Indlela yokusebenza
(I) i-anesthesia
Ibhloko ye-Plexial Plexus isetyenziselwa imilenze ephezulu, ibhloko ye-epirure okanye ibhloko ye-SheArachnoid isetyenziselwa imilenze esezantsi, kwaye i-anesthesia jikelele okanye i-anesthesia jikelele inokusetyenziswa ngokufanelekileyo.
(Ii) isikhundla
Imilenze ephezulu: eyesiqhushulo, i-elbow flexion, ngaphambili ngaphambili kwesifuba.
Imilenze ephantsi: eyenziwe ngamanqatha, i-hip i-hip i-fulexion, ukuthintela, idolo yedolo kunye ne-ankle idibeneyo kwi-90 ye-Press Dorsal.
(Iii) ukulandelelana
Ukulandelelana okukhethekileyo kokusebenza kwe-fallitor yangaphandle lutshintsho lokuseta kwakhona, ukucocwa kunye nokulungiswa.
[Inkqubo]
Oko kukuthi, ukuqhekeka ekuqaleni kokuqala (ukulungisa ukungasebenzi kakuhle), emva koko kuhlanjululwe nge-pin kwi-pins kumgca wokuqhekeka, kwaye emva koko kwalungiswa kwi-proximal yomgca wefratshi, waza walungisa iphela. Kumanye amatyala akhethekileyo, iqhekeza linokulungiswa ngokukhohlisa ngokuthe ngqo, kwaye xa imeko ivumela, iqhekeza lingaphendulwa, lihlengahlengiswe kwaye liphinde libekwe.
[Ukuncitshiswa kweFrature
Ukuncitshiswa kwe-phlity yinxalenye ephambili yonyango lwe-fecture. Nokuba i-phracture incitshisiwe ngokwanelisayo inefuthe ngqo kumgangatho wokuphilisa. Ukuqhekeka kunokuvalwa okanye phantsi kombono ngqo ngokwemeko ethile. Ingalungiswa ngokwefilimu ye-X-ray emva kokumakishwa komzimba. Iindlela ezithile zezi zilandelayo.
1. Ngaphantsi kombono othe ngqo: Ukuvula iqhekeza elineziphelo eziqhekezayo, iqhekeza lingasetwa kwakhona phantsi kombono ngqo emva kokugxeka. Ukuba iqhekeza elivaliweyo lisilele ukuqhekeka, ukwaphuka kunokuphuculwa, ukuhlatywa kwaye kulungiswe phantsi kombono ongqalileyo emva kokubethwa kwe-3 ~ 5cm.
2. Indlela yokunciphisa evaliweyo: qala ukwenza iqhekeza ngokuqhelekileyo emva koko isebenze ngokulandelelana, kwaye isebenzise i-pin yentsimbi ecaleni kwe-phrad, kwaye isebenzise indlela yokuphakamisa i-phrad, kwaye isebenzise i-pickere kufuphi iphinde yaneliseke kwaye ilungiswe. Kuyenzeka ukuba wenze uhlengahlengiso olufanelekileyo lokususwa kwe-subcecentment okanye i-angings ngokwe-X-ray emva kokuncitshiswa kwe-X-ray emva kokuncitshiswa kunye nokulungiswa ngokusekwe kumphezulu womzimba okanye i-bony amanqaku. Iimfuno zokuncitshiswa kwesandla, kukwenziwa kwe-anatomical, kodwa kungekho lula ukubuyisela ifomu ye-Aatomical yoqobo, ngeli xesha i-phrature kufuneka ibe kukunxibelelana okungcono phakathi kwebhloko ye-phratority, kwaye ukugcina iimfuno zomgca ofanelekileyo.
[Ukutshaya]
Ukuphatha yeyona ndlela iphambili yokusebenza kwendlela yokuphucula ithambo langaphandle, kwaye ubuchwephesha obulungileyo okanye obubi okanye obubi okanye obubi ngokuchaphazela kuphela uzinzo lokomelela, kodwa olusezantsi lwentembeko. Ke ngoko, ubuchwephesha beendlela zokusebenza zilandelayo kufuneka balandelwe ngokungqongqo xa besoyika inaliti.
1. Kuphephe ukonakaliswa kwe-1
2. I-ASGOTIT yeNtsebenzo ye-Aseptic Generation Asseptic, inaliti ifanele ibe yi-2 ~ 3cm ngaphandle kwendawo eyosulelekileyo yendawo.
3. Iindlela ezingekhoyo ngokungqongqo: Xa unxiba inaliti kunye nenaliti egqibeleleyo, i-inlet kunye nenaliti yentsimbi enefuthe elibukhali le-0.5 ~ 1cm ye-1CM; Xa unxiba inaliti, sebenzisa amandla e-haestatic gosps yokwahlula umsipha uze ubeke i-cannula kwaye emva koko uyenze imingxunya. Sukusebenzisa amandla akhawulezileyo amandla anokuqhuba xa ukuqhuba okanye ukonakalisa inaliti. Emva kokurhoxisa inaliti, amalungu afanele asuswe ukuba ahlole ukuba ngaba kukho naluphi na uxinzelelo kulusu kwinaliti, kwaye ukuba kukho uxinzelelo, ulusu kufuneka lunqunyulwe kwaye lufundwe.
