严重创伤患者骨髓腔输液外渗的护理  

Nursing care of a severe trauma patient with extravasation caused by intraosseous infusion

作　　者：陈芳[1] 杨旻斐[1] 陈彬 CHEN Fang;YANG Minfei;CHEN Bin

机构地区：[1]浙江大学医学院附属第二医院急诊科,杭州市310000

出　　处：《中华急危重症护理杂志》2023年第5期430-432,共3页Chinese Journal of Emergency and Critical Care Nursing

摘　　要：总结1例严重创伤患者骨髓腔输液外渗的护理体会。针对患者病情危重、紧急抢救肱骨骨折体征不典型,致肱骨骨髓腔输液外渗的难点问题,采取快速识别外渗,紧急处置;超声引导抽吸渗液,精准局部封闭;药物交替外敷,减轻肿胀;精准评估肢体,识别进展。经过7 d积极的治疗与护理,患者肢体肿胀消退。出院随访2个月,恢复良好。To summarize the nursing experience of intraosseous infusion extravasation in a patient with severe trauma.Aiming at the critical condition of the patient,emergency res-cue,atypical signs of humerus fracture leading to humerus intraosseous infusion extravasation,the key nursing mea-sures included rapid identification of extravasation and emergency treatment,ulrasound-guided suction of exudate,accurate partial closure,alternate external application of drugs to reduce swelling,accurate assessment of limbs and identification of progress.After 7 days of active treatment and nursing,the swelling of the patient's limb subsided.After 2 months of follow-up after discharge,the patient recovered well.

关 键 词：肱骨骨折 骨髓腔输液 诊断和治疗物质外渗 急症护理 

分 类 号：R473.6[医药卫生—护理学]