摘要
作者1990年3月～1991年3月对50例肘部及近肘骨折患者在骨折复位术后24h～72h肘部肿胀时行肘上、下周径的测量.按患肘与健肘周径差的均值将肘部肿胀分为三度.屈肘固定在80°、85°、90°、110°、140°～150°不同位置时,通过腕部触诊尺、桡动脉搏动,多普勒超声听诊器监听,血流图仪前臂监测了解前臂血流变化情况.结果表明肘部肿胀时,屈肘90°固定88%病人前臂血流减弱,提示临床上肘部骨折肿胀患者屈肘度数应<90°,中～重度肿胀者,屈肘固定度数<80°,以防止发生前臂缺血性肌挛缩.
We measured 50 cases with fracture in elbow the circumference of swellen elbow after fracture reduction in 24-72 hours. Swellen elbow was classified in three grades .The degree of flexed elbow were in 80°,90°, 110°, 140°-150°. The blood flow was different according to the degree of flexed elbow. When we monitor the blood flow in forearms through palpation,Doppler ultrasonic,blood flow graph in strument,found when the degree of swellen flexed elbow in 90°,the blood flow of forearm reduced in 88 percent. So,the fixed angle of flexed elbow should be less than 90°. When the elbow swelling was medium or serious ,the degree of elbow flexion should be less than 80°, thus, ischemic contracture of forearm could be avoided.
出处
《骨与关节损伤杂志》
1995年第5期282-283,共2页
The Journal of Bone and Joint Injury
