Thaum twg koj xav tau kev phais pob txha?

Kev puas tsuaj feem ntau yog nrog los ntawm kev raug mob mus rau lwm qhov ntawm lub cev. Nyob rau hauv tag nrho cov txheej txheem ntawm kev kho mob, cov neeg mob yuav tsum tau kho tag nrho.

Order of Priority

• Txuag txoj sia

• Txuag li ko taw

• Txuag cov pob qij txha

• Reconstruction muaj nuj nqi

  
  

Kev phais mob xwm txheej ceev: kev kho mob ntawm vascular raug mob, qhib pob txha thiab kaw pob txha.

• Qhib txo thiab kho sab hauv kom ntxov li sai tau (hauv 6h)

• 48h ib

• 3 ~ 7d: Nws yuav ua rau muaj qhov tshwm sim ntawm ARDS thiab lwm yam teeb meem.

• 7 ~ 10d: Cov tshuaj tiv thaiv kab mob endocrine txo qis [qhov mob tshwm sim, mob ploj lawm]

• Ntau tshaj 2 lub lis piam: qhov nyuaj ntawm kev ua haujlwm nce thiab kev ua haujlwm tom qab txo qis.

Collarbone puas

• Thaum cov pob txha pob txha raug mob subclavian hlab ntsha, hlab ntsha thiab brachial plexus, nws tau pom zoo tias nws yog ib qho teeb meem loj thiab yuav tsum tau ua tam sim ntawd.

Proximal humeral tawg

• Thaum lub elastic rov tshwm sim tom qab phau ntawv txo qis - cov leeg ntawm biceps longus, thaum cov tsos mob ntawm axillary paj tshwm.

Fracture ntawm humeral ncej

• Thaum pom cov tsos mob ntawm cov hlab ntsha radial raug mob hauv lub cev, kev ua haujlwm yuav ua tam sim ntawd.

Distal humeral tawg

• Cov pob txha zoo li no yuav ua rau cov hlab ntsha lossis cov hlab ntsha raug mob uas dhau los ntawm lub luj tshib. 

• Lub laceration ntawm cov hlab ntsha yog tsawg, tab sis tej zaum yuav muaj kev nro lossis compression. 

• Fascial Space Syndrome - tam sim ntawd incision thiab decompression.

Kev raug mob ntawm olecranon, radial taub hau thiab lub luj tshib complex

• Ua kom tiav cov haujlwm hauv ib lub lis piam.

• 1 ~ 2 lub lis piam ua haujlwm taboo lub sijhawm-myositis ossificans.

• Kev phais hauv 2 lub lis piam.

  
  

Ob leeg forearm tawg

• Los yog qhib pob txha yuav tsum tau ua nyob rau hauv 6 ~ 8h tom qab raug mob.

• Kev ua haujlwm qeeb tuaj yeem ua rau muaj kev pheej hmoo ntawm pob txha choj tsim ntawm ulna thiab lub vojvoog.

Distal radius tawg

• Thaum kuaj lub cev pom tias extensor pollicis longus tendon raug mob thiab cov tsos mob ntawm cov hlab ntsha nruab nrab tshwm sim - kev phais tam sim.

Tes tawg

• Kev txo qis thaum ntxov thiab kev txhim kho sab hauv tau hais meej rau ob qho tib si qhib thiab kaw cov pob txha, tshwj xeeb tshaj yog rau cov neeg uas muaj teeb meem nrog vascular, paj hlwb lossis cov leeg nqaij, kev phais yuav tsum tau ua tam sim ntawd.

  
  

Pelvic tawg

• Pelvic fractures feem ntau ua ke nrog cov pob txha hauv lwm qhov chaw, uas yuav ua rau hemodynamic instability.

  
  

• Kev kho mob ntawm cov pob txha pob txha pob txha: 30min, 3 kev txiav txim siab

• Kev tshawb nrhiav kev phais tam sim kom tsis txhob los ntshav

• Pelvic fixation (C-shaped forceps lossis sab nraud fixator) ua tiav hauv 10 ~ 15min.

• Tom qab soj ntsuam rau 10 ~ 15min, tus neeg mob tseem muaj hemodynamic instability-kev ua haujlwm.

• Rau cov neeg mob uas muaj hemodynamics ruaj khov, kev ua haujlwm yuav tsum tau ua hauv 7 hnub, lossis 7 ~ 14 hnub.

Proximal femoral fracture-intertrochanteric puas

• Thaum tus neeg mob qhov kev mob tshwm sim nyob rau hauv kev tswj hwm, kev kho sab hauv, DHS, DCS thiab PFN, yuav tsum tau ua.

Proximal femoral fracture-femoral caj dab tawg

• Femoral caj dab pob txha, tshwj xeeb tshaj yog pob txha pob txha, tuaj yeem ua rau muaj kev phom sij rau cov ntshav ntawm lub taub hau femoral, yog li nws yuav tsum tau qhib qhov txo qis thiab kho sab hauv kom sai li sai tau.

• Internal fixation: <65 xyoo

• Kev hloov pauv: > 65 xyoo

• Yog tias tsis muaj kev phais mob xwm txheej ceev, kev sib koom tes sib koom tes thiab kev ua kom lub siab ntawm intra-articular hematoma tuaj yeem ua tau, thiab lub duav sib koom tuaj yeem khaws cia rau hauv ib nrab flexion thiab sab nraud kev sib hloov.

