Ngaba uyayazi inkqubo yokuphatha i-proximal humeris?

I-proximal humerus yenye yezona zinto zixhaphakileyo zezinto ezixhaphakileyo kwi-orthopedics, kwaye uninzi lwe-proximal fictures ze-osteoporotic ze-osteoporotic ephantsi.

Nangona uninzi lweepropussis zeRumerus zinokunyangwa, i-10-15% yefratshi zisafuna unyango, olubandakanya ukulungiswa kweplagi evaliweyo, kunye nokudityaniswa kwe-intramedlary evaliweyo.

Isigqibo sonyango kufuneka sisekwe kwimeko yomzimba yesigulana, umbono wakhe, ulindelo lwayo lwengqondo, kunye nohlobo lokuqhekeka.

1. Ukuseta kwakhona kunye nokulungiswa kwamaqhekeza okungxamisekileyo

【Ingcebiso】 kwi-proximal tuberal tuberals (ier uhlobo lwesahlulo senxalenye yesahlulo) I-quedication ye-anestherication ye-onestherication ye-ofisini ye-ofisi kaxakeka (i-100%; i-100%;

I-2. Ukunyanzeliswa kwentlungu yentlungu

【Ingcebiso nikezela

3. Imfundo yobuvangeli basemazweni

[Isindululo] Imfundo yokuqhubela phambili kufuneka yenziwe ngendlela eyahlukileyo neyahlukeneyo. (Ixabiso leNgcebiso yeNgqondo: 100%; Ixabiso elinamandla lokuncoma: 83.8%)

4. Uvavanyo lwesondlo kunye nonyango oluxhasayo

【Ingcebiso】 ukugcwaliswa kweso sigulana kwezi zigulana ngaphakathi kwe-24 h yokwamkelwa kunye nokubonelela ngongenelelo lwesondlo kwizigulana ezinomngcipheko wesondlo. (Inqanaba leeNgcebiso zeNgqondo: 98,5%; Ixabiso elinamandla lokuncoma: 55.9%)

I-5. Uvavanyo lwe-glucose ye-Glucose kunye nommiselo kwisigulana seswekile

【Ingcebiso】 I-Glycemic yoLawulo lwe-Glycemic yoLawulo lwe-Glycemic kwizigulana ezinesifo seswekile zisebenza utyando ngonyulo yi-7.8 ukuya kwi-10,0 mmol / l.

I-6. Ulawulo lwe-tissue ye-tissue ethambileyo kwinqanaba eliphezulu

【Ingcebiso yokuthenga (Inqanaba leNgcebiso yeNgqondo: 98,5%; Inqanaba lokuncomela elinamandla: 80.9%)

7. Ulawulo lokutya okukhuselekileyo

【Ingcebiso nikezela (Ixabiso leNgcebiso yeNgqondo: 100%; Ixabiso elinamandla lokuncoma: 76.5%)

I-8. Ulawulo lweCaheter oPhezulu

【Ingcebiso】 I-Proioperaisiforsimoies i-Proximal Humersure ye-proximal humersis (i-100%; i-100% yenqanaba leMeko: 78.6%)

9. Ukusetyenziswa kwesicelo se-Peioperasive

【Ingcebiso yokuthenga (Ixabiso leNgcebiso yeNgqondo: I-97.1%; Iqondo lokuncomela elinamandla: 73.5%)

I-10. Ukukhetha i-anesthesia

【Ingcebiso】 I-Anesthesia iyacetyiswa ukuba ibe nendlela yokwamkela indlela yebhlokhi yengingqi ye-Anesthesia, khetha iziyobisi ukukomeleza ukungasebenzi kakuhle kwezigulana, kwaye unikele ingqalelo ukomeleza ukubekwa kweliso (i-100%; 78.4%).

I-11. I-Inraoperapeative I-Intramoopera yegazi

[Ingcebiso] Ukuncitshiswa komgangatho wegazi kufuneka kuhlawulwe ukunciphisa ilahleko ye-proximal ye-proximal ye-proximal ye-proximal ye-proximal ye-proximal ye-proximal ye-thesforbidic ye-themorbanic inikele ingqalelo ekugcineni ukugcinwa kwe-ticumic yokuphepha ukugcina i-tismorical yezicubu zokuphepha ukugcinwa kwe-tismorvietion ye-tismorbinic ye-Hormorbinic ye-HOROROROPICT yokuphepha ukugcinwa okungapheliyo kwi-COROROROPIIC yokuphepha ukugcina i-theminalical yezicubu zokugcina i-hemorbanic ye-tissorbinic ye-tissorbidic inikele ingqalelo ekugcineni ukungalunganga kwe-hemmorbinic ye-Hormoric ye-HORORORORY

12. Ulawulo lwevolumu yentsusa

[Isindululo] Ukuphunyezwa kwesicwangciso-qhinga solawulo lwamanzi anenjongo, kwaye iziyobisi ezisebenzayo zinokunikwa prophylaticticticticticticacticticactictictiatia ukuthintela ukulayishwa kwamanzi (i-9%; i-100%;

13. Ulawulo lwegazi olungenantlonelo

[Iingcebiso] I-Intranatered Hypotered Hotpotered Inokuchazwa kwe-proximal ye-proximal ye-proximal, ngakumbi kwizigulana ezikhulileyo, kwaye i-inraopelopes yegazi kunye ne-acid ye-tranexamic inokusetyenziswa. I-Intraoperapeative I-HGB <80G / L ukucebisa igazi le-AllogeneIc yegazi (Inqanaba leeNgxowa-mali: 100%; Ixabiso elinamandla lokuncoma: 73.8%).

