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Dołączył: 21 Lut 2011
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Skąd: England
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 Wysłany: Nie 18:20, 06 Mar 2011 Temat postu: mulberry bags acb wdl ehyo jzb |
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52 patients with closed forearm fracture type Integrative Medicine Nursing
, Lateral displacement and other deformities. In recent years, our hospital orthopedic forearm fracture patients treated in 52 patients in the treatment of distal right when the second fixation, with meticulous care, All the fractures healed forearm function recovered well. Materials and Methods 1. General information: The group of 52 cases, male 32, female 2O cases; age of 45 years maximum, minimum 8 years, mean age 27 years; prepared under the Tianjin Medical College of Clinical bone healing science standards, this group of patients healed healing time up to 7l days, the shortest 18 days, an average of 45 days. 2. Manipulation fixation: patient supine, shoulder abduction 9O. , Elbow flexion 9O. , In 1 / 3 fracture of the median take spin, the l / 3 fracture supination taken by the two aides for the fight against traction, overlapping and angular deformity correction. Reset, in the maintenance of traction, the deposited bone side, a small splint fixed on the forearm in neutral position,[link widoczny dla zalogowanych], elbow flexion 9O. With bandage suspension chest. The group had 43 cases of successful manual reduction, but there are 9 cases of manual reduction is not satisfactory, switch to surgical incision fixation and plaster immobilization, combined with anti-inflammatory bleeding, symptomatic support and upper herbal fumigation, after local therapy recovered. Nursing 1. Psychological care: patients in the accidental injury, ideologically unprepared, not only fractures cause pain, movement disorder, and worry about whether the disabled arm. Focus on performance of units: 316 101 Zhoushan, Zhejiang Province, Zhoushan Marine Fisheries Company staff hospital Luomei Juan worry, fear, psychological imbalance in the state. Nurses should talk more with patients to understand the patient's psychological, to establish a good relationship between nurses and patients, so that patients understand the treatment of Integrative Medicine has a dynamic and static fracture, damage, fracture healing characteristics. At the same time to ease the way and guide the patient into the role in encouraging patients to participate in treatment, patients play a dynamic role. 2. Limb observation care: nurses should always observe the limb blood flow, skin color, skin temperature and sensory changes, and timely adjust the tightness of cable ties to keep the upper and lower mobile lcm appropriate. General restoration 3 to 5 days after fixation, the local tissue reaction showed swelling, increased pressure within the splint should be adjusted accordingly. Found in patients with severe swelling of hands, pale skin, skin temperature decreased, accompanied by pain, numbness, prompts the occurrence of crisis, should immediately check the tie and relax, alert to the occurrence of compartment syndrome. The group had 26 patients, limb swelling due to severe skin surface with varying degrees of tension blisters, are under strict aseptic,[link widoczny dla zalogowanych], exhausted with the syringe in blister fluid, the surface Leifonuer gauze to prevent infection, after this treatment improved 3. Nutritional care: rational, comprehensive diet can promote the healing of the fracture is conducive to disease recovery. Fractures in different stages of nurses should dietary guidance, medication that the patients should be eating, cold affordable, suitable flavors phase to improve the therapeutic effect. (1) early stage of fracture: not machine of the hematoma, fractures of the Ministry of the blood supply cut off, part of the bone necrosis, absorption, fever, combined with body trauma reactions, leading to poor patient factors such as consciousness, the patient's spleen, stomach, poor transport capabilities and not eating, then Peace light, tasty and easily digestible food, such as fresh vegetables,[link widoczny dla zalogowanych], fruits, anti-constipation, avoid acrid, sour, oily and other food. (2) fracture of medium-term: With the machine of hematoma, hematoma periphery of osteoblasts quick access to the fracture gap,[link widoczny dla zalogowanych], and the callus produced by the endometrial healing callus bridge formation. At this time should serve calcium, phosphorus rich, high protein, high vitamin foods, such as bone soup, seafood, milk, eggs and so on. (3) post-fracture: fracture healing, the bones are not strong, physical function has not been restored. At this point the body need to restore the blood, strong tendons and marrow. However, due to damage bones, internal dynamic in the liver and kidney, liver and kidney and more deficiency, liver and kidney function support affected tendon bone filling, so the need to culture liver and kidney, qi and blood. Eat animal liver and kidney and diets, to strengthen their bones, nourishing the blood. 4. Functional training guide: functional exercise should be started after anesthesia subsided, and runs through the entire course of treatment. First, make a fist to encourage patients to exercise, so long as muscle contraction, to be the basic swelling subsided, we began to shoulder and elbow joint activities, such as a large cloud hands, Xiaoyun hand and so on. After the lifting of splint can be used for forearm rotation activities, such as reverse hand and so on. Led to the contralateral limb, step by step, to promote tissue repair. Nurses to be patient and responsible to the principles of functional exercise, precautions, meaning, purpose to assist patients in clear, so that to eliminate concerns of patients and achieved good cooperation. Manipulation of small splint fixation of forearm fractures, the key is to restore stability and flexible forearm function. Reduction and external fixation in a good basis,[link widoczny dla zalogowanych], good limb observation, psychological care, nutrition, functional exercise reasonable care and will enable patients to be satisfied with the results.
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