Kracun M D, Wooten C L
Scripps Memorial Hospital, La Jolla, California, USA.
Crit Care Nurs Q. 1998 Aug;21(2):81-6. doi: 10.1097/00002727-199808000-00009.
Crush injuries result from prolonged entrapment or immobilization. The resultant complications can be devastating and fatal. There is significant tissue injury and muscle necrosis that may lead to one or more complications including compartment syndrome, rhabdomyolysis, renal failure, and coagulopathies. Using a case study format, this article discusses the chain of events surrounding crush injuries and the nursing management issues important for minimizing further complications for critically ill patients.
挤压伤是由长时间的被困或固定不动所导致。由此产生的并发症可能是毁灭性的,甚至是致命的。会出现严重的组织损伤和肌肉坏死,这可能会导致一种或多种并发症,包括骨筋膜室综合征、横纹肌溶解症、肾衰竭和凝血功能障碍。本文采用案例研究的形式,探讨了围绕挤压伤的一系列事件,以及对于将重症患者的进一步并发症降至最低至关重要的护理管理问题。