地震伤挤压综合征的护理
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摘要
目的:总结地震伤挤压综合征护理经验。方法:对我院SICU收治的6例挤压综合征伤员临床资料进行回顾性分析。结果:6例中2例为单肢受损,其余4例均为双肢受损,6例均行一期单侧毁损肢体截肢术,双肢受损者另一侧肢体行减压术,2例行延期截肢,ICU住院日7～48天,6例全部存活。结论:挤压综合征发生后,应尽早行连续肾替代治疗,在患肢毁损较重影响循环系统稳定时应尽早截肢。
Objective:To summarize the nursing experience of earthquake extrusion injury syndrome.Methods:To analyze the clinical data of six cases treated in SICU of Sichuan Provincial People's Hospital,who injured in the Wenchuan earthquake.Results:Two cases of single-limb impairment and the remaining four cases were double-limb damage in the 6 cases.6 cases received limb amputationfor unilateral destructed limb,the patients with double-limb impairment received other side limb decompression,2 cases received extension of amputation.The maximum hospital days were 48 d,the minimum were 7 d,all six cases were survival.Conclusion:When the extrusion syndrome occurrs,the best treatment program is renal replacement therapy as soon as possible.When damage affects the stability of the circulatory system amputation should be performed quickly.
Objective:To summarize the nursing experience of earthquake extrusion injury syndrome.Methods:To analyze the clinical data of six cases treated in SICU of Sichuan Provincial People's Hospital,who injured in the Wenchuan earthquake.Results:Two cases of single-limb impairment and the remaining four cases were double-limb damage in the 6 cases.6 cases received limb amputationfor unilateral destructed limb,the patients with double-limb impairment received other side limb decompression,2 cases received extension of amputation.The maximum hospital days were 48 d,the minimum were 7 d,all six cases were survival.Conclusion:When the extrusion syndrome occurrs,the best treatment program is renal replacement therapy as soon as possible.When damage affects the stability of the circulatory system amputation should be performed quickly.
引文
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[2]刘晓虹.护理心理学[M].上海:第二军医大学出版社,1998.266.
[3]楼敏燕.截肢手术患者的护理体会[J].现代中西医结合杂志,2008,17(18):2868.
[4]黄飞燕,陈希妹,彭贤娟,等.截肢患者患肢痛的护理干预[J].中国实用医药,2008,(21):109.
[2]刘晓虹.护理心理学[M].上海:第二军医大学出版社,1998.266.
[3]楼敏燕.截肢手术患者的护理体会[J].现代中西医结合杂志,2008,17(18):2868.
[4]黄飞燕,陈希妹,彭贤娟,等.截肢患者患肢痛的护理干预[J].中国实用医药,2008,(21):109.
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