Evidence-based nursing in the limb compartment syndrome complicated fracture of Nursing.docVIP

 PAGE \* MERGEFORMAT 7 Evidence-based nursing in the limb compartment syndrome complicated fracture of Nursing [Keywords:] bone fracture, compartment syndrome, care Evidence-based clinical nursing care is a patient care practice, the correct and comprehensive understanding of the illness of patients, from clinical problems difficult to find and understand the best evidence, and then apply the best evidence to link the patient’s actual effectively address the patient’s problems, and expect to achieve the best results [1]. Evidence-based nursing is a relatively new medical model, has been used in clinical nursing practice, .2005, 1 month to October 2007, we will be evidence-based care used in 10 cases of limb fractures complicated by compartment syndrome of the nursing practice, proved to be effective, are as follows. 1 Clinical data The group of 10 cases, including 6 males and 4 females, aged 23-45 years old. Humerus radius and ulna fracture in 2 cases, 8 cases of fracture of tibia and fibula. Pathogenesis: 7 cases of car accident injury, mechanical injury in 3 cases, the early stage compartment syndrome in 8 cases, of which the outer court into two cases. All patients were diagnosed underwent open decompression of compartment 7 cases, non-surgical treatment of 3 cases by delayed skin suture in 5 cases, recovery of limb function normal in 9 cases, 1 case of partial loss of function. Nursing methods and steps 2 2.1 clinical questions raised compartment syndrome is caused by a variety of reasons, including bleeding in trauma and fracture compression is more common. The main reason is the wall between the relatively tough, poor flexibility, when the indoor organization of traumatic hemorrhage, edema exudation, its pressure increased, thereby causing blood vessel disorder oppression that may cause muscle necrosis [2]. In severe cases, limb ischemia can cause necrosis, or even amputation. Therefore, in order to better formulate a comprehensive pre