Farar fata bakar fata ne na yau da kullun da kuma yiwuwar rashin jin ciwo, saboda abin da ya fi karbuwa a cikin shekaru 65 da haihuwa ana iya zaba a cikin na ciki Gyara tiyata, kuma tasirin mafi mahimmanci akan kwararar jini yana haifar da nau'in nau'in wuyan bege. Subcapital karaya na wuyant wuya yana da mafi tsanani tasiri tasoshin, da kuma rufewa na ciki har yanzu hanya ce ta magani ga subical wuya. Kyakkyawan raguwa yana da dacewa don inganta karaya, inganta karar karaya da kuma hana femor shugaban necrosis.
Mai zuwa ne na yau da kullun yanayin mafaka mai zurfi don tattauna yadda ake yin fice da keyewa na ciki tare da dunƙule.
Ⅰ bayanan asali na shari'ar
Bayani mai haƙuri: Namiji 45 Shekaru
Gudu: raunin hip da kuma iyakancewar aiki na tsawon awanni 6.
History: The patient fell down while taking a bath, causing pain in the left hip and limitation of activity, which could not be relieved by resting, and was admitted to our hospital with a fracture of the neck of the left femur on radiographs, and was admitted to the hospital in a clear state of mind and poor spirit, complaining of pain in the left hip and limitation of activity, and had not eaten and had not relieved himself of his second bowel movement after the injury.
Bincike na zahiri (duba jiki duba & ƙwararren masani)
T 36.8 ° C P87 Beats / Min R20 Bedats / Min BP135 / 85mmhg
Ci gaban al'ada, kyakkyawan abinci mai kyau, matsayi mai kyau, m tunani, haɗin gwiwa a cikin jarrabawar. Launin fata na al'ada ne, na roba, babu wani ƙarin edema ko rash, babu faɗaɗawa na sama na sama a cikin jiki ko yanki na gida. Girman kai, ilimin jiki na yau da kullun, babu matsin lamba, taro, gashi m. Duk ɗalibai daidai suke da girma da zagaye, tare da maimaitawa mai haske. Idanun ya kasance mai taushi, Trachea din ta kasance tana kara girman kai, an danƙa daga bakin tudu. Ba a gano hanta da baƙin ciki ba, kuma babu tausayi a cikin kodan. Ba a bincika ta gona da ƙasa ba, kuma babu ƙazanta na kashin baya, gabar jiki da dama da ƙananan ƙamshi, tare da motsi na al'ada, tare da motsi na al'ada. Ba a iya sake fasalin ilimin kimiyyar likita na likita na ilimin halitta da reflexes na kwayar cuta ba a daɗe.
Babu wata fili kumburi da hutun hagu, a bayyane yake matsananciyar damuwa a midpoint na gefen hagu na gefen hagu na gefen hagu na gefen hagu na ƙafa ɗaya, da kuma ƙarfin sawun hagu na ƙafa ya kasance daidai.
Ⅲ gwajin taimako na taimako
X-ray fim ɗin da aka nuna: hagu na Feral Lucorpartabirial karaya, watsar da karar da karar.
Ragowar jarrabawar biochemical, x-ray x-ray, ƙasusuwa iri, da launi duban dan tayi na zurfin jijiyoyi ba su nuna wani abu mai zurfi ba.
Misali da bambancin ganewar asali
Dangane da tarihin haƙuri na rauni, raunin hip na hip, nazarin motsa jiki, haɗewar hagu na gefen hagu na kusa da yanayin juyawa na waje. Biyayya na yawan tracharta na iya samun ciwo mai zafi da iyakancewar aiki, amma yawanci kumburin na gida ya fi girma, saboda haka za a rarrabe shi daga ciki.
Ⅴ Jiyya
Rage rufewa da kuma m ƙusa na cikin gida an yi shi bayan kammala jarrabawa.
Fim na kwarewa kamar haka
Rawar daji tare da jujjuyawar ciki da kuma ƙwayoyin da abin ya shafa tare da kadan satar reshen da abin ya shafa bayan an sake sabuntawa da kuma fluoroscopy ya nuna kyakkyawan sabuntawa
An sanya kayan kirschner a saman jiki a cikin shugabanci na wuyan wuyan wuta don Fluoroscopy, kuma an sanya karamin fata a ƙarshen ƙarshen ƙarshen fil.
An saka PIN mai jagora a cikin wuyan maciji a cikin saman jikin mutum a cikin shugabanci na PIN na Kirschner PIN yayin da muke riƙe da matsanancin digiri na kusan digiri na kusan 15 da kuma liloorsupy ana yin
An saka ɓangaren ɓangare na biyu ta hanyar cin zarafin da aka samo ta amfani da jagora a layi daya zuwa ga underside na shugabanci na farkon jagorar PIN.
Ana saka allura ta uku a layi daya a bayan allura ta farko ta jagorar.
Yin amfani da hoto na samaniya na rana, dukkanin bangarorin kirirchner uku suna cikin wuyan wuyar
Ramuka na rawar jiki a cikin shugabanci na PIN Guide, sannan zaɓi zurfin sannan sai ka zaɓi tsayin ƙaƙƙarfan ƙwararrun ƙusa, wanda zai iya hana asarar sake saiti.
Dunƙule a cikin sauran cannulated dunƙule ɗaya bayan ɗayan kuma gani ta hanyar
Fata ingarma
Bayanin Busi
A haɗe tare da shekariyar haƙuri, nau'in karaya, da ingancin ƙira, wanda ke da ƙimar ƙarancin ƙwararru, da kuma saurin warkar da warkarwa yana da yawa.
Taƙaitawa
1 Wurin da allurar Kirschner a jikin jikin tare da Flugorscopy yana dacewa don tantance ma'anar da shugabanci na allura da kewayon fata na fata;
2 Pins uku na Kirschner ya kamata ya zama daidaici, mai juyawa Zigzag, kuma kusa da matsakaiciyar matsawa da kuma daga baya matattara.
3 Ya kamata a zaɓi matakin shigarwar Kirschner a mafi yawan abin da ke fuskantar matsanancin dabarun da zai tabbatar da cewa fil na wuyar ne, yayin da tukwicin manyan motoci biyu za su iya jujjuya addini;
4 Kada ku fitar da Kirschn PIN mai zurfi sosai a lokaci guda don guje wa fracular farfado, ɗaya shine ya hana hako a matsakaicin shugaban, ɗayan kuma yana da mai dacewa ga matsi na ƙusa;
5 A m dunƙule ya goge cikin kusan sannan ta dan kadan, ka yanke hukunci da tsinkayen da ba shi da kyau fiye da tsayayyen abubuwan da ba shi da kyau sosai!
Lokaci: Jan-15-2024
