石膏外固定后悬吊消除上肢创伤后肿胀的效果观察

Observation of suspension after the plaster external fixation to eliminate the quellung after upper limbs injuries

目的探讨石膏外固定后悬吊消除上肢创伤及手术后早期肿胀的效果。方法对伤后2h至24h的280例上肢创伤及手术后早期肿胀无合并动脉损伤患者,用石膏外固定后悬吊抬高患肢,1周内评判肿胀消除效果。结果根据临床评定标准,本研究的280例患者中,显效151例,有效126例,总有效率98.9%,3例出现骨筋膜间室综合征,经及时切开减压,未出现严重并发症。结论石膏外固定后悬吊对上肢创伤及手术后早期肿胀的消除或减轻具有明显的效果,并且护理措施简便易行,取材方便,快速消肿,无严重并发症。

Objective To explore the effect of plaster external fixation raising ill limbs in treating hand trauma and postoperative early swelling.Methods 280 cases of hand trauma and postoperative early swelling without artery injury patients were treated, such as plaster external fixation raising ill limbs.Paid attention to observe the effect for one week.Results Assess the standard according to the clinic, in 280 sufferers of this research, the significantly effect, and effectiveness were 151 cases and 126 cases the total effective rate was 98.9%.There were 3 cases appear the osteofasical compartment syndrome between the anadesma and the bone, because of the open decompression in time, it did not appear the serious complications.Conclusions This method in treating hand trauma and postoperative early swelling has obvious results; nursing intervention is simple, easy, effective, no severe complication.