12 cases of lower leg compartment syndrome nursing.docVIP

 PAGE \* MERGEFORMAT 7 12 cases of lower leg compartment syndrome nursing [Keywords:] compartment syndrome; care measures; functional exercise Compartment syndrome is a common disease of bone surgery, bone compartment area is the body muscles, nerves, blood vessels and other tissues caused by tissue edema and hypertension, leading to compartment contents (mainly muscle, nerve) due to the emergence of a range of acute ischemic symptoms and signs, is a common clinical complications of severe trauma [1]. occur in the forearm and leg fractures or crush injuries, such as improper handling or delayed treatment can lead to physical disability or necrosis, or death. 1 Clinical data Our department from 2004 to 2008 of compartment syndrome were treated in 12 patients, 9 males and 3 females, aged 19 to 62 years, mean 38 years. The causes of injury: severe soft tissue injury in 4 cases, fracture of tibia and fibula 6 cases of tibial plateau fracture in 2 cases. this group of patients had symptoms of significant swelling of the limb, limb persistent pain, tension increased, the skin red violet, blue, shiny, and tension associated with blisters. muscle ischemia caused by muscle weakened, movement disorder, dorsalis pedis artery pulse is weak, poor peripheral circulation, peripheral cyanosis or often slightly pale. this group of patients underwent surgical treatment, results were satisfactory. 2 nursing 2.1 improve the preoperative care of the preoperative examination and laboratory tests, hospital records after the routine blood, urine and other samples and results of the test of time, ready to compare the situation with the progression of the disease; actively carry out preoperative preparation; minimizing the limb activities keep limb horizontal position, prohibiting Taigaohuanzhi; bandaged the wound do not prohibit the massage and hot packs, or easily made it worse; close observation of limb pain, swelling, and peripheral circulation conditions, timely r