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掌骨骨骨折临床路径(国外英文资料)
掌骨骨骨折临床路径(国外英文资料)
The clinical pathway of the metacarpal fracture
A clinical pathway for the clinical pathway of the palpal fracture
(1) applicable objects.
The first diagnosis was a closed metacarpal fracture (icd-10: S62.301)
The fixation technique (icd-9-cm - 3-78.54005/78.54006 /) in the palm bone fracture
78.54008).
(2) diagnosis.
According to foreign science (journal) (8 years and 7 years of clinical medicine textbook, peoples health press).
History: traumatic history.
Physical examination: swelling of the limb, pain, restricted activity, abnormal condition, abnormal activity.
Supplementary examination: X-ray examination revealed the fracture of the palm bone.
(3) the basis for selecting a treatment plan.
According to foreign science (journal) (8 years and 7 years teaching materials clinical medicine special, peoples health press).
Age is over 16 years old.
Quality of life before injury and level of activity.
Full-body conditions permit surgery.
The first choice screw is fixed in screw, also can choose other treatment according to the specific situation.
(4) the standard residence day is less than 16 days.
(5) enter the path standard.
The first diagnosis must be in accordance with the icd-10: S62.301 closed metacarpal fracture disease code.
The single, fresh, and closed metacarbonic fracture caused by trauma.
Except for pathological fracture.
Apart from the fracture and damage of other parts.
When the patient is combined with other diseases, the pathway may be entered in the hospital without the need for special treatment or the clinical path process of the first diagnosis.
(6) preoperative preparation (preoperative evaluation) is less than 7 days.
Required inspection items:
(1) blood type, blood type, urine routine and examination;
(2) electrolyte examination, liver function measurement, kidney function measurement, coagulation function examination, infectious disease screening (hepatitis b, hepatitis c, syphilis, AIDS);
(3) chest X-ray and electrocardiogram;
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