躯干石膏综合征的临床探讨

The clinical discussion of body cast syndrome

目的探讨躯干石膏综合征的临床特征及预防措施。方法回顾性总结 2 6例躯干石膏综合征患者的临床资料 ,分析其发病原因、临床表现、治疗方法及其疗效。结果躯干石膏综合征的发生率为 8.0 %。主要症状为 :腹痛、腹胀、恶心、呕吐、烦躁、胸闷、气急、呼吸困难 ,少数有水电解质紊乱。处理以松解石膏、胃肠减压及纠正水、电解质紊乱为主。结论早期发现和及时有效处理是治疗的关键。采用聚氨酯绷带替代普通石膏绷带固定能有效地减少躯干石膏综合征的发生率。

Objective To explore the clinical characteristics of body cast syndrome and the method of prevention and treatment.Methods The clinical data of 33 cases with body cast syndrome were analyzed retrospectively,including etiology,clinical performance,therapy and curative effect.Results The incidence rate of body cast syndrome was 8.0%,which was characterized by abdominal pain,abdominal distention,nausea,vomitting,being agitaed,chest stuffy,and diffculty in breathing,and disorder of water and electrolyte in few patients.Losening plaster,gastrointestinal decompression and regulating water electrolyte were applied.Conclusion Early finding and timely treatment are the keys to treating body cast syndrome.The application of polyurethane bandage instead of ordinary plaster can effectively decrease incidence of body cast syndrome.