下肢骨牽引的護(hù)理課件

下肢骨牽引的護(hù)理骨科孫一平概述牽引既有復(fù)位又有固定作用，在骨科應(yīng)用廣泛，是一種簡(jiǎn)便有效的治療方法。尤其是對(duì)不宜手術(shù)的病人，可以通過牽引達(dá)到治療目的。下肢骨牽引是治療骨盆及下肢骨折、脫位的一種常用方法，臨床運(yùn)用較多，但病人由于軀干肢體牽引，活動(dòng)明顯受限，生活自理能力下降。長(zhǎng)期臥床還會(huì)造成各種并發(fā)癥，影響疾病的順利愈合。種類股骨大轉(zhuǎn)子牽引跟骨牽引股骨髁上牽引脛骨結(jié)節(jié)牽引1243護(hù)理預(yù)防并發(fā)癥術(shù)后護(hù)理術(shù)前護(hù)理術(shù)前護(hù)理心理護(hù)理飲食指導(dǎo)皮膚準(zhǔn)備ClicktoaddTitle2術(shù)后護(hù)理預(yù)防牽引針處感染2注意保暖3觀察患肢血運(yùn)4定期測(cè)量患肢長(zhǎng)度5拆除牽引后6體位1體位外展中立位穿防旋鞋臥硬板床頭、頸、軀干與牽引繩在一條直線上股四頭肌練習(xí)方法AddYourTextAddYourTextAddYourText患肢伸直繃緊足尖收縮3-5分后放松反復(fù)練習(xí)數(shù)10次，3-4/dBlockDiagramTextinhereTextinhereTextinhereTextinhereTextinhereTextinhere95%TextinhereDescriptionofthecontents80%TextinhereDescriptionofthecontents70%TextinhereDescriptionofthecontents45%TextinhereDescriptionofthecontents37%TextinhereDescriptionofthecontents16%TextinhereDescriptionofthecontents注意預(yù)防足下垂足底托板或沙墊將足底墊起每天主動(dòng)伸屈踝關(guān)節(jié)膝外側(cè)墊棉墊防止損傷腓總神經(jīng)預(yù)防墜積性肺炎咳嗽深呼吸排痰訓(xùn)練預(yù)防泌尿系感染及便秘多飲水多食高蛋白、高纖維素食物每日按摩腹部Diagram10%5%60%25%ThemeGalleryisaDesignDigitalContent&ContentsmalldevelopedbyGuildDesignInc.TextinhereTextinhereTextinhereTextinhere

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