Distal femoral puas

• Cov neeg mob uas raug mob cov ntaub so ntswg hnyav, qhib pob txha, los yog teeb meem hauv kev ua haujlwm ntxov-Super-articular sab nraud fixator.

• Kev kho mob tam sim ntawd ntawm kev raug mob cais--DCS, retrograde intramedullary ntsia thawv.

  
  

Patella Fracture

• Tus neeg mob qhov kev mob dav dav yog qhov ruaj khov, thiab cov tawv nqaij hauv zos tau tso cai, kev ua haujlwm yuav tsum tau ua tam sim ntawd.

Proximal tibial fracture

• Txheeb xyuas qhov xwm txheej ntawm kev raug mob hnyav

• Kev raug mob lub zog siab yog feem ntau nrog cov nqaij mos raug mob hnyav. Nws yog tus yam ntxwv ntawm limb o, blistering, daim tawv nqaij puas thiab daim tawv nqaij laceration. Kev ua haujlwm yuav tsum tau ncua sijhawm rau lub sijhawm no. Nyob rau tib lub sijhawm, fascial space syndrome thiab vascular thiab paj hlwb raug mob yuav tsum raug cais tawm.

Tibial ncej tawg

• Qhov tshwj xeeb ntawm lub cev - qhov tseem ceeb ntawm cov ntaub so ntswg.

• Thaum ntxov: hauv 8h

• Sab nrauv fixator yog suav tias yog thawj qhov kev xaiv rau kev kho mob thaum ntxov.

• Kev them nyiaj yug gypsum

• Calcaneal traction

• Theem II: txog 2 lub lis piam.

• Tsis muaj qhov pom tseeb ntawm kev kis kab mob thiab mob hnyav.

• Tsis o los yog exudation ntawm qhov txhab.

• Blister yog qhuav, o tuaj yeem thiab cov cim pob txha tuaj yeem kov.

• Wrinkled daim tawv nqaij, kab ntawm daim tawv nqaij tshwm.

Fracture of distal tibia (pilon)

Cov txiaj ntsig kev kho mob ntawm Pilon pob txha yog nyob ntawm qhov zoo ntawm kev sib koom ua ke thiab kho cov ntaub so ntswg mos.

Lub sijhawm zoo tshaj plaws rau kev phais yog nyob ntawm qhov mob ntawm cov nqaij mos:

• Thaum ntxov: kev ua haujlwm tau ua nyob rau hauv 6 ~ 8h, uas kav 2 ~ 3h.

• Ncua sijhawm: 7 ~ 10 hnub, o ploj thiab daim tawv nqaij wrinkles tshwm.

Plaub lub hauv paus ntsiab lus uas yuav tsum tau ua raws li hauv ib-theem phais kho dua tshiab:

• Reconstruction ntawm fibula

• Reconstruction ntawm tibial articular nto

• Pob txha grafting

• Kev them nyiaj yug ntawm pob txha phaj

pob taws pob txha

• Pob txha pob txha yog intra-articular fracture.

• Lub hom phiaj ntawm kev kho mob yog los kho qhov qub anatomical qauv ntawm cov pob qij txha.

• Lub sijhawm ntawm kev phais yog nyob ntawm lub xeev ntawm cov ntaub so ntswg.

• Lub sijhawm zoo tshaj plaws rau kev phais yog ua ntej edema thiab hlwv tshwm sim hauv thaj tsam pob txha.

ko taw tawg

• Nws yog lub pob zeb rau cov neeg sawv thiab taug kev. Restoring lub cev anatomical qauv ntawm ko taw plays lub luag haujlwm tseem ceeb hauv tib neeg sawv thiab taug kev.

• Raws li nrog pob taws pob txha, lub sij hawm ntawm kev phais nyob ntawm qhov degree thiab lub xeev ntawm cov ntaub so ntswg o.

Pob txha pob txha

• Yog tias tag nrho lub cev ruaj khov, qhov tawg tawg yuav tsum tau ua tam sim ntawd yog tias muaj cov tsos mob ntawm lub paj hlwb.

  
  

Yuav Ua Li Cas Orthopedic Implants thiab Orthopedic Instruments?

Rau CZMEDITECH , peb muaj cov khoom lag luam ua tiav ntawm orthopedic phais implants thiab cov cuab yeej siv, cov khoom suav nrog txha caj qaum, intramedullary rau tes, kev raug mob phaj, xauv phaj, cranial-maxillofacial cov, prosthesis, cov cuab yeej siv zog, sab nraud fixators, arthroscopy, Veterinary saib xyuas thiab lawv cov cuab yeej txhawb nqa.

Tsis tas li ntawd, peb tau cog lus los tsim cov khoom tshiab thiab nthuav dav cov khoom lag luam, txhawm rau ua kom tau raws li kev xav tau ntawm kev phais ntawm ntau tus kws kho mob thiab cov neeg mob, thiab tseem ua rau peb lub tuam txhab muaj kev sib tw ntau dua nyob rau hauv tag nrho lub ntiaj teb orthopedic implants thiab instruments kev lag luam.

Peb xa tawm thoob ntiaj teb, yog li koj tuaj yeem ua tau tiv tauj peb ntawm email chaw nyob song@orthopedic-china.com rau ib qho kev tsocai pub dawb, lossis xa lus ntawm WhatsApp rau cov lus teb ceev +86- 18112515727 .

Yog xav paub ntxiv, nyem CZMEDITECH kom paub meej ntxiv.