骨筋膜室综合征的危险因素分析及护理

通过回顾性分析29例骨筋膜室综合征患的临床资料，认为医务人员对该综合征早期诊断缺乏认识，对多发性创伤未作全面仔细检查，滥用止痛剂及对伤肢同定包扎过紧等，是导致骨筋膜综合征发生、发展的主要因素。提高对四肢创伤病人的警觉性，注意动态观察伤肢的肿胀、疼痛、感觉及远端动脉搏动和皮肤颜色、温度等变化。可及早发现骨筋膜室综合征的表现。为临床医生提供及时处理的依据，是改善预后的关键。

Analysis and nursing of risks of bone fascial bursa syndrome

Through retrospective analysis of clinical data of29patients with bone fascial bursa syndrome,the authors argue the reason of bone fascial bursa syndrome occu rred and developed was that doctors paid less attention to the syndrome,did not conduct comprehensive examinations with multi-traumas,abused anodynes and dresse d the wounds too tightly at fixation.Keeping vigilant with traumatic patients in their extremities and keeping dynamically observing swelling and pains in the i njured extremities as well as the changes of the pulse of remote arteries and of the color and temperature of the skin can lead to early diagnosis of bone fasci al bursa syndrome so as to provide the basis for timely treatment,which is the k ey to improve the prognosis.