髌骨骨折护理查房的.pptVIP

髌骨骨折护理查房 2015-12 骨科 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 髌骨 髌骨：包埋于股四头肌腱内，为三角形的籽骨，底朝上，尖朝下，参与膝关节的构成。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 作用 伸膝作用 增强肌力 保护膝关节 髌骨 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 定义 髌骨骨折：以髌骨局部肿胀、疼痛、膝关节不能自主伸直，常有皮下瘀斑以及膝部皮肤擦伤为主要表现的骨折。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 简介 简介：髌骨骨折多见于青壮年，由直接外力或间接外力损伤所致，若治疗不当，会引起关节僵硬及创伤性关节炎。严重影响关节功能。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 类型 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 治疗 治疗要求：属于关节内骨折，关节面平滑 恢复膝关节屈伸功能。 无移位：抽吸瘀血，伸直位外固定 有移位：手术内固定 尽早练习股四头肌 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 手术固定原则 钢丝固定 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 钢丝固定加螺丝钉 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 病例简介 患者张XX，821床，女，51岁。 患者主诉：右膝部外伤疼痛、活动受限一小时余时 现病史：一小时前患者骑摩托车与他人汽车相撞，至右膝部着地受伤，当即感患处疼痛伴活动受限，不能站立行走，急由家人送至我院门诊就诊，摄X线片检查示“右侧髌骨下级骨折”，为进一步治疗而收住入院。 既往史:既往体健。否认有“肝炎、伤寒、结核”等传染病史，否认有“高血压病、糖尿病、心脏病”病史，否认其他外伤史，无药物过敏史，否认有输血史，预防接种随社会进行。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 体格检查 T36.5℃ P66次/分 R19次/分 BP:130/80 mmHg 右膝明显肿胀畸形，皮肤完好，压痛明显，可及骨擦感反常活动，膝关节活动受限，右踝部活动良好，右足趾末梢血运、感觉正常，右下肢轴向叩痛（+），余肢体关节活动自如，未见异常。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 辅助检查 右膝X线(本院2015-12-24)示: 右侧髌骨下级骨折，位置