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asbryobvrz · Wysłany: Sob 8:01, 05 Mar 2011

Scoliosis Management of Perioperative

gicinjuryafterin-sertionoflaminarhooksduringCotrel-Duboussetinstrumentation [J]. Spine, 1994,19 (12); 1402. [20] McNeelyJK. Perioperativemanagementofapaediatricpatientontheketogenicdiet [J]. PaediatrAneasth, 2000,10 (1): 103 ~ l06. [21] Ma Shengzhong, Li Ming, HOU Tie-sheng. And so on. CD treatment of adolescent idiopathic scoliosis, the complications and countermeasures [J]. China Orthopedic Surgery. 2001,8 (3): 349. (The Editor: Division Xiaoning) Modern treatment of maxillofacial trauma and care of the basic principles of measures Shipeng Lian, properly Lighthouse, Li storage (Fourth Military Medical University, Oral and Maxillofacial Surgery Hospital, Xi'an 710032, China) Department of Oral and Maxillofacial surface exposed to the human body, vulnerable to injury, on the chewing function, the destruction of human morphology and associated social and psychological barriers, much larger than the rest of the body damage. According to the first diagnosis of domestic trauma hospital 8 1992 1994, 1915 cases investigated in patients with traumatic area, head, face and neck injuries accounted for more than 6O, after limb injuries and multiple injuries, much higher than the chest, abdomen and spinal injuries]. Maxillofacial trauma in recent years, there is a rising trend, maxillofacial trauma care both in breadth and depth have been greatly improved. Now the basic principles of maxillofacial trauma treatment and care measures are summarized as follows: 1, 1.1 where the principles of treatment of maxillofacial soft tissue injury maxillofacial rich blood supply based on the principles of soft tissue regeneration ability, and strong resistance to infection anatomical characteristics of the patient stable vital signs after the treatment as soon as possible maxillofacial trauma. Value when debridement of soft tissue, usually not easily abandon it, save as much as possible; soft tissue injury after the Firearms saline wet dressing,[link widoczny dla zalogowanych], suture directed by Zhang; for a small range of soft tissue wounds, skin grafting or near the rotation through the flap, pectoralis major muscle flap and free radial forearm flap with vascularized repair, etc.; in the treatment of oral soft tissue injuries and open, stressed the start in the mouth to the external suture deep, tight floor of the mouth and tongue tissue suture,[link widoczny dla zalogowanych], to avoid dislocation of healing; to properly suture IZl cavity mucosa, isolation and IZl interlinked wound cavity in order to avoid injury IZl infection; in the debridement should pay attention to whether the parotid duct and facial nerve injury. Of breaking away from the match and with no defect in a timely manner, or at a later stage to make the necessary correlation processing, such as catheters and nerve graft reconstruction]. 1.2 The principles of fracture 8O 2O century since, China has been widely used internal fixation in treatment of fracture, and gradually close to the international Association for Study of Internal Fixation (AO) in the basic theories and principles fixed Ⅲ. China already has some curvature for maxillofacial bone straight, fixed and reliable. Occlusion before surgery to be adjusted,[link widoczny dla zalogowanych], first to the teeth back to normal occlusion as the gold standard for anatomic reduction, and then do the mini-plate fixation and removal of traction as soon as possible to facilitate the opening El eating. Ideal post-fixed material should be healing without stress shielding, therefore, is a better bio-absorbable plates ideal material. Disciplinary team where the principle of more than 1.3 maxillofacial trauma injury complex and diverse, the whole process in the treatment of multi-disciplinary collaboration will need to mature craniofacial surgery,[link widoczny dla zalogowanych], orthognathic surgery, dental implant technology, plastic surgery, micro surgery, joint surgery, orthodontics technology used in maxillofacial trauma patients comprehensive treatment process from beginning to 2 Observation and nursing care measures 2.1 in maxillofacial injuries were treated, especially on the jaw fracture jaw fracture, easy to concurrent head injury, so we should be familiar with the clinical manifestations in patients with traumatic brain injury, rescue and treatment of nursing master cooperation. Should be noted that there are unconscious and pupil changes, visual changes, with or without orbital congestion, with or without cerebrospinal fluid otorrhea or rhinorrhea, monitoring vital signs without changing j. If the patient is drowsy or unconscious, should someone care, patients were taken lateral position or the first lateral position. Excluded in order to facilitate secretion and prevent aspiration, suction devices prepared bedside, ready to suck out the respiratory Received Date :2002-11-2OI Revised :2003-02-13 Author: Peng Lin (1965 a), F , Jiangsu. Charge nurse. Nursing,[link widoczny dla zalogowanych], undergraduate, primarily engaged in oral and maxillofacial surgery clinic hospital work.