一位腔室症候群併發橫紋肌溶解症病患之護理經驗：病例報告

Experience of Nursing a Sufferer of Compartment Syndrome with Rhydomyolysis: A Case Report

陳妙娟(Miao-Chuan Chen) ； 鄒綉菊(Xiu-Ju Zou) ； 明勇(Yung Ming)

《南臺灣醫學雜誌》 4卷3期 (2008/12) Pp. 158-164

https://doi.org/10.6726/MJST.200812_4(3).0007

摘要

本篇個案報告之目的為敍述一位無任何病史却因跌倒腿部壓傷導致腔室症候群，又因併發橫紋肌溶解症導致急性腎衰竭，收住加護病房期間之照護經驗。護理期間為2006年4月21日至2006年5月6日，以Gordon十一項健康功能進行護理評估，共歸納出高危險性損傷、疼痛、焦慮及健康維護能力改變等四個護理問題，筆者除密切注意大量輸液治療、筋膜切開傷口及血液透析治療等的護理措施外，進一步避免個案發生低血溶性休克、肺水腫、感染及高血鉀等合併症，並注意個案因健康改變引發之焦慮及維護能力改變，提供其疾病資訊，心理支持，讓個案接受血液透析的結果，讓個案在生活型態改變後可以有擁有自我健康維護的能力。

關鍵字

壓傷 ； 腔室症候群 ； 橫紋肌溶解症

並列摘要

This case report describes a no-past-history female who got compartment syndrome after falling down and pressing her leg to injury suffered from accompanying rhabdomyolysis resulting in acute renal failure and was then hospitalized in Intensive Care Unit from April 21, 2006 to May 6, 2006. After nursing assessment by Gordon's eleven functional health patterns, it showed that there were four nursing problems, risk for injury duo to compartment syndrome with rhydomyolysis, acute pain, anxiety, and ability change of health promotion. While performing nursing interventions on her including fluid resuscitation, fasciostomy, and hemodialysis, we had to prevent her complication of hypovolemic shock, pulmonary edema, infection and hyperkalemia and watch her anxiety and ability change of the health promotion caused by compartment syndrome with rhabdomyolysis. Besides, we must supply her with proper mental support and information about the disease. Thus, she might face the result it turned out, long-term hemodialysis.

並列關鍵字

crush ； compartment syndrome ； rhydomyolysis