Objective: to analyze the effect of holistic nursing in the nursing of patients with multiple rib fractures and hemopneumothorax. Methods: taking the period from September 2019 to August 2020 as the research interval,...Objective: to analyze the effect of holistic nursing in the nursing of patients with multiple rib fractures and hemopneumothorax. Methods: taking the period from September 2019 to August 2020 as the research interval, 76 patients with multiple rib fractures and hemopneumothorax were randomly selected for research. On the basis of following the random number table method, they were divided into two groups, one group was the control group, receiving routine nursing, and the other group was the observation group, receiving overall nursing. The nursing effect, quality of life score and complications were compared between the two groups. Results: the nursing satisfaction score of the observation group was (86.58±3.21), which was higher than that of the control group (70.45±4.73), and the incidence of complications was lower than that of the control group. The data showed significant difference (P < 0.05). Conclusion: holistic nursing for patients with multiple rib fractures and hemopneumothorax can effectively reduce the probability of complications, accelerate the speed of bone healing and improve the quality of life of patients. It can be widely used in clinic.展开更多
The clinical nursing measures of lung contusion combined with multiple rib fracture are discussed and discussed for reference. Methods: from our hospital in January 2016 to January 2018 that time alone in patients wit...The clinical nursing measures of lung contusion combined with multiple rib fracture are discussed and discussed for reference. Methods: from our hospital in January 2016 to January 2018 that time alone in patients with pulmonary contusion merge multiple fractured ribs randomly selected from 74 as the research object, according to the different methods of nursing equal groups, among them, to give the responsibility system for holistic nursing mode called the experimental group, corresponding to accept the traditional mode of conventional nursing for blank control group, Finally, the clinical indicators such as length of stay, bone healing time and incidence of complications were compared and analyzed between the two groups. Results: the overall situation of the control group was far less than that of the experimental group in terms of length of hospital stay, bone healing time and incidence of complications. There were significant differences in data between groups, so it was statistically significant, P < 0.05. Conclusion: in the face of patients with pulmonary contusion merge multiple fractured ribs, implement the responsibility system for the overall nursing mode for postoperative rehabilitation can play a good role in promoting, and compared with the traditional pattern of routine nursing, shorter hospital stay, bone healing faster, therefore, the method is worth in the clinical widespread promotion and application.展开更多
BACKGROUND： With the development of internal fixation materials, simple operation with internal fixation has become a tendency. Ni-Ti shape memory alloy embracing fixator has such advantages as slight injury, easy op...BACKGROUND： With the development of internal fixation materials, simple operation with internal fixation has become a tendency. Ni-Ti shape memory alloy embracing fixator has such advantages as slight injury, easy operation, security, reliable fixation, and better histocompatibility. The present study was to explore curative effect and postoperative results of Ti-Ni shape memory alloy embracing ？ xator in patients with multiple fractured ribs and ？ ail chest.METHODS： The curative effect and long-term follow-up results were observed after internal ？ xation with a shape memory alloy embracing ？ xator in patients with multiple fractured ribs and ？ ail chest from January 2006 to December 2009.RESULTS： All patients were cured with an average hospital stay of 10.31±3.14 days. Post-operative pain was less severe than preoperative pain （P=0.02）.The rate of postoperative complications such as atelectasis, pulmonary infection, etc was 17.65%. There were fewer long-term complications and less in？ uence on daily work and life.CONCLUSIONS： It is practical to perform an operation for fracture of multiple ribs using a Ti-Ni shape memory alloy embracing ？ xator. The ？ xator, which is less traumatic, simple, safe, and reliable, has a good-histocompatibility and fewer postoperative complications.展开更多
BACKGROUND Post-traumatic blunt pericardial injury is a rare condition with only a few reported cases which were generally diagnosed during initial examinations upon admission.However,pericardial injuries not bad enou...BACKGROUND Post-traumatic blunt pericardial injury is a rare condition with only a few reported cases which were generally diagnosed during initial examinations upon admission.However,pericardial injuries not bad enough to dislocate the heart may only cause intermittent electrocardiogram(ECG)changes or be asymptomatic.CASE SUMMARY In this case,we report a blunt pericardial injury undetected on preoperative transthoracic echocardiography and chest computed tomography.We misjudged intermittent ECG changes and blood pressure fluctuations as minor symptoms resulting from cardiac contusion and did not provide intensive treatment.The pericardial injury was found incidentally during surgical stabilization of rib fractures and was successfully repaired.CONCLUSION Post-traumatic blunt pericardial ruptures should be considered in patients with blunt chest trauma showing abnormal vital signs and ECG changes.展开更多
文摘Objective: to analyze the effect of holistic nursing in the nursing of patients with multiple rib fractures and hemopneumothorax. Methods: taking the period from September 2019 to August 2020 as the research interval, 76 patients with multiple rib fractures and hemopneumothorax were randomly selected for research. On the basis of following the random number table method, they were divided into two groups, one group was the control group, receiving routine nursing, and the other group was the observation group, receiving overall nursing. The nursing effect, quality of life score and complications were compared between the two groups. Results: the nursing satisfaction score of the observation group was (86.58±3.21), which was higher than that of the control group (70.45±4.73), and the incidence of complications was lower than that of the control group. The data showed significant difference (P < 0.05). Conclusion: holistic nursing for patients with multiple rib fractures and hemopneumothorax can effectively reduce the probability of complications, accelerate the speed of bone healing and improve the quality of life of patients. It can be widely used in clinic.
