• / 82
  • 下载费用:25 金币  

手外伤与断指再植课件_5

关 键 词:
手外伤与断指再植课件 手外伤与断指再植 ppt课件ppt 手外伤与断指再植 ppt 手外伤与断指再植 手外伤与断指再植ppt 手外伤ppt课件 手外伤ppt
资源描述:
单击此处编辑母版标题样式 *1 单击此处编辑母版副标题样式 手 外 伤与断肢(指)再植 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 手部解剖 1、手部皮肤 手掌:①皮肤厚而坚韧,角化层较厚,皮下有较厚 的脂肪垫 ②垂直纤维与深部组织相连,不易滑动 ③手指部有网状间隔,皮下有神经血管行 走 ④皮纹与关节活动相适应。 手背:皮肤较薄而软,具有较好的弹性,软大的伸 缩性和滑动性。 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 手部解剖 2、手的肌肉:外在肌和内在肌 ①手的屈肌:深屈肌4条,浅屈肌4条和 拇长屈肌1条 ②手的伸肌:拇长、短伸肌,食、中、 无名、小指指总伸肌,小指和食指固有伸 肌。 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 手部解剖 ③手内在肌: § 大鱼际肌:拇短展肌,拇短屈肌,拇对掌 肌和拇收肌 § 小鱼际肌:小指外展肌,掌短肌,小指屈 肌和小指对掌肌。 § 蚓状肌:4条 § 骨间肌:掌侧3条,背侧4条 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 大小鱼 际肌,掌 侧肌腱 血管 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 手部解剖 3.手部血管: 动脉: 掌浅弓, 掌深弓 静脉: 主要在背侧, 静脉网 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 手部解剖 4.手部神经: 正中神经、 尺神经、 桡神经 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 手部解剖 5.手部骨与关节:近、远排腕骨,掌骨和指骨组成 § 第一组:手的固定部分,包括第2、3掌骨,小 多角骨和头状骨。有坚强的韧带固定,成为手活 动的中心和支持。 § 第二组:拇指及其掌骨和大多角骨。具有较大的 活动幅度。 § 第三组:示指,有单独活动的伸屈肌,有较强的 外展功能。 § 第四组:环、小、中指,第4、5掌骨和钩状骨 ,对扩大手掌,协助拇、示指的握、持等动作起 配合作用。 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 手部解剖 § 6、手掌间隙:掌中间隙,鱼际间隙 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 手部解剖 § 7、手的关节位置:休息位 功能位 保护位 录相 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 二、手外伤的类型 § 1、压砸伤:占手外伤的一半左右 § 2、切割锯伤 § 3、撕脱伤 § 4、绞扎伤 § 5、炸伤 § 6、烧伤 § 7、摩擦伤 § 8、贯穿伤 § 9、咬伤 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 切割锯伤 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 绞扎伤 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 三、手外伤的诊断及检查 § 1、全身情况检查 § 2、手部创口检查 § 3、血管损伤检查 § 4、神经损伤检查 § 5、肌肉肌腱损伤检查 § 6、骨与关节检查 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 四、手外伤处理原则 1.早期正确的急救处理 § 目的:止血,减少创口污染,防止加重 损 伤,迅速转送。 § 方法:①局部压迫包扎 ②止血带止血 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 手外伤处理原则 2.早期彻底清创 § 时机:最好在伤后6-8小时进行 § 清创应彻底仔细,创面是否感染,取决于 伤口最初的处理。 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 手外伤处理原则 3.正确处理深部组织损伤 4.早期闭合创口 5.正确的术后处理 ①制动与活动 ②正确的包扎,术后病情观察 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 五、手部骨折与脱位处理原则 最终治疗目的是恢复全手的灵活的功能 为主,其原则有: § 1.早期准确复位和牢固的固定。 § 2.早期消灭创面,尽量减少感染及肉芽创 面的发生,以免瘢痕过多,影响功能。 § 3.不需要固定的手指和部位,一定不要固 定,并要鼓励早期练习功能,防止关节僵 直。 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 六、常见的手部骨折与脱位 1、腕舟骨骨折 ①损伤机制:源于腕背伸、桡偏及旋前 的暴力作用,(背伸>95° ,桡偏10 ° 左右) ②分类:a、新鲜与陈旧(以4周为界) b、稳定与不稳定骨折 c、舟骨结节骨折,远侧1/3骨 折 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 常见的手部骨折与脱位 1、腕舟骨骨折 ③临床表现与诊断: a、受伤史,腕关节强力背伸的外伤史 b、腕关节桡侧肿痛,鼻烟窝变浅,运动 幅度减小或正常,舟骨结节或鼻烟窝部角 局限性压痛,纵向拇指挤压痛。 c、X线检查:腕舟骨位、侧位、前后斜位 和后前斜位 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 常见的手部骨折与脱位 1、腕舟骨骨折 ④治疗: a、新鲜的稳定骨折:通常无需复位,以拇人字 管型石膏固定即可 b、新鲜的不稳定骨折:方法多种,闭合复位为 首选 c、陈旧的稳定骨折:无骨不连及坏死征象可予 石膏固定,否则手术治疗。 d、陈旧的不稳定骨折:首选手术治疗,方法有 植骨,桡骨茎突切除和内固定等。 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 常见的手部骨折与脱位 腕舟骨骨折 1、腕舟骨骨折 ⑤并发症: a、近侧骨折段坏死:发生率为30%- , 40% b、骨折不愈合 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 常见的手部骨折与脱位 2、第一掌骨基底部骨折 ①多由直接外力引起,骨折位于第1掌骨 基底部1cm处 ②伤后局部肿胀、畸形、压痛 ③骨折近端——桡背侧移位,骨折远端 ————掌尺侧移位 ④手法牵引复位,石膏固定4-6周 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 常见的手部骨折与脱位 3、Bennett骨折: ①第一掌骨基底部骨折,骨折线通过关节面 ②小骨折片位于尺侧,骨折远端滑向掌侧及 桡侧形成骨折脱位 ③手法复位容易,但固定困难,易再移位, 可用克氏针予以固定 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. Set up safety production leading group
展开阅读全文
  麦档网所有资源均是用户自行上传分享,仅供网友学习交流,未经上传用户书面授权,请勿作他用。
0条评论

还可以输入200字符

暂无评论,赶快抢占沙发吧。

关于本文
本文标题:手外伤与断指再植课件_5
链接地址:https://www.maidoc.com/p-15685189.html

当前资源信息

资料集锦

编号: 20180923213307823517

类型: 共享资源

格式: PPT

大小: 4.93MB

上传时间: 2019-11-08

关于我们 - 网站声明 - 网站地图 - 资源地图 - 友情链接 - 网站客服 - 联系我们

[email protected] 2018-2020 maidoc.com版权所有  文库上传用户QQ群:3303921 

麦档网为“文档C2C模式”,即用户上传的文档所得金币直接给(下载)用户,本站只是中间服务平台,本站所有文档下载所得的金币归上传人(含作者)所有。
备案号:蜀ICP备17040478号-3  
川公网安备:51019002001290号 

本站提供办公文档学习资料考试资料文档下载


收起
展开