4. Ngokuchanekileyo khetha indawo kunye ne-angle yenaliti: Inaliti ayifanele idlule kwi-mussic kangangoko, okanye inaliti ifakwe kwindiza yentsimbi, umgama phakathi kweenaliti ezikwi-6 cm; Xa inaliti ifakwe kwiindiza ezininzi, umgama phakathi kweenaliti kwicandelo lokuqhekeka kufuneka libe likhulu kangangoko kunokwenzeka. Umgama phakathi kwezikhonkwane kunye nomgca wokuqhekeka okanye umphezulu wobugcisa akufuneki ube ngaphantsi kwe-2cm.I-000 i-80 ~ ~ 80 ~ 80 ~ 80 ~ ~ 80 ~ kwiikhonkwane ezinesiqingatha.
5. Khetha ngokuchanekileyo uhlobo kunye nobubanzi benaliti yentsimbi.
6. Songa umngxunya wenaliti nge-GAUZ notywala kunye ne-suble gauze.
Isikhundla se-distal inaliti engena kwinaliti ngokunxulumene ne-vascirn ye-vascirn yengalo ephezulu (icandelo eliboniswe kumzekeliso yindawo yokhuseleko kwinaliti.)
[Ukunyuka kunye nokulungiswa]
Kwiimeko ezininzi ukuncitshiswa kokuqhekezwa, ukutshintshwa kunye nokulungiswa kwenziwa ngokufanayo, kwaye ulungiso lugqityiwe njengoko kufuneka xa kufuneka bahlatyelwe. I-quads ezizinzileyo zilungiswe ngoxinzelelo (kodwa amandla oxinzelelo akufuneki ukuba inkulu kakhulu, kungenjalo ukuba isiphene se-angular siya kwenzeka), ukwaphuka kwe-angular kuya kuthi,
Ifashoni yolungiso ngokubanzi kufuneka inikele ingqalelo kule micimbi ilandelayo: 1.
1. Vavanya uzinzo lolungiso: Indlela kukugoba umzobo odibeneyo, umzobo wexesha elide okanye ukutyhala i-fectural yokuphela; Isiphelo esiqingqiweyo esiqinileyo akufuneki sibekho ntshukumo okanye kuphela isixa esincinci somsebenzi we-elastic. Ukuba uzinzo lungonelanga, amanyathelo afanelekileyo anokuthathwa ukwandisa ukuqina ngokubanzi.
2. Umgama ukusuka kwithambo langaphandle lethambo kulusu: 2 ~ 3cm kwilungu elingaphezulu, kwaye umgama ophantsi kakhulu, kwaye umgama ungasuswa emva kokuba ukufuduswa kwayo kwaye i-Morauma ilungiswa.
I-3. Xa ihamba kunye nokwenzakala okuthe tye okuthe tye, ezinye zinokongezwa ukwenza ilungu le-lin eliye lanqunyanyiswa okanye ngaphezulu, ukwenzela ukuqhutywa komzimba kunye nokuthintela ukulimala kwelungu.
4. Ithambo langaphandle le-bone cadre akufuneki lichaphazele umsebenzi wokudibana, ilungu elisezantsi kufuneka kube lula ukuhamba phantsi komthwalo, kwaye ilungu elingaphezulu kufuneka libe lula kwimisebenzi yemihla ngemihla kunye nokuzikhathalela.
5. Ukuphela kwenaliti yentsimbi kunokuvezwa kwi-Clip yokulungisa ngentsimbi malunga ne-1cm, kwaye umsila omde kakhulu wenaliti kufuneka unqunyulwe. Ukuphela kwenaliti ngetywina lweplanga ngeplastiki okanye itayiphu eboshwe, ukuze ingabi fumba ulusu okanye usike ulusu.
[Amanyathelo ekufuneka ethathwe kumatyala akhethekileyo]
Kwizigulana ezinesifo sokulimala ezininzi, ngenxa yokulimala kakhulu okanye ukwenzakala ebomini, kunye neemeko ezingxamisekileyo ezifana noncedo lokuqala, kwaye emva koko zikhuseleke, kwaye zilungisiwe ngexesha elifanelekileyo.
[Iingxaki eziqhelekileyo]
1. Usulelo lwe-pihole; kwaye
I-2. I-necrosis yoxinzelelo lwesikhumba; kwaye
I-3. Ukulimala kwe-neurovascular
4. Ukulibaziseka kokunyanga okanye ukuphiliswa kokuqhekeka.
5. Izikhonkwane ezaphukileyo
I-6. I-Pict Tract Forction
I-7
(Iv) Unyango lwasemva kwexesha
Unyango olufanelekileyo lwendawo oluchaphazela ngokuthe ngqo ukusebenza kwempumelelo, kungenjalo ukuba iingxaki ezinje ngosulelo lwepinhole kunye no-Union of upcking zinokwenzeka. Ke ngoko, ingqalelo eyaneleyo kufuneka ihlawulwe.
