骨盆骨折护理常规（Pelvic fractures, nursing, routine）.docVIP

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骨盆骨折护理常规（Pelvic fractures, nursing, routine）.doc

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骨盆骨折护理常规（Pelvic fractures, nursing, routine）

骨盆骨折护理常规（Pelvic fractures, nursing, routine） Pelvic fractures, nursing, routine The pelvis is a complete closed bone ring composed of bilateral hips and sacrum, which is connected by the symphysis pubis anterior, and the sacroiliac joint is formed by the joint of the ilium and the sacrum. The pelvic structure is firm and the injury is caused by high energy external force. Crushing, crushing, or falling injuries are the main causes of pelvic fractures. I. nursing evaluation 1. of the patients had a history of high-energy trauma to the pelvis. 1.1 the skin and soft tissues of the pelvic region have the signs of contusion, compression and opening wounds. 1.2 sites of injury pain, swelling, limitation of activity and bone. 1.3 pelvic separation and compression tests were positive, asymmetry of both sides of the pelvis, elevated iliac crest, shortening of the lower limb, positive test of 4 word, and unequal distance between the spines of the sacroiliac joint and the complete dislocation of the sacroiliac joint. 1.4 pelvic fractures can be diagnosed by medical history, physical examination, and anteroposterior X-ray findings of the pelvis. 2. condition assessment: 2.1 awareness, vital signs (especially blood pressure) and so on. 2.2 to observe the extent of local swelling, acral sensation, activity and blood flow changes. 2.3 pain conditions: location, nature, degree. 3. understand the patients psychological status, the degree of understanding of the disease. 4. understand the dietary habits and cultural backgrounds of the patients. 5. to find out whether patients have all kinds of underlying diseases or drug allergy history. 6. understand the self-care ability of the patients. 7. to assess the safety of patients with falling / falling bed, pressure ulcers, and deep vein thrombosis. 8. postoperative evaluation: 8.1 operation methods, anesthesia methods, intraoperative bleeding and other related operations. 8.2, the patients consciousness, vital signs, oxygen saturation, p