{"countAll":0,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"1199","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1199","topicTypeId":null,"topicThemeId":"1026","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"lyBarModerators":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":0,"totalPage":0,"totalRow":0},"metaSearch":{"description":"为您提供:小儿骨折原因何在_小儿骨折原因有你不知道的等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"小儿骨折原因何在_小儿骨折原因有你不知道的","title":"小儿骨折原因何在_小儿骨折原因有你