77 cases of pelvic fracture observation and nursing care of patients.docVIP

 PAGE \* MERGEFORMAT 9 77 cases of pelvic fracture observation and nursing care of patients Of: Liang Feng, Rong Weiping, Wu Qun, Wang Li [Abstract] Objective To investigate patients with pelvic fractures and nursing observation. Methods 77 patients with pelvic fractures by close observation of the patient condition, good pain care, psychological care, traction care, basic care and observation and care of complications to guide the rehabilitation exercises and other measures. Results 77 cases of pelvic fracture patients with good prognosis. Conclusion pelvic fracture patients more associated injuries, often accompanied by visceral injury, through close observation and intensive care patients can effectively reduce the pain, save lives, reduce mortality and disability rates. [Keywords:] pelvic fractures; observation; Care Pelvic fracture is a severe orthopedic trauma, in addition to local swelling, pain, functional barriers, often accompanied by varying degrees of shock, with vascular, neurological, urinary tract, bladder and female genital injury. Rapidly changing conditions, mortality higher. so be sure to master the correct first aid and observation to determine the disease to develop and implement effective care plans and measures. 1 Clinical data I ward from January 2008 to September a total of 77 patients with pelvic fractures were treated, aged 8 to 86 years, mean 42.4 years, male 28, female 49 cases, including 7 cases of hemorrhagic shock, and other fractures 21 cases of open soft tissue injuries in 21 cases, 2 cases of bladder rupture, urethral rupture in 3 cases, two cases of crush syndrome, traumatic brain injury in 2 cases. no deaths after admission. According to Tile classification of pelvic fractures, A-type, 45 cases were without surgery: B-type in 11 cases, surgery in 4 cases; C 21 cases, all the surgery. 2 Observation and nursing care 2.1 observing closely the major pelvic fractures cause of death was hemorrhagic shock. P