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Jingdong book

骨折 脱位 扭伤救治与康复

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《骨折 脱位 扭伤救治与康复》以问答的形式介绍了骨折、关节脱位及扭伤的病因、临床表现及诊断要点。详细介绍了上述疾病的治疗原则、治疗方法和治疗注意事项、护理及康复等内容。为了便于患者及家属进行自我治疗,《骨折 脱位 扭伤救治与康复》还着重介绍了与以上疾病有关的理疗和中医药治疗知识。其内容丰富,通俗易懂,图文并茂,简单实用,特别适合患者及其家属阅读,亦可供基层医务人员参考。
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一、骨折的救治与康复
1.引起骨折的原因有哪些?
2.骨折是怎样分类的?
3.骨折有哪些临床表现?
4.骨折的治疗原则是什么?
5.骨折是怎样愈合的?骨折愈合需要多长时间?
6.骨折的愈合标准是什么?
7.哪些方法能够促进骨折愈合?
8.什么是桡骨远端骨折?怎样判断是否发生了桡骨远端骨折?
9.发生桡骨远端骨折怎么办?
10.桡骨远端骨折患者在治疗和康复过程中应注意哪些问题?
11.什么是前臂骨折?怎样判断是否发生了前臂骨折?
12.发生了前臂骨折怎么办、
13.怎样防止前臂骨折后的肌肉萎缩?
14.肱骨骨折分几种?怎样判断?
15.怎样判断肱骨骨折是否存在神经血管损伤?
16.肱骨干骨折患者怎样进行外固定治疗?
17.肱骨骨折患者怎样进行肢康复治疗?
18.什么原因使锁骨骨折?怎样判断是否发生了锁骨骨折?
19.发生锁骨骨折怎么办?
20.锁骨骨折在治疗中应注意哪些问题?
21.髋关节骨折包括哪几种?
22.怎样判断是否发生髋关节骨折?
23.发生股骨颈骨折怎么办?
24.怎样处理股骨粗隆间骨折?
25.怎样处理宽和臼骨折?
26.髒关节骨折患者需要多长时间才可以下地行走?
27.髋部骨折患者下地行走时应注意哪些问题?
28.髋关节骨折治疗时有哪些注意事项?
29.骨牵引治疗的患者怎样预防牵引针道感染?
30.骨牵引患者出现针道感染怎么办?
16.肱骨干骨折患者怎样进行外固定治疗?
17.肱骨骨折患者怎样进行上肢康复治疗?
18.什么原因使锁骨骨折?怎样判断是否发生了锁骨骨折?
19.发生锁骨骨折怎么办?
20.锁骨骨折在治疗中应注意哪些问题?
21.髋关节骨折包括哪几种?
22.怎样判断是否发生髋关节骨折?
23.发生股骨颈骨折怎么办?
24.怎样处理股骨粗隆间骨折?
25.怎样处理髋臼骨折?
26.髋关节骨折患者需要多长时间才可以下地行走?
27.髋部骨折患者下地行走时应注意哪些问题?
28.髋关节骨折治疗时有哪些注意事项?
29.骨牵引治疗的患者怎样预防牵引针道感染?
30.骨牵引患者出现针道感染怎么办?
31.髋部骨折患者怎样防止下肢肌肉萎缩?
32.股骨干骨折有哪些特点和临床表现?
33.发生了股骨干骨折怎么办?
34.股骨干骨折牵引治疗患者怎样进行康复治疗?
35.股骨干骨折家庭治疗时应注意哪些问题?
36.髌骨骨折有哪些临床表现?
37.发生髌骨骨折怎么办?
38.髌骨骨折患者治疗时应注意哪些问题?
39.髌骨骨折患者怎样进行膝关节康复治疗?
40.什么是胫腓骨骨折?怎样判断是否发生了胫腓骨骨折?
41.发生了胫腓骨骨折怎么办?
42.胫腓骨骨折患者怎样进行下肢康复治疗?
43.胫腓骨骨折患者为什么会出现小腿部肿胀?
44.胫腓骨骨折患者怎样进行下床活动?)
45.踝关节骨折分几种?踝关节骨折有哪些临床表现?
46.发生了踝关节骨折应该怎么办?
47.踝关节骨折治疗时应注意哪些问题?
48.怎样判断是否发生了足部骨折?
49.发生了足部骨折怎么办?
50.足部骨折在治疗中应注意哪些问题?
51.除骨折外,手足还有哪些常见外伤?
52.开放性骨折发生感染的因素有哪些?
53.开放性骨折怎样判断是否发生感染?
54.什么是化脓性骨髓炎?有何临床表现?
55.怎样诊断慢性骨髓炎?
56.慢性骨髓炎患者换药程序及换药注意事项是什么?
57.开放性骨折患者怎样预防感染的发生?
58。什么是椎体压缩骨折?怎样判断是否发生了椎体压缩骨折?
59.发生了脊柱压缩骨折怎么办?
60.压疮分几度?如何预防和护理压疮?
61.脊柱骨折患者怎样预防肺部感染?
62.怎样观察骨折患者是否有下肢血栓形成?
63.脊柱骨折患者在家庭护理中怎样预防下肢血栓形成?
64.脊柱骨折患者怎样进行腰背肌锻炼?
65.为什么骨质疏松症患者容易发生骨折?什么样的骨质疏松症患者更容易发生骨折?
66.骨质疏松症患者发生骨折的特点有哪些?
67.什么是骨质疏松症三大骨折?
68.为什么中老年人容易发生髋关节骨折?
69.中老年人骨折有哪些特点?
70.怎样护理中老年骨折患者?
71.中老年骨折患者为什么要多做室外活动?
72.中老年骨折患者进行室外活动时要注意哪些问题?
73.骨折患者怎样平衡饮食营养?
74.喝骨头汤能达到促进骨折愈合的目的吗?
75.喝牛奶对骨折愈合有好处吗?
76.骨折患者怎样防止喝牛奶后出现的腹胀、腹泻?
77.肢体骨折后怎样观察骨筋膜室综合征的发生?
78.怎样早期正确处理骨筋膜室综合征?
79.骨折后怎样预防创伤性关节炎?

