骨折合并延迟性脾破裂46例护理体会

Nursing experience of 46 cases of fracture complicated with delayed rupture of spleen

目的:总结和探讨骨折合并延迟性脾破裂46例护理经验。方法:骨折合并延迟性脾破裂46例患者进行全脾切除、生命体征监测、尿量监测、腹部症状体征监测、积极的术前准备,术后做好引流管护理、疼痛护理、并发症的观察和护理。结果:骨折合并延迟性脾破裂46例均治愈出院。出现肺部感染2例、胸腔积液4例、膈下感染2例。结论:延迟性脾破裂一旦诊断明确,及时行全脾切除止血,加强护理配合,及时发现并发症,可明显提高抢救成功率。

[Objective] To summarize and discuss nursing experience in 46 cases with fractures and delayed rupture of spleen. [Methods]After active preoperative preparations as monitoring of vital signs,urinary output,abdominal symptoms,vital signs and so on,46 cases with fractures and delayed rupture of spleen were underwent splenectomy and hemostasis,followed by drainage care,pain care,complication observation and nursing care. [Results] All cases were cured and discharged. Pulmonary infections occurred in 2 cases,pleural effusions in 4 cases,subphrenic infection in 2cases. [Conclusion] Once definitely diagnosed,total splenectomy and hemostasis timely performed in cases with delayed rupture of spleen,assisted with strengthen nursing care,early detection of complications,can significantly improve the success rate of rescue.