Pelvic fracture - lapaau a me ka hopena

pelvic fracture o kekahi o na nā palapū loa nui o ka musculoskeletal nenoaiu. Ua eha pinepine pu ma excessive kahe ana ke koko, na nā palapū, a, me, ola kŰia. Mawaena o na kanaka, ka poe i loaa i ka fracture o na pelvis, he kiʻekiʻe loa ka make ana, a me nā kānaka he nui ka poe i kauoha aku e ola, noho ka polokalamu JavaScript no ke ola.

Loa pinepine, pelvic fracture ia lŘlŘ like me ka hopena o ka mīkini'opihia i loko o ke kīloi paʻewa paha anterior-posterior kūlana. Kēia hiki hiki mai i hopena a haule mai ka nui kiʻekiʻe, a me kekahi ma ka ulia. Ke kaumaha ma muli pehea ka fractures kau e ku ei ka pelvic apo, pelvic fracture ua hoʻolaha i loko:

- he maka fracture, i ka poino ke kualono, i ka'ēheu o ka ilium, he awns nahā i, e like me ka pono me ka momi o ka sacrum, coccyx a me ka ischium;

- fracture maalo ae la oia ma ka pelvic apo, a aole hoi e uhai i kona ka hoʻomauʻana: fractures o ka ischial a pubic iwi, a me fracture o na iwi ischial ma kekahiʻaoʻao, ka pubic a me ka - ma ka 'ē aʻe;

- popoiwi wahi ma i ka discontinuity o ke apo hookahi. Kēia nā na ami, mai hemo mai, i ka wā hoʻokahi fracture o na iwi ischial a me ka pubic, fractures o na pelvis me fractures o na ami;

- fracture o ka acetabulum me dislocation ole he dislocation o ka femoral poo, fracture o ka acetabulum, a me nā pelvic iwi;

- sochetannyj pelvic fracture ma a he meaʻino i ka na nā loko o ka abdomen, o ka puniu wale no, pahu, spine a me ka lala.

pelvic fracture lapaau a me ka mua kōkua

Ma ka loaʻa 'ana o ka trauma ka mōhai i loko o ka manawa mua ohumu o pelvic eha. Keia ua seriously poino, a ma na kolu o ka hihia e hiki trauma kŰia, oiai e haule ana mea excessive kahe ana ke koko. Inā ua sochetannyj fracture, traumatic hawewe e ia lŘlŘ ma ka hapanui o nā mōhai. I ka hoʻolako 'mua kōkua ola hana lakou e ike koke ho oholo i keʻano papa hana o ka hewa, a e kōkua i ka hou pololei hooholo i ka IIeEeAIEUAA o ka fracture.

I lawe mai i ka nana mua ka pono, e nana i ke alo o ka paopao koke mai oia a me abrasions, e like me ka hiki i nanaia deformation o na pelvis. Palpation e halihaliia oia iwaho loa me ke akahele, ka mea e kōkua kuhikuhi i ka loa ola wahi, a he wahi ma laila i kekahi pohupani hale o na iwi.

E hoomanawanui i ka poe i loaa pelvic momi, e pono e ninau aku no ka kōkua ina ka mea, mea hiki, alaila, huki i ka mimi hiki e ka laholio catheter. I ke alo o ke koko ma ka mimi e hōʻike i ka poino o ka hakuʻala, bladder paha urethra. Ma na hihia a pau, ma rupture o ka bladder, ua i loli ana ma ka moku'āina o ko lākou mau pee. Inā i ka rectal hōʻike o ka rectum i loaʻa i ke koko ka mea, ke hōʻike poino.

kanaka hana i loaa i keia ino, mea hiki wale nō i loko o ka haukapila. E hoʻomaka me ka mea, ua lawe mai X-Ray a me vocal ninaninau. No hoi, e hoomanawanui i akaaka malu anesthesia no intrabasin Shkolnikov - Selivanov, Ua skeletal traction a me ka hana ma luna o ka Hammock.

pelvic fracture: hopena

Ma ka hoʻolako 'ana o' āwīwī a me ka 'oihana mālama' pelvic fractures hoola pono. Inā noho poino i loa poino puni'aʻaʻa, i ke ahonui i limp no ka lōʻihi manawa, mai na nāʻiʻo a me ligaments lohi hou. I Ina o ka 'aʻe' ana o ka ua'emi'aʻaʻa ke i maʻiʻeha, pōʻino i na ami a me kekahiʻikeʻia moe dysfunction.

mea, ua ulu

pelvic fracture mea ole, e hāʻawi aku i loko o ka loiloi muaʻike, e like me ka mea i hookuu ka luahi ua i kaumaha ana, a hiki i kekahi poino. Me keia eha pono amo immobilization mea, aole ia e ae hou pohupani hale o ka iwi koena ai, e like me ka pono me kŰia a me ka kahe ana ke koko. Ke kanaka, waiho wale aku i ka hakina pelvis, ia e ke urgently hospitalized ma ka hana kūikawā haukapila.