多发伤中脊柱脊髓损伤预见性护理

Predictive nursing care of multiple trauma patients with spinal cord injuries

目的:探讨预见性护理措施对多发伤中脊柱脊髓损伤预后的影响。方法:分析多发伤伴脊柱脊髓损伤患者58例,损伤严重度评分(ISS)10～51分,经早期治疗及实施预见性护理。结果:随访3～24个月,ISS均≥30分。死亡5例,无神经功能恶化者,6例伤口深部感染,其中4例换药愈合,2例再次手术清创后愈合。结论:根据多发伤中脊柱脊髓损伤的临床特征实施预见性护理,有利于及早手术,减少并发症的发生;抢救生命,改善预后,提高患者康复质量。

Objective To discuss the predictive nursing care measures on prognosis of multiple injuries of spine and spinal cord inju- ry. Method Analyzed 58 cases of multiple injuries complicated with spinal cord injuries, injury severity score （ISS） 10 -51, and implementation of predictive nursing care of early treatment. Results Followup for 3 - 24 months, ISS reaches 30 points. 5 death cases, no neurological deterioration, 6 cases of wound deep infection, of which 4 cases of heal dressing, 2 cases of surgical debridement back heal. Conclusion Based on clinical features of multiple injuries of spine and spinal cord injury in implementation of predictive nursing care,it is in favour of early surgery,less complicated,and it also can save lives, improve prognosis and the quality of patients.