四肢大血管损伤的救治及护理

Treatment and Nursing of Tussue Defect in Limbs

目的:探讨四肢大血管损伤病人的临床救治及护理。方法:2004年1月至2007年9月对15例大血管损伤病人进行紧急止血、抗休克防治,急诊手术修复损伤血管,实施心理护理,进行护理干预,严密观察全身及局部情况,预防并发症、指导功能锻炼。结果:15例病人全部肢体存活,术后1例出现骨筋膜综和症,经切开减压等治疗后治愈,功能恢复达到预期效果。结论:及时有效的止血和尽快恢复有效循环血量是救治大血管损伤成功的基础,快速的血管修复,加上精心细致的护理是保证肢体存活,减少截肢的重要措施。

Objective ：To report the clinical treatment and nursing of tussue defect in limbs. Methods： From January of 2004 to September of 2007, a total of 15 patients with tussie defect were treated with repara- tive emergency and mental nursing. Result：All patients were successfully treated after operation but one has iliac fascia syndrome. After session, decompression and other treatments, it was healed to the expected re- suit. Conclusions ：The foundation to treat tissue defect successfully is to stop bleeding effectively and timely as well as regain effective circulating blood volume quickly. A quick tissue repair and careful nursing are vi- tal measures to ensure the survival of limbs so that amputation can be decreased to the least.