创伤后脂肪栓塞综合征的早期干预及护理决策

Early nursing intervention and decision-making of fat embolism syndrome after trauma

目的总结创伤后脂肪栓塞综合征(FES)的临床观察与护理体会。方法回顾性分析2003年11月-2012年10月台州恩泽医疗中心集团下属三院区(包括台州医院、台州中心医院和路桥医院)共48例骨折创伤后FES患者临床资料,入院后72 h内加强生命体征和动脉血氧饱和度监测,观察患者意识状态及呼吸系统改变、发热、皮肤出血点、动脉血氧饱和度等症状,并早期护理干预,观察其临床转归。结果 48例患者除1例轻度脑瘫外,其余47例均康复出院。结论早期护理干预能改善FES临床转归。

Objective To summarize the clinical observation and nursing of fat embolism syndrome after trauma.Methods Clinical data of 48 patients with fat embolism syndrome after trauma in three branch hospitals of Taizhou Enze Medical Center（Taizhou Hospital,Taizhou Central Hospital,Luqiao Hospital） from November 2003 to October 2012 were analyzed retrospectively.The vital signs and arterial blood oxygen saturation were monitored 72 h after ad mission,then consciousness,respiratory system,fever,hemorrahgic spots of skin and artery blood oxygen saturation degree were observed.All patients were given early nursing intervention,then clinical prognosis was observed.Results Among all 48 patients,47 patients＇ biochemical indicators returned to normal,1 case of patient with slight cerebral palsy.Conclusion Early nursing intervention can improve the prognosis of fat embolism syndrome.