手外伤门诊换药至晕厥的原因分析及预防对策

摘 要 目的 探讨手外伤门诊换药至晕厥的相关因素及预防对策，以减少或避免其换药晕厥的发生。方法 对2005年1月-2006年1月7200例手外伤门诊换药患者进行回顾性分析。结果 7200例手外伤门诊换药患者中有12例在换药中出现晕厥。其中主要为紧张、疼痛所的致反射性晕厥8例，其次为体位性低血压性晕厥2例，低血糖性晕厥2例。结论 加强换药前的心理疏导，提高耐痛阈。切忌空腹换药。注意换药中的操作方法，指导患者慢节律呼吸，减轻疼痛。避免换药结束后改变体位过快过猛，防止晕厥的发生。
关键词 手外伤 换药 晕厥

Hand injuries syncope outpatient dressing change to the reasons for the analysis and prevention measures

Abstract Objective To investigate the hand injury outpatient syncope dressing change to the relevant factors and the preventive measures to reduce or avoid the occurrence of syncope their dressing change. Methods January 2005 -2006 in January 7200 cases of hand injuries outpatient dressing patients were retrospectively analyzed. Results of 7,200 cases of hand injuries outpatient dressing patients 12 cases in a dressing change in the syncope. Most of them were tense, by the pain caused by reflex syncope eight cases, followed by postural hypotension and syncope two cases, hypoglycemia syncope two cases. Conclusion strengthen the psychological counseling before dressing and improve pain tolerance threshold. Avoid fasting dressing change. Pay attention to the operation of wounds, patients with the slow rhythm of breathing guide to alleviate pain. The dressing was changed to avoid excessive body position changes after the end of excessive, and prevent the occurrence of syncope.
Keywords hand injury dressing syncope