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[目的]探讨经前路手术治疗胸腰段不稳定性骨折病人的围手术期护理方法。[方法]回顾106例胸腰段不稳定性骨折采用前路减压、植骨、Zplate内固定治疗的病人进行围手术期心理护理、术前准备、术后体位护理、引流管护理、脊髓神经功能观察、康复训练等方面。[结果]106例病人没有出现神经功能损害加重,合并不完全截瘫病人有不同程度的神经功能改善,治疗护理效果满意。[结论]采用前路减压、植骨、Zplate内固定治疗胸腰段不稳定骨折,疗效确切,神经功能改善率高,有效重建脊柱的稳定性,围手术期进行有效的护理措施和康复锻炼,有助于病人平稳度过围手术期。 相似文献
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[目的]探讨经前路手术治疗胸腰段不稳定性骨折病人的围手术期护理方法。[方法]回顾106例胸腰段不稳定性骨折采用前路减压、植骨、Zplate内固定治疗的病人进行围手术期心理护理、术前准备、术后体位护理、引流管护理、脊髓神经功能观察、康复训练等方面。[结果]106例病人没有出现神经功能损害加重,合并不完全截瘫病人有不同程度的神经功能改善,治疗护理效果满意。[结论]采用前路减压、植骨、Zplate内固定治疗胸腰段不稳定骨折,疗效确切,神经功能改善率高,有效重建脊柱的稳定性,围手术期进行有效的护理措施和康复锻炼,有助于病人平稳度过围手术期。 相似文献
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《护士进修杂志》2016,(18)
目的探讨对膨胀式椎弓根螺钉治疗老年骨质疏松性胸腰段脊柱爆裂性骨折的护理方法。方法选择我院采用后路膨胀型椎弓根螺钉结合伤椎普通螺钉治疗老年骨质疏松性胸腰段脊柱爆裂骨折患者27例,在术前、术后进行严密地病情监测,予心理、生活护理、并发症的防护以及术后康复训练指导,观察其效果。结果 27例膨胀式椎弓根螺钉治疗的老年骨质疏松性胸腰段脊柱爆裂骨折患者,未出现护理相关并发症;经过18~31个月(24±2.7)月的随访,27例患者椎体高度明显恢复,脊柱后凸Cobb角矫正,未出现神经功能障碍。结论在术前、术后对患者病情的监测,予心理、生活护理及并发症的防护,术后正确及时的康复训练指导,是老年人骨质疏松性胸腰段脊柱爆裂骨折病情康复的必要保证。 相似文献
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刘春枝 《实用诊断与治疗杂志》2005,19(8):603-604
目的:探讨全脊柱截骨术治疗胸腰段脊柱角状后凸畸形的近期临床疗效。方法:对3例胸腰段脊柱角状后凸畸形的患者进行全脊柱截骨治疗。测量术前、术后的Cobbs角,对畸形矫正率及临床效果进行评价。结果:本组平均矫正率80.5%,临床症状恢复满意率100%。结论:后路全脊柱楔形截骨治疗胸腰段角状后凸畸形,创伤小,出血少,矫正率高,近期效果满意。 相似文献
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Kaneda内固定术的护理 总被引:19,自引:2,他引:17
Kaneda装置是一种用于胸腰段和腰段脊柱前路内固定装置,在世界范围内被认为是最坚固的胸腰段及腰段内固定装置。自1995年以来,通过对12例胸腰段及腰段脊柱患者的护理实践,了解病人对此技术缺乏相关知识,针对影因素术前进行心理护理、体位训练及呼吸训练。术后严密观察生命体征,特别是呼吸状态,采取措施,预防并发症的发生,如气胸、肺不张、肺部感染、尿路感染等,从而取得满意的治疗效果。 相似文献
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Pelvic fracture 总被引:3,自引:0,他引:3
Pelvic fractures are common and often devastating injuries. Along with a high mortality, the long-term morbidity is consequential for both the individual patient and society. A thorough knowledge of the clinical approach will assist the emergency physician in providing optimal care and offer a rapid and effective treatment plan for life threatening hemorrhage. Using a case-based scenario, the initial management strategies along with rationale evidence-based treatments are reviewed. 相似文献
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Altizer LL 《Orthopaedic nursing / National Association of Orthopaedic Nurses》2008,27(2):140-5; quiz 146-7
Many people "slip and fall", especially in the icy areas of the winter season. To prevent an injury to the head, most people put their hand out to hit the ground first, so the wrist usually gets injured. The most frequent injury from this type of "intervention" is a fracture to the distal radius and/or ulna, which is frequently called a "Colles' fracture." 相似文献
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Altizer L 《Orthopaedic nursing / National Association of Orthopaedic Nurses》2006,25(4):271-3; quiz 274-5
Boxer's fracture is a common name for a fracture of the distal fifth metacarpal and received its name from one of its most common causes, punching an object with a closed fist. It can occur from a fistfight or from punching a hard object.The injury of a "Boxer's Fracture" earned the name from the way in which the injury occurred, punching an immovable object with a closed fist and no boxing mitt (Figure 1). Naturally, a "Boxer" usually punches his fist into his opponent's face or body. An angry person may perform the same action into a person, or into the wall. The third person may be performing a task and strike something with his fist with forceful action accidentally. In any event, if the closed fist "punches" into an immovable or firm object with force, the most frequent injury sustained would be a fracture of the fifth metacarpal neck. Some caregivers would also call a fourth metacarpal neck fracture a boxer's fracture. 相似文献
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Fractures of the intercondylar tibial spine are uncommon injuries that occur more frequently in the growing skeleton. They are easy to miss in the triage setting often being diagnosed as 'sprains' after sporting injuries. We report three cases that occurred in adolescents attending the same sporting event. We seek to highlight the importance of recognising these injuries so that the appropriate immediate treatment can be given. 相似文献