1 case of accident caused by high amputation nursing care of children.docVIP

 PAGE \* MERGEFORMAT 6 1 case of accident caused by high amputation nursing care of children [Key Words] high amputation, children, nursing With the development of modern industry and transport, traffic accidents cause injury and traumatic amputation of cases increased year by year. Such injuries were complex, serious injuries, psychological, physical, and social issues is particularly high. Our department in October 2007 admitted 1 case of serious accidents in children with hemorrhagic shock due to car accidents, destruction of both lower extremities injury, debridement of both lower extremities increase the line amputation. We took the appropriate care measures, and achieved good results. now reported as follows Nursing. 1 Materials and Methods 1.1 Clinical data Children, male, 5 years old, lower limb deformities caused car accident, bleeding, limited mobility, coma, hospitalized after 20 min. Wound the line in the emergency department has a simple dressing. Of both lower extremities from the hip blunt the following areas of skin, blood, femoral exposed and was crushing, muscle damage significantly, a large wound of skin damage, exfoliation, severe limb deformity, limited mobility, feeling lost. 1.2 Methods Debridement of both lower extremities, the line from the broken left hip, right femur 1 / 3 from the off, have more postoperative stump wound exudate, use sandbags to stop bleeding, bedside equipment tourniquet. Reoperation after 11 d line plant Piga left hip debridement right thigh amputation. the active and effective treatment and care, functional rehabilitation and help them get back into life. 2 Results After 22 d, due to left hip, hip granulation wounds healed burn unit line into the left hip, hip debridement and skin grafting, surgical success. Hospitalized 3 months after rehabilitation. 3 Nursing and discussion 3.1 Observation and prevention of bleeding wounds Within 3 d after observation of vital signs every 30 m