血管刺伤致筋膜室综合征的原因分析及对策

目的:探讨血管刺伤致筋膜室综合征的发生原因及护理对策.方法:回顾性分析4例血管刺伤致筋膜室综合征的临床资料.结果:4例病人中有1例术后14d出院时右前臂感觉和运动功能无恢复,出院后失访;余3例病人伤口均一期愈合,术后2～4周感觉运动功能恢复正常.结论:根据骨筋膜室综合征致死率和致残率极高的特点,早期诊断、早期手术是影响预后的关键;而对病人进行动态观察,采取措施加强护理对疾病的康复起了积极作用,降低致死率和致残率.

Etiopatehogensis and Strategy to Osteofascial Compartment Syndrome Caused by Vessel Punetivre

Objective: To explore the etiopathogenisis and the nursing of osteofascial compartment syndrome caused by vessel puncture.Method: Review four cases of compartment syndrome caused by vessel puncture.Result: One of four cases discharged without any recovery of feeling and movement of right forearm and could not be followed up.The other three cases,the wounds were heeling well,the function of felling and movement were recovered during two to four weeks post operation.Conclusion: According to the characters of high mortality and disability rate,the key point of dealing with these patients are diagnosing and operating at the early stage.Observing the patients and taking measures to nursing the patients can help recover effectively and reduce the mortality and the disability rate.