20xx年醫(yī)學(xué)專題—橈骨小頭半脫位-資料下載頁
2025-11-02 12:04本頁面
【正文】 ry are unclear, or when it is difficult to perform a thorough examination because the child is uncooperative, it is prudent to obtain a radiograph before the third or fourth attempt at reduction. 然而，當(dāng)造成(z224。o ch233。nɡ)損傷或移位的原因是摔落，或損傷的周圍環(huán)境不清楚或則是因為孩子不配合而無法進行徹底的體格檢查時，在嘗試進行第三或第四次復(fù)位前為謹(jǐn)慎起見應(yīng)進行影像學(xué)檢查。 After obtaining a radiograph, splint the elbow at an angle of approximately 90 degrees (even if the child presents with the arm more fully extended) and refer the child to an orthopedic surgeon. 影像學(xué)檢查后，用夾板固定肘關(guān)節(jié)在大約90176。的位置（即使孩子開始的手臂是過伸位的），然后將孩子轉(zhuǎn)診至骨科醫(yī)生。,第十三頁，共二十頁。,In the majority of such cases, the affected elbow will reduce spontaneously during the period of immobilization. 對于多數(shù)此類情況，受傷的肘關(guān)節(jié)會在制動期間自發(fā)復(fù)位。 Aftercare 操作后護理 When a pulled elbow has been successfully reduced, aftercare is minimal. 牽拉肘成功復(fù)位后，很少需要護理。 Children may resume normal activity as soon as they wish. 孩子可以很快恢復(fù)正?；顒?。 However, parents and caregivers should be advised that the condition may recur, and the clinician should explain how the risk of recurrent subluxation can be minimized. For example, advise caregivers to avoid pulling on the arms and lifting or swinging the child by the arms. 然而，應(yīng)告知家長或監(jiān)護人脫位可能會再發(fā)，而臨床醫(yī)生應(yīng)解釋如何來降低半脫位的發(fā)生。比如，告知監(jiān)護人避免牽拉孩子的手臂以及避免用手臂引體向上或擺蕩。 Clinicians may also consider providing family members with instructions on how to reduce a pulled elbow at home, particularly if this is not the first time the child has had pulled elbow. 臨床醫(yī)生也可以考慮(kǎolǜ)提供給患者家屬一些在家手法復(fù)位牽拉肘的手法指導(dǎo)，尤其是那些反復(fù)發(fā)生牽拉肘的孩子。,第十四頁，共二十頁。,常用復(fù)位(f249。 w232。i)方法,第十五頁，共二十頁。,旋后法中屈曲旋后患者(hu224。nzhě)的手和手臂,第十六頁，共二十頁。,過度旋前手法中握住患者(hu224。nzhě)的手 復(fù)位牽拉肘時將患者腕關(guān)節(jié)過度旋前,第十七頁，共二十頁。,第十八頁，共二十頁。,謝謝(xi232。 xie),祝大家新年快樂，萬事如意，福如東海(f r dōng hǎi)，壽比南山等。,第十九頁，共二十頁。,內(nèi)容(n232。ir243。ng)總結(jié),橈骨(r225。ogǔ)頭半脫位,第二十頁，共二十頁
環(huán)評公示相關(guān)推薦
鄂ICP備17016276號-1