严重创伤患者骨髓腔输液外渗的护理

doi:10.3761/j.issn.2096-7446.2023.05.008

摘要/Abstract

摘要： 总结1例严重创伤患者骨髓腔输液外渗的护理体会。针对患者病情危重、紧急抢救、肱骨骨折体征不典型,致肱骨骨髓腔输液外渗的难点问题,采取快速识别外渗,紧急处置;超声引导抽吸渗液,精准局部封闭;药物交替外敷,减轻肿胀;精准评估肢体,识别进展。经过7 d积极的治疗与护理,患者肢体肿胀消退。出院随访2个月,恢复良好。

关键词: 肱骨骨折, 骨髓腔输液, 诊断和治疗物质外渗, 急症护理

Abstract: To summarize the nursing experience of intraosseous infusion extravasation in a patient with severe trauma. Aiming at the critical condition of the patient,emergency rescue,atypical signs of humerus fracture leading to humerus intraosseous infusion extravasation,the key nursing measures included rapid identification of extravasation and emergency treatment,ultrasound-guided suction of exudate,accurate partial closure,alternate external application of drugs to reduce swelling,accurate assessment of limbs and identification of progress. After 7 days of active treatment and nursing,the swelling of the patient's limb subsided. After 2 months of follow-up after discharge,the patient recovered well.

Key words: Humeral Fractures, Intraosseous Infusion, Extravasation of Diagnostic and Therapeutic Materials, Emergency Nursing

陈芳, 杨旻斐, 陈彬. 严重创伤患者骨髓腔输液外渗的护理[J]. 中华急危重症护理杂志, 2023, 4(5): 430-432.

CHEN Fang, YANG Minfei, CHEN Bin. Nursing care of a severe trauma patient with extravasation caused by intraosseous infusion[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(5): 430-432.

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