20xx年醫(yī)學(xué)專題—橈骨小頭半脫位(編輯修改稿)
2024-11-11 12:04 本頁面
【文章內(nèi)容簡(jiǎn)介】 ndomization to supination. 在一項(xiàng)研究中，隨機(jī)予以過度旋前手法首次復(fù)位成功的比例是95%，而旋后手法則為77%。 Supination Technique 旋后手法 To perform the supination technique, seat the child on the parent or caregiver’s lap, with the child facing you. Clasp both the hand and elbow of the affected arm (圖. 3). 采用旋后手法時(shí)，讓孩子坐在家長(zhǎng)或監(jiān)護(hù)人的大腿上面對(duì)著操作者?？圩』贾氖趾椭?。 Your fingers or thumb should overlie the radial head. Neither the positioning of your fingers or thumb nor the starting position of the affected arm is critical to the success of the procedure. 操作者的手指(shǒuzhǐ)后大拇指應(yīng)壓在橈骨頭上。無論是操作者的手指(shǒuzhǐ)或大拇指位置或患肢的初始位置對(duì)于復(fù)位成功都至關(guān)重要。,第九頁，共二十頁。,Supinate and flex the forearm until you feel the ligament move back into position (圖. 4). You may feel or hear a click as the ligament is reduced. 旋前屈曲前臂直到感覺環(huán)狀韌帶移回至正常位置。環(huán)狀韌帶復(fù)位時(shí)操作者可以感覺或聽到輕微的咔噠聲。 If the reduction is successful, the child should be pain free and able to move the arm normally in 5 to 30 minutes, including being able to reach for an object above the head. 如果復(fù)位成功，孩子便會(huì)不痛并能在530分鐘內(nèi)自如活動(dòng)，包括碰觸高過頭頂?shù)奈矬w。 Hyperpronation Technique 過度旋前法 Hyperpronation can be the primary method used to reduce a pulled elbow, or it can be used if the supination technique has failed. Seat the child on the parent’s or caregiver’s lap, with the child facing you. However, if any other abnormalities are present, such as evidence of infection, reduction should not be attempted and immediate evaluation of the cause and appropriate treatment should be initiated. 但是，如果合并其它任何疾病，比如感染，則不能予以復(fù)位而應(yīng)立即評(píng)估(p237。nɡ ɡū)造成疾病的原因同時(shí)立即予以適當(dāng)?shù)闹委煛?第十頁，共二十頁。,Preparation準(zhǔn)備 No equipment is required for the reduction of a pulled elbow. The clinician’s hands should be washed thoroughly as part of standard precautions. 復(fù)位肘關(guān)節(jié)無需準(zhǔn)備任何設(shè)備。臨床醫(yī)生徹底洗手應(yīng)該是標(biāo)準(zhǔn)注意事項(xiàng)的一部分。 Procedure 操作 To prepare the parent
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