地震后四肢骨折并发症的预防和早期康复
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摘要
地震造成的四肢骨折在收住院患者中占绝大部分,而且由地震造成的四肢骨折有明显的特点:伤情严重、复杂、并发症多。其中并发症又分为早期和晚期并发症,包括休克、神经血管损伤、急性肾功能衰竭、脂肪栓塞、感染、深静脉血栓、压疮等。要充分认识这些并发症并对其进行预防性的治疗。骨折治疗后患者因疼痛、恐惧等原因不敢活动患肢从而导致患肢肌肉萎缩、肌力下降及关节功能障碍,最终导致患者劳动力部分或完全丧失。早期康复介入能最大限度减少并发症和减轻致残率。
Most of patients received in hospital with the upper and lower extremity fracture are caused by the earthquake.These fractures have apparent characters,such as:the serious situation,complexity and lots of complications which can be divided two periods:the early and the late.These complications include shock,the nerve and vascular injury,the acute kidney failure,fat embolism,infection,deep venous thrombosis,decubitus ulcer and so on.These complications should be known completely and the therapy should be given early.Practice can not be taken because of pain and some other reasons,and this will lead to the muscle atrophy,adynamia and the joint disfuction.Finally the abilty to work was lost partly or completely.If some measures about rehabilitation were taken early,we can reduce the complication and the disability possibly.
Most of patients received in hospital with the upper and lower extremity fracture are caused by the earthquake.These fractures have apparent characters,such as:the serious situation,complexity and lots of complications which can be divided two periods:the early and the late.These complications include shock,the nerve and vascular injury,the acute kidney failure,fat embolism,infection,deep venous thrombosis,decubitus ulcer and so on.These complications should be known completely and the therapy should be given early.Practice can not be taken because of pain and some other reasons,and this will lead to the muscle atrophy,adynamia and the joint disfuction.Finally the abilty to work was lost partly or completely.If some measures about rehabilitation were taken early,we can reduce the complication and the disability possibly.
引文
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