鸿飞,王海燕.挤压综合征——地震灾害伤员的危重病[J].南通大学学报:医学版,2008,28(4):309-311.
[10]沈岳,宗兆文.骨盆及会阴部创伤的救治[M]//王正国.实用创伤救治指导手册.北京:人民卫生出版社,2008:308-325
[11]王小飞,洪九菊.负压封闭引流技术加外固定器治疗68例四肢开放性骨折的护理[J].中华护理杂志,2008,43(9):788-790.
[12]马莉,林方昭.地震伤亡的影响因素[J].中国输血杂志杂志,2008,21(8):643-644.
[2]王洛夫,靳凤烁.挤压伤和挤压综合征[M]//王正国.实用创伤救治指导手册.北京:人民卫生出版社,2008:146-164.
[3]赵先柱,郭继卫.高强度地震灾区医院批量伤员救治的组织[M]//王正国.实用创伤救治指导手册.北京:人民卫生出版社,2008:5-11.
[4]王香莉.骨折合并气性坏疽感染的救治及护理[J].实用骨科杂志,2007,13(3):191-192.
[5]刘玉军.骨科输血[M]//丁国良,赵树华,王珍.实用输血学.上海:第二军医大学出版社,2007:193-194.
[6]钟河江.地震与挤压综合征[J].中国医药指南,2008,6(5):3-6.
[7]招伟贤,黎勇.备血不足手术大量失血的应急策略[J].中国输血杂志,2008,21(4):327-328.
[8]李翠莹,顾建文,杨涛,等.特大地震致严重挤压综合征8例的输血疗效分析[J].中国输血杂志,2008,21(8):591-593.
[9]徐鸿飞,王海燕.挤压综合征——地震灾害伤员的危重病[J].南通大学学报:医学版,2008,28(4):309-311.
[10]沈岳,宗兆文.骨盆及会阴部创伤的救治[M]//王正国.实用创伤救治指导手册.北京:人民卫生出版社,2008:308-325
[11]王小飞,洪九菊.负压封闭引流技术加外固定器治疗68例四肢开放性骨折的护理[J].中华护理杂志,2008,43(9):788-790.
[12]马莉,林方昭.地震伤亡的影响因素[J].中国输血杂志杂志,2008,21(8):643-644.
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