[Unyango ngokubanzi]
Emva kotyando, umlenze owenzakeleyo kufuneka uphakanyiswe, kwaye ukujikeleza kwegazi kunye nokudumba kwelungu lelungu eliyenzakeleyo kufuneka kugcinwe; Xa ulusu lucinezelwe ngamacandelo ethambo langaphandle lethambo ngenxa yendawo okanye ukudumba kwelungu, kufuneka iphathwe ngexesha. Izikrelem ezikhululekileyo kufuneka ziqiniswe ngexesha.
[Ukuthintela nokunyanga usulelo]
Ukulungiswa kwethambo lwangaphandle ngokwayo, i-antibiotics ayimfuneko ukuthintela usulelo olutsha. Nangona kunjalo, ukwaphuka kunye nenxeba ngokwayo kufuneka liphathwe ngamayeza okubulala iintsholongwane. Kwiziqwenga ezivulekileyo, nokuba inxeba liyinxeba eligcweleyo, amayeza entsholongwane kufuneka asetyenziswe kwiintsuku ezi-3 ukuya kwezisixhenxe, kwaye amaqhekeza asulelekileyo kufuneka anikwe amayeza okubulala amantshontsho ixesha elifanelekileyo.
[Unonophelo lwePinhole]
Umsebenzi omninzi emva kokulungiswa kwethambo lwangaphandle kufuneka ukhathalele amaphiko rhoqo. Inkathalo yasePihole engalunganga iya kukhokelela kusulelo lwepinhole.
I-1. Ngokubanzi ukunxiba kutshintshiwe kube kanye ngosuku lwesithathu emva kotyando, kwaye ukunxiba kufuneka kutshintshwe yonke imihla xa kukho i-oyozing kwipin.
2. Iintsuku ezili-10 okanye ngaphezulu, ulusu lwe-pinhole luye lusongelwe, ngelixa ugcina ulusu lucocekile kwaye lulomile, yonke imihla ye-~ i-1 ~ i-i-iodine ingabakho.
3. Xa kukho uxinzelelo kulusu kwikhonkco, icala lenkathazo kufuneka linqunyulwe ngexesha lokunciphisa uxinzelelo.
4. Nikela ingqalelo kumsebenzi we-aseptic xa uhlengahlengisa ithambo langaphandle okanye lutshintshe ubumbeko, kunye nokubulala ulusu olujikeleze i-pinhole kunye nenzwane yentsimbi rhoqo.
5. Khusela usulelo olunqamlezileyo ngexesha lokhathalelo lwePinhole.
I-6. Nje ukuba usuleleko lwe-pinhole lwenzeka, unyango oluchanekileyo lwenziwa ngexesha, kwaye umlenze owenzakeleyo kufuneka uphakanyiswe ukuze uphumle kunye nee-antimicroials ezifanelekileyo kufuneka zisetyenziswe.
[UQOQOSHO Umsebenzi]
Ixesha elifanelekileyo kwaye lilungisa ukusebenza ngokungafanelekanga kungekuphela nje ekubuyiseleni umsebenzi wokudibana, kodwa nokwakhiwa ngokutsha kwe-haemaphics kunye noxinzelelo ukukhuthaza inkqubo yokuphilisa ukuphiliswa. Ngokubanzi, ukuthengiswa kwemisipha kunye nemisebenzi edibeneyo inokwenziwa ebhedini ngaphakathi kweentsuku ezisi-7 emva kotyando. Amalungu aphezulu anokuqhuba ukutyhala kwaye ebambe izandla kunye neentshukumo ze-autonomomous yesandi kunye nemithambo-nkqubo ye-elbow, kunye nokuzilolonga okujikelezayo kunokuqalwa ngeveki kamva; Imilenze esezantsi inokushiya ibhedi ngoncedo lwee-crutches emva kweveki enye okanye emva kokuba inxeba liphilisiwe, emva koko liqale ukuhamba nzima kwiiveki ezintathu ezigcweleyo kamva. Ixesha kunye nendlela yokuzivocavoca kakuhle iyahluka ukusuka komnye umntu, ikakhulu kuxhomekeka kwiimeko zendawo nenkqubo. Kwinkqubo yokuzivocavoca, ukuba ipinki ibonakala ibomvu, idumbile, ibuhlungu kwaye ezinye izinto ezibonakalisayo ze-inflommages kufuneka ziyeke umsebenzi, ziphakamise umlenze ochaphazelekayo kwilungu lokulala.
[Ukususwa kwe-bone yangaphandle yethambo]
I-race yokulungisa yangaphandle kufuneka isuswe xa iqhekeza lifikelele kwiikhrayitheriya zeklinikhi yokuphilisa. Xa ususa i-bocket yethambo langaphandle, amandla okuphilisa kweflimu kufuneka amiselwe ngokuchanekileyo, kwaye ukulungiswa kwethambo lwangaphandle akufuneki kususwe ngaphambi kokuqhutywa kwethambo lonyango, ingakumbi xa i-physions, kunye nethambo.
IXESHA LOKUQALA: AUG-29-2024
