小腿骨筋膜室综合征的早期观察及护理  

The obs The observation and nursing of leg osteofascial compartment syndrome.

作　　者：彭惠芳[1] 陈坤嫦[1] 区海云[1] 何杏贤[1] 黄雪娟[1] 李红芳[1] 

机构地区：[1]肇庆市第一人民医院骨科,526021

出　　处：《护理实践与研究》2010年第12期60-61,共2页Nursing Practice and Research

摘　　要：目的:总结小腿骨筋膜室综合征的护理方法。方法:对20例胫腓骨骨折合并骨筋膜室综合征患者的临床资料进行回顾性分析。结果:因观察准确,发现及时并采取有效措施,19例患者均未行手术治疗而控制病情,恢复健康,1例患者因小腿皮肤肌肉广泛坏死,行大腿中下段截肢。结论:对胫腓骨骨折的患者加强病情观察,及时发现骨筋膜室综合征的先兆症状,预防酸中毒、高血钾、肾功能衰竭、休克等并发症的发生是提高治愈率,降低致残率的重要方法。objectives ：To discuss the observation and nursing of leg osteofascial compartment syndrome. Methods：To analyze 20 cases with fracture of both tibia and fibula combined osteofascial compartment syndrome. Results： After the timely observation, right treatment and careful nursing, 19 cases are well controlled the conditions and recover without the operation. But amputation was performed in one case because of irreversible tissue ischemia. Conclusion： Enhance the of observation fracture of the tibia and fibula, it is very important to give timely observation, and timely find the premonitory symptom of OFCS, prevent complications acidosis hyperkalemia chronic renal failure shock. It advances cure rate and decrease maimed rate.

关 键 词：骨筋膜室综合征 胫腓骨骨折 观察及护理 

分 类 号：R473.6[医药卫生—护理学]