二、脱位的救治与康复
80.什么是关节?关节是怎样组成的?
81.关节脱位有哪三种分类方法?
82.关节脱位有哪些临床表现?
83.关节脱位的治疗原则是什么?
84.什么是肩关节脱位?怎样判断肩关节脱位?
85.怎样治疗肩关节脱位?
86.什么是肘关节脱位?怎样判断肘关节脱位?
87.怎样治疗肘关节脱位?
88.什么是桡骨小头半脱位?如何判断?
89.怎样治疗桡骨小头半脱位?
90.什么是髋关节脱位?怎样判断髋关节脱位?
91.怎样治疗髋关节脱位?
92.什么是肩锁关节脱位?怎样判断肩锁关节脱位?
……
三、扭伤的救治与康复
四、骨关节及软组织损伤的物理疗法
五、中医疗法
Book Abstract

由于跟腱位置比较浅,表面只有皮肤和较薄的皮下组织覆盖,所以容易受到损伤。
跟腱扭伤大体可分为完全损伤(如跟腱断裂)和不完全损伤(如跟腱部分断裂和跟腱扭伤)两大类型。跟腱断裂患者必须到医院及时进行手术治疗。否则患者将失去行走的功能。对于跟腱不完全损伤,即跟腱扭伤的患者,也应去医院请骨科医师仔细检查,确定损伤的程度,以便对症治疗。
跟腱轻度扭伤患者临床主要表现为局部疼痛及肿胀,行走和跑跳时疼痛加剧,用手按压跟腱时,出现明显的疼痛。对此应嘱其减少活动,避免长距离的行走和跳跃,以利于组织的修复。同时,可以在局部做理疗。经过2~4周的对症治疗,疼痛可以逐渐减轻,肿胀也可消退,患者可以逐步恢复患足的正常运动。
跟腱扭伤比较重的患者应做石膏固定治疗。通过石膏外固定,限制患侧下肢的活动,为跟腱恢复创造条件。石膏外固定的范围近端到大腿上部,远端到足趾末端,应同时固定膝关节和踝关节。因为只有同时固定膝关节和踝关节,才能有效地控制跟腱的活动,为跟腱修复创造条件。有的人为了下肢的舒适及便于清洗下肢皮肤,仅用石膏固定踝关节而不固定膝关节,这样达不到固定跟腱的目的。
在石膏固定的基础上,应鼓励患者使用双拐下地行走。因为只有增加患者的运动量,才能增强体质和战胜疾病的信心。而且,在石膏固定的基础上做行走训练,不会影响跟腱的愈合。
跟腱扭伤做石膏固定时,暂时不做小腿的肌肉功能锻炼,特别在石膏外固定的2~3周内,应尽量避免小腿肌肉的张力收缩,以免使跟腱产生不必要的张力,影响组织的修复。
Introduction

骨折、关节脱位和扭伤是骨科的常见病、多发病。由于许多患者及其家属对这些伤病认识不足,甚至受错误观念的误导,往往不能选择正确的治疗方法,致使患者丧失了最佳的治疗时机,加重了病情。同时.社会上一些游医打着“祖传秘方”、“传统医学”和“包冶包好”等幌子,坑蒙患者,骗钱害人。作为临床医生,有责任向广六群众宣传正确的防病治病知识.使他们对骨折等。常见伤病有一个初步的了解.选择正确的治疗方法.合理地进行自我治疗和康复。为此,我们编写了《骨折脱位扭伤救治与康复》这本通俗医学读物。
骨折、关节脱位和软组织扭伤的治疗主要包括两部分.一部分为院内治疗,即必须在医院中进行的治疗.包括手术治疗等;另一部分为院外治疗,即家庭中的治疗和康复.本书着重介绍了上述伤病在院外的治疗和处理方法.而对院内治疗未作详细叙述。
本书以问答形式介绍了骨折、关节脱位及扭伤的基本知识、发病机制、临床表现及诊断要点。

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Jingdong book