早期护理干预对抢救脂肪栓塞综合征的影响

The Influence of Early Nursing Intervention to fat Embolism Syndrome

目的:探讨早期急救与护理干预对治疗脂肪栓塞综合征(简称脂栓征)的作用。方法:密切观察非脑外伤患者中枢神经系统症状和呼吸系统症状的变化,及时纠正低氧血症,采取有效措施保持呼吸道的通畅,做好高烧患者的护理,积极预防和治疗并发症。结果:26例多发性骨折并发脂栓征病人,除一例高龄、病情垂危,家属同意放弃治疗外,其余25例都抢救成功,治愈出院,抢救成功率96.15%。结论:脂肪栓塞综合征是严重创伤中一种严重的并发症,死亡率高,采取早期护理干预措施,能够有效提高抢救成功率,降低死亡率的发生。

Objective： To explore the influence of early treatment and nursing intervention to the fat embolism syndrome （ FES ）. Method： To observe the symptom of central nervous system and respiratory system in patients with non - cerebral trauma ,to promptly retrieve the hypoxemia and take the effective measures to keep the unobstruction of respiratory tract and nurse the high fever , to positively prevent and treat the complication. Result： 25 cases recovered fully except one old case who was at his last gasp and his family memhers ask for giving up treating in 26 cases with multiple fracture complicating FES, the recovery ratio was 96. 15%. Conclusion： FES is one kind of complication of serious trauma with higher morality, to take the early nursing intervention can increase the achievement ratio of salvage and reduce the mortality.