血氧饱和度仪在四肢骨折术后患者肢端血液循环监测中的应用

Use of oximeter in the monitoring of acral blood circulation in post-limb-fracture patients

目的探讨血氧饱和度仪在四肢骨折术后患者肢端血液循环监测中的应用效果。方法对200例四肢骨折术后患者使用血氧饱和度仪监测患肢血氧饱和度,由此判断是否存在血液循环障碍。结果200例患者中,患肢血液循环正常有107例,可能存在血液循环障碍有50例,存在血液循环障碍有40例,有严重肢体动脉缺血有3例。3例有严重肢体动脉缺血患者,经检查2例为骨筋膜室综合征,1例为动静脉血管部分断裂,经及时有效处理,治疗效果好。结论采用血氧饱和度仪对四肢骨折术后患者血氧饱和度进行测量,可及早发现患肢血液循环障碍,及时采取有效的治疗措施,避免观察判断不到位而导致失误及漏诊。

ObjectiveTo access the efficacy of oximeter in blood oxygen saturation monitoring in limb fracture patients.MethodMonitor the blood oxygen saturation level in 200 patients with limb fractures,and determine whether blood circulation disorders exist in these patients accordingly.ResultsWithin the 200 patients,107 had normal blood oxygen saturation level,50patients had possible blood circulation disorder,40 patients had blood circulation disorder,3 patients had critical limb ischemia among which 2 were diagnosed as osteofascial compartment syndrome,and one as partial breakage of arteriovenous vessels.All the patients recovered well after prompt and proper treatment.ConclusionBlood oxygen saturation monitoring in post-limb-fracture patients using a oximeter can discover blood circulation disorders promptly,thus ensure proper treatment and avoid mal-practice and missed diagnosis.