14. Ukuthintela i-hypothermiation ye-intramopemia

.

15. Ukukhetha indlela yoNyango

.

[Isindululo] Ukucetyiswa isitayile se-proximal humers quarlings

(2) Indlela yokuhlimela

Isicwangciso soqhaqho kufuneka sikhethwe ngokusekwe kwi-morphology ye-phyphology, umgangatho wethambo, isigulana somzimba kunye nezinye izinto ezifanelekileyo.

[Isindululo] Izixhobo zangaphakathi zokulungisa zinokukhethwa ngokohlobo lokuqhekeka kunye nokuxinana kwethambo, njengeplate okanye isikhonkwane se-intramelirary; Abaguli abalupheleyo abanesifo se-osteoporosis ekunzima ukuseta kwakhona okanye basebenzise i-4-physings I-71.4%).

Umzobo 1 Ibhinqa elineminyaka engama-65 ubudala nge-4-racture ye-proximal ye-proxital ye-proxital ye-proxital ye-proxiral kunye ne-flographil ye-flopture ifakwe iplagi ye-pibture yeplanethi kunye nokubeka kwakhona.

I-16. Ukubekwa kwetyhubhu yenxeba yenxeba

[Iingcebiso] Izalathiso zokungabeki iityhubhu ze-sublege: ① ubuchwephesha obuncinci bokuhlawula ② ukopha okuphantsi. Isalathiso sokufakwa kwetyhubhu ye-tube: ① Ngendlela ye-Pectoral Detoral Detoid, ukulungiswa kweplastiki okanye ukutshintshwa kweplastiki okanye igxalaba; ② Ukopha kwenxeba evela kwinxeba

17. Ukuvalwa kwenxeba

【Ingcebiso】 Ukuphuhliswa kwe-subnical kwavalwa yi-Studs ePhezulu, iZincomo zeNgingqi

I-18. Ukutya okubuyisela kwimeko yesiqhelo

【Ingcebiso nikezela

I-19. Ukhetho lwendawo yokuhlala kunye nomsebenzi wokuqala

【Ingcebiso】 Izigulana azidingi ukuba zivele phantsi kwi-pilmerd emva kotyando, zinokwamkela isikhundla se-semi-fumbumbatal kwaye sinokuhamba phantsi emva kokuvuka. I-brace yamagxa ekhathazekileyo kufuneka ityhutywe.

I-20. Imilinganiselo ye-allupecic

【Ingcebiso】 I-AlAlgesia ye-POLTGEIA kwizigulana ezinendawo ye-proximal ziyacetyiswa ukuba zisebenzise i-AnalGed ye-ANSALGESS (i-Inraveraidi ye-AnalGelia: 100%; i-100%;

21. Ukuthintela i-Poposipetive Auusea kunye nokugabha

[Ingcebiso] Zonke izigulana kufuneka zinikwe amayeza e-Antiemelitic adometic 20 imiz ngaphambi kokuphela kokuphela. .

22. Uhlengahlengiso olusebenzayo

【Ingcebiso nikezela Imisebenzi yokubuyisela kwimeko yesiqhelo inceda ukubuyisela ngcono umsebenzi we-lib ephezulu (iqondo lokuncoma lengcali: 100%;

23. Iikhrayitheriya zokukhupha kunye nokulandela

【Ingcebiso】 Iikhrayitheriya ezisebenzayo kufuneka zisekwe, kwaye izigulana kufuneka zilandelwe rhoqo kwiinyanga ezi-6 (inqanaba leeNgxowa-mali: 100%; Ixabiso eliqinileyo: 83.3%).

Ungayithenga njani i-orphopents kunye nezixhobo ze-orthopedic?

Kuba I-CZMEDICH , sinomgca opheleleyo wemveliso ye-Orthoric utyanSpents kunye nezixhobo ezihambelana nayo, iimveliso kubandakanya i-spine ifakinti, izipikili ze-intramellary, Iplate ye-Mouma, Ukutshixa iplate, I-cranial-maxillofacial, I-Prosthesis, Izixhobo zamandla, Abalungisi bangaphandle, I-Arthroscopy, Inkathalo yonyango lwezilwanyana kunye neeseti zesixhobo zazo.

Ukongeza, sizimisele ukuqhubeka nokuphuhlisa iimveliso ezintsha kunye nokwandisa imigca yemveliso, ukuze kuhlangatyezwane neemfuno zonyango noogqirha kunye nezigulana, kwaye zenze ukuba inkampani yethu ikhuphisane kwishishini le-Orthopenic yeHlabathi yeHlabathi.

Sithumela ilizwe liphela, ukuze unakho Nxibelelana nathi kwi-imeyile ye-imeyile Ingoma Ingoma Ingoma ye-imeyile I-Ngcebiso yasimahla, okanye uthumele umyalezo kwi-whatsapp yokuphendula ngokukhawuleza + 86- 18112515727 .

Ukuba ufuna ukwazi ngakumbi ulwazi, cofa I-Czemedch ukufumana iinkcukacha ezininzi.