TOTAL VIEWS: 137
Objective: To analyze the clinical application of bilateral proximal lower limb tourniquet in the emergency treatment of limb fractures with hemorrhagic shock. Methods: A total of 80 patients with limb fractures and hemorrhagic shock who were admitted to our hospital between February 2016 and April 2020 were selected for the study. Patients were divided into two groups according to their order of admission. The control group (40 patients) had a conventional tourniquet applied to the injured limb, while the experimental group (40 patients) had a bilateral proximal lower limb tourniquet applied in addition to the conventional tourniquet on the injured limb. We observed and recorded the 24-hour mortality rate, the incidence of tourniquet shock, the occurrence of postoperative thrombosis, skin, muscle, and nerve damage, and the time required for blood pressure to recover to the lower limit of the normal range. Results: The 24-hour mortality rate in the experimental group was 0.0%, significantly lower than the 12.5% in the control group, with a statistically significant difference (P<0.05). There was no statistically significant difference between the two groups in terms of the incidence of tourniquet shock, postoperative skin, muscle, and nerve damage, or postoperative limb thrombosis (P>0.05). Compared with the control group, the experimental group had a significantly shorter time for blood pressure to recover to the lower limit of the normal range (P<0.05). Conclusion: In the clinical emergency treatment of patients with limb fractures and hemorrhagic shock, using a bilateral proximal lower limb tourniquet significantly reduces the 24-hour mortality rate, promotes faster recovery of blood pressure to the lower limit of the normal range, and does not increase the risk of tourniquet shock or postoperative skin, muscle, nerve damage, or limb thrombosis, making it valuable for clinical application.
[1] Xie Lihua. The Effect of Integrated Emergency Nursing in the Rescue of Patients with Severe Trauma and Hemorrhagic Shock. Heilongjiang Medical Journal. 2020;33(01):212-214.
[2] Xu Jing. Experience in Emergency Nursing for Patients with Severe Trauma and Hemorrhagic Shock. Clinical Medical Research and Practice. 2020;5(04):173-174.
[3] Wang Jinpeng, Lin Yanting, Wang Yu, et al. The Effect of Integrated Trauma Emergency Mode in the Rescue of Patients with Severe Multiple Trauma and Hemorrhagic Shock. Chinese Medical Records. 2020;21(01):86-88.
[4] Lu Yaer. Emergency Nursing and Prognosis Analysis of Patients with Multiple Trauma and Hemorrhagic Shock. Zhejiang Journal of Traumatic Surgery. 2019;24(06):1301-1302.
[5] Liu Xuehui. Experience in Pre-hospital Emergency Nursing for Patients with Traumatic Hemorrhagic Shock. Guide of China Medicine. 2019;17(33):237.
[6] Feng Xianmei. Application of Crisis Management Combined with Seamless Integrated Emergency Nursing in Patients with Severe Trauma and Hemorrhagic Shock. Henan Medical Research. 2019;28(22):4187-4189.
[7] Liang Guangzhu. Clinical Observation of Emergency Treatment of Patients with Traumatic Hemorrhagic Shock. Zhejiang Journal of Traumatic Surgery. 2019;24(04):804-806.
[8] Jiao Mingya. Emergency Nursing Measures for Patients with General Surgery Hemorrhagic Shock. Modern Medical Imaging, 2019;28(02):413-414.
[9] Cheng Weihong. Analysis of Emergency and Nursing Measures for Hemorrhagic Shock. Massage and Rehabilitation Medicine. 2018;9(23):68-69.
[10] Liu Liangming, Bai Xiangjun, Li Tao, et al. Early Treatment Norms for Traumatic Hemorrhagic Shock. Journal of Traumatic Surgery. 2017;19(12):881-883 + 891.
[11] Yang Xianliang. Analysis of Emergency Experience in 200 Cases of Multiple Limb Fractures with Hemorrhagic Shock. Modern Diagnosis and Treatment. 2016;27(21):4114-4115.
[12] Xu Qiang. Analysis of Pre-hospital Emergency Diagnosis and Treatment of Traumatic Hemorrhagic Shock. Journal of Aerospace Medicine. 2017;28(02):176-177.
Clinical Application of Bilateral Proximal Lower Limb Tourniquet in the Emergency Treatment of Limb Fractures with Hemorrhagic Shock
How to cite this paper: Weixin He, Chang Cai, Zili Xu. (2024) Clinical Application of Bilateral Proximal Lower Limb Tourniquet in the Emergency Treatment of Limb Fractures with Hemorrhagic Shock. International Journal of Clinical and Experimental Medicine Research, 8(4), 651-655.
DOI: https://dx.doi.org/10.26855/ijcemr.2024.10.019