儿童肱骨髁上骨折经皮克氏针内固定的手术护理
翁冬芳[摘要]?目的?總结儿童肱骨髁上骨折经皮克氏针内固定的手术护理体会,以期提高护理质量。方法?选取2018年1月至2021年12月杭州市儿童医院行经皮克氏针内固定治疗肱骨髁上骨折的患儿130例,其中Gartland?Ⅱ型72例,Gartland?Ⅲ型58例。护理要点包括一般常规手术护理举措,尤其强调物品准备齐全、术中体位管理及C型臂X线机的规范使用。结果?手术均顺利完成。术后均未出现骨折不愈合、血管损伤、骨筋膜室综合征、肘内翻畸形及感染情况。2例患儿术后出现尺神经损伤,行尺神经探查+前置术后恢复。肘关节功能评价,优126例,良4例。结论?采用闭合复位经皮克氏针内固定术治疗儿童肱骨髁上骨折,手术时间短、创伤小,术后并发症少。高质量的手术护理是确保手术顺利完成的基础,最大程度保障患者安全。
[关键词]?儿童;肱骨髁上骨折;经皮克氏针固定术;手术护理
[中图分类号]?R473?[文献标识码]?A?[DOI]?10.3969/j.issn.1673-9701.2023.24.026
Surgical?nursing?of?children?with?supracondylar?fracture?of?humerus?treated?with?percutaneous?Kirschner?wire?internal?fixation
WENG?Dongfang
Operation?Room,?Hangzhou?Childrens?Hospital,?Hangzhou?310014,?Zhejiang,?China
[Abstract]?Objective?To?summarize?the?surgical?nursing?experience?of?percutaneous?Kirschner?wire?internal?fixation?for?supracondylar?fractures?of?the?humerus?in?children,?in?order?to?improve?the?quality?of?nursing.?Methods?Totally?130?children?with?supracondylar?fractures?of?the?humerus?who?underwent?percutaneous?Kirschner?wire?internal?fixation?at?Hangzhou?Childrens?Hospital?from?January?2018?to?December?2021?were?selected ......
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