文摘The clinical nursing measures of lung contusion combined with multiple rib fracture are discussed and discussed for reference. Methods: from our hospital in January 2016 to January 2018 that time alone in patients with pulmonary contusion merge multiple fractured ribs randomly selected from 74 as the research object, according to the different methods of nursing equal groups, among them, to give the responsibility system for holistic nursing mode called the experimental group, corresponding to accept the traditional mode of conventional nursing for blank control group, Finally, the clinical indicators such as length of stay, bone healing time and incidence of complications were compared and analyzed between the two groups. Results: the overall situation of the control group was far less than that of the experimental group in terms of length of hospital stay, bone healing time and incidence of complications. There were significant differences in data between groups, so it was statistically significant, P < 0.05. Conclusion: in the face of patients with pulmonary contusion merge multiple fractured ribs, implement the responsibility system for the overall nursing mode for postoperative rehabilitation can play a good role in promoting, and compared with the traditional pattern of routine nursing, shorter hospital stay, bone healing faster, therefore, the method is worth in the clinical widespread promotion and application.
文摘BACKGROUND： With the development of internal fixation materials, simple operation with internal fixation has become a tendency. Ni-Ti shape memory alloy embracing fixator has such advantages as slight injury, easy operation, security, reliable fixation, and better histocompatibility. The present study was to explore curative effect and postoperative results of Ti-Ni shape memory alloy embracing ？ xator in patients with multiple fractured ribs and ？ ail chest.METHODS： The curative effect and long-term follow-up results were observed after internal ？ xation with a shape memory alloy embracing ？ xator in patients with multiple fractured ribs and ？ ail chest from January 2006 to December 2009.RESULTS： All patients were cured with an average hospital stay of 10.31±3.14 days. Post-operative pain was less severe than preoperative pain （P=0.02）.The rate of postoperative complications such as atelectasis, pulmonary infection, etc was 17.65%. There were fewer long-term complications and less in？ uence on daily work and life.CONCLUSIONS： It is practical to perform an operation for fracture of multiple ribs using a Ti-Ni shape memory alloy embracing ？ xator. The ？ xator, which is less traumatic, simple, safe, and reliable, has a good-histocompatibility and fewer postoperative complications.
文摘BACKGROUND Post-traumatic blunt pericardial injury is a rare condition with only a few reported cases which were generally diagnosed during initial examinations upon admission.However,pericardial injuries not bad enough to dislocate the heart may only cause intermittent electrocardiogram(ECG)changes or be asymptomatic.CASE SUMMARY In this case,we report a blunt pericardial injury undetected on preoperative transthoracic echocardiography and chest computed tomography.We misjudged intermittent ECG changes and blood pressure fluctuations as minor symptoms resulting from cardiac contusion and did not provide intensive treatment.The pericardial injury was found incidentally during surgical stabilization of rib fractures and was successfully repaired.CONCLUSION Post-traumatic blunt pericardial ruptures should be considered in patients with blunt chest trauma showing abnormal vital signs and ECG changes.
