【2017年整理】骨科病人的护理.pptVIP

恭城瑶族自治县人民医院 黄肖羽 外二科 骨科病人的护理 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 一概述 1 .骨折 定义:骨的完整性或连续性中断 2 . 原因:直接暴力 间接暴力 肌拉力 积累性劳损 骨骼疾病 3 . 分类:外界相通与否:闭合性,开放性 骨折的程度:完全性,不完全性 骨折稳定的程度：稳定性，不稳定性 4 . 骨折的移位 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. ①不完全骨折： Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 2.完全骨折 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 骨折的移位情况 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 二、骨折的诊断和处理原则 骨折的临床表现 1. 全身表现:休克,体温 2.局部表现:* 骨折专有体征:畸形 反常活动 骨擦音,骨擦感 *骨折其他表现:疼痛与压痛 局部肿胀与瘀癍 功能障碍 3.合并损伤 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. *治疗骨折的原则: 复位 固定 功能锻炼 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 三、骨折的并发症 1、早期并发症 1）休克： 2）感 染 ： 3）合并其它损伤：神经(脊髓、周围 神经）、血管（动脉）、脏器（肝、 脾、膀胱、尿道、直肠）。 4）脂 肪 栓 塞 综 合 征： Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 骨折的并发症 2、晚期并发症 1） 关 节 僵 硬。 2） 损 伤 性 骨 化 （骨 化性肌炎）。