小腿骨折并发骨筋膜室综合征的观察及护理  

Clinical Observation and Nursing for Patients with Leg Fracture Complicated with Osseous Fascia Compartment Syndrome

作　　者：蔡友芳[1] 杨定群[1] 冯春兰[1] 

机构地区：[1]河南大学附属人民医院骨科,河南开封475000

出　　处：《中国现代医生》2009年第7期104-105,共2页China Modern Doctor

摘　　要：目的探讨小腿骨折并发骨筋膜室综合征的观察及护理。方法对20例胫腓骨骨折合并骨筋膜室综合征病人的资料进行分析。结果19例临床治愈,1例肢体坏死截肢。结论对小腿骨折的患者,护理人员应严密观察患肢情况,及时发现骨筋膜室综合征的先兆症状,早期彻底切开受累间隔区的筋膜,是防止肌肉和神经发生坏死及永久性功能损害的关键。Objective To investigate the method of clinical observation and nursing for patients with leg fracture complicated with osseous fascia compartment syndrome. Methods The data of 20 cases of fracture of tibia and fibula complicated with osseous fascia compartment syndrome were analyzed. Results 19 cases were cured and 1 case were amputated because of limb necrosis. Conclusion The nurses should strictly observe the affected limb and find the prodrome of osseous fascia compartment syndrome, early incise the involved compartmental fascia completely is the key treatment to prevent muscles and nerves necrosis and the permanent functional defects.

关 键 词：小腿骨折 骨筋膜室综合征 观察护理 

分 类 号：R473.6[医药卫生—护理学]