fractures complicated by fat embolism syndrome on the progress of care（骨折并发脂肪栓塞综合征的护理进展）.docVIP

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fractures complicated by fat embolism syndrome on the progress of care（骨折并发脂肪栓塞综合征的护理进展）.doc

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fractures complicated by fat embolism syndrome on the progress of care（骨折并发脂肪栓塞综合征的护理进展）

Fractures complicated by fat embolism syndrome on the progress of care [Abstract] Objective To summarize the occurrence of fat embolism syndrome after fracture observation and nursing care. Methods of fractures complicated by fat embolism syndrome in patients with recent observations with the care and read relevant documents, sum up experiences and lessons of their predecessors Conclusion fat embolism syndrome occurrence and development of fast and high mortality, to improve the survival rate of fat embolism in patients with the care worthy of further study and discussion. [Keywords] fat embolism syndrome observed fracture care review Fat embolism syndrome (fat embolism syndrome, FES) is a bone marrow or other tissue from the fat, lipid embolism lung, brain and skin and other organs, blood vessels caused by a group of clinical signs of respiratory distress and central nervous system to dysfunction as the main performance [1]. FES mainly in serious fractures, fracture-prone, and combined with shock at a higher incidence of its onset, rapid development, not timely diagnosis and take measures to life-threatening, Xia Zhimin et al [2] reported that FES The mortality rate was 12.7%, and therefore early detection of fat embolism syndrome, early treatment and effective care is important in reducing mortality [3]. In this paper, FES observation and care are reviewed. An observation 1.1 Respiratory changes: severe trauma fractures, after the initial treatment, patients without chest trauma, found difficulty in breathing rategt; 25 beats / min, chest pain, chest tightness, cough, lip cyanosis, dynamic monitoring of oxygen saturation of less than attention should be 80% [4]. 1.2 nervous system symptoms: severe trauma fractures, no respiratory system performance, no history of head trauma, no coma, shock, in the early (12 h a 3d) appear indifferent, drowsiness, convulsions, coma, limb muscle tone, very few may present with hallucinations, mainly exc