cast syndrome
Introduction
Introduction to gypsum syndrome In 1878, Willatt first reported a case of acute gastric dilatation due to the use of hip-shaped gypsum, and was named as Castell syndrome. In 1971, Evarts reported that patients with scoliosis or kyphosis without gypsum may also develop nausea and repeated vomiting. He believes that gypsum syndrome is a misnomer. Since such treatments have been widely used, the intrinsic is not uncommon. basic knowledge Sickness ratio: 0.1% Susceptible people: no special people Mode of infection: non-infectious Complications: nausea and vomiting shock
Cause
Causes of gypsum syndrome
Long-term supine, such as cast immobilization, pelvic traction, intra-spinal brachidington, halo-pelvio traction, spinal traction, etc. can cause the superior mesenteric artery to increase the pressure on the duodenum. This causes symptoms of acute gastric dilatation caused by obstruction of the superior mesenteric vein.
Prevention
Plaster syndrome prevention
1. Maintain normal physiological functions such as breathing and circulation.
2, to ensure the effect of fracture fixation, to ensure that the external fixation is satisfactory.
3. Relieve pain and alleviate the suffering of patients.
4. Scientifically guide functional exercise to synchronize the functional recovery of the affected limb with the fracture healing.
5, take care of life, meet the needs of life, culture and other life.
6, reasonable arrangements for nutritional diet, to maintain the body's nutritional metabolism needs.
7, effective prevention of systemic and local complications.
8. Strengthen psychological care, maintain mental health, and guide the improvement of self-care and self-care ability.
Complication
Gypsum syndrome complications Complications, nausea and vomiting shock
Can be complicated by pressure sores, limb blood circulation disorders, limb ischemic contracture and other diseases.
Symptom
Plaster syndrome symptoms common symptoms nausea and vomiting dehydration bloating shock
The severity of the symptoms depends on the degree of compression of the duodenum in the superior mesenteric artery. In the early stage, only the upper abdomen is full and swelled, which may cause nausea. Especially after surgery, these mild symptoms are easily overlooked, followed by vomiting and gradually increasing frequency. Most of the vomit is brownish green, followed by brown color, the sound of shaking water in the abdomen, diffuse tenderness in the whole abdomen, severe dehydration and even death in shock.
Examine
Examination of gypsum syndrome
1. Vomiting occult blood is strongly positive.
2. Low potassium, low chloride alkalosis.
3. ECG shows low potassium changes.
4. X-ray shows gastric dilatation and aerated duodenal dilatation.
Diagnosis
Diagnosis and identification of gypsum syndrome
diagnosis
There is a clear history of spinal traction surgery and typical symptoms of superior mesenteric artery syndrome. Abdominal plain films can be diagnosed.
Differential diagnosis
Should be differentiated from acute gastritis, pyloric obstruction, cholera and cerebral vomiting.
