xp574088
II LIGA
Dołączył: 03 Sie 2010
Posty: 230
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Wysłany: Pon 1:00, 28 Mar 2011 |
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Old line of high-risk patients minimally invasive hip replacement complications prevention and care
And,[link widoczny dla zalogowanych], if anomalies timely reporting of a doctor. Limb to our department with postoperative external fixation elastic bandage 1 week, Taigaohuanzhi higher than the heart surface 20 ~ 30era. Guidance after anesthesia in patients with active flexion of the ankle joint activities and lower limb isometric and isokinetic exercise. After 2 ~ 3d can be extended knee, hip exercise, the early use of CPM passive exercise, the first small amplitude, low frequency start, a gradual increase in activity time and scope, and slowly transition to active exercise, 3 to 4 weeks hip flexion of 90 available. 【. On older patients with varying degrees of obesity, hyperlipidemia and other risk factors such as illness, can be prophylactic Fraxiparine. Advise smoking patients to avoid nicotine stimulate the blood vessels, causing vein shrinkage at the same time to avoid limb infusion. 6 patients in this group, are for fear of pain, joint dislocation rather than activity in patients with acute transverse myelitis in children nursing intervention Zhengxin Lan (Children's Hospital in Changchun City, Jilin, Changchun 130051) · l181 · 3 to 5 days after the body was there swelling, pain, encourage and assist patients with limb passive and active activities, subcutaneous Fraxiparine 0.4ml, 3 ~ 5d symptoms improved significantly. 4 to discuss the group of patients are senior citizens, high-risk patients, poor physical tolerance, mostly associated with obesity and other diseases, such as the lack of preoperative preparation and postoperative prone to serious complications, so the patients associated with systemic diseases before surgery to ask related to systemic; Growing therapy, blood glucose control in general 10mmol / L, blood pressure control in the 150/100mmHg less stable and more secure operation, postoperative treatment should be strictly system. Using minimally invasive surgical technique can effectively reduce the blow to the early limb activities to reduce deep vein thrombosis and the risk of surgery. Hip replacement surgery itself does not indicate the success of the treatment was successful in all, prevention of complications and good functional recovery after hip replacement is one of the keys of success should be taken seriously enough. Take various measures to prevent complications is the basis of postoperative rehabilitation, the rehabilitation of strict and meticulous work to reduce the incidence of complications, the two complement each other. 5
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