37 cases of amputation in patients with normal nursing gunshot wound.docVIP

 PAGE \* MERGEFORMAT 7 37 cases of amputation in patients with normal nursing gunshot wound [Abstract] gunshot wound complicated with injuries, often associated with multiple injuries, disability higher characteristic. Nursing care to understand the psychological characteristics of patients, close observation of vital signs, observation of the wound bleeding, early prevention and detection of infection and timely treatment of pain, stump functional exercise do to maximize the promotion of the patient’s recovery. [Keywords:] gunshot wound, amputation, care Currently, firearm injuries usually are on the rise. Gunshot wound in gunshot wound treatment is amputation of the more common form of surgical techniques, early amputation to save the lives of the wounded, but amputation is a life of destructive irreversible damage, the physical, psychological pain to the injured enormous [1]. in our hospital from January 2000 to January 2008 were treated gunshot injury usually requires a total of 37 cases of amputation, now nursing points are described below. 1 Clinical data A total of 37 patients injured in this group, 28 males and 9 females, aged 5 to 42 years, mean age 20.3 years. Injury factors: the gun wound in 6 cases, 18 cases of gunshot wounds, explosive trauma in 13 cases, amputation: trauma 20 cases of amputation, physical destruction of injury in 6 cases, 4 cases of severe open fractures, vascular injury in 7 cases, amputation injury time 3.2 (2 ~ 7h, amputated parts: the upper arm in 5 cases, 5 cases of forearm, wrist 5 cases, 7 cases of hand and knee in 2 cases, 5 cases of leg and foot in 8 cases, amputation methods: open 10 limb amputation in 8 cases, 9 cases of semi-open 9 limb amputation, closed 20 cases of amputation of 23 limbs. The average wound healing time 17.2d (12 ~ 25d), complicated by wound infection in 1 case, 1 case of painful neuroma, I heal more satisfied patients. Prosthesis after amputation to install an average of 12.6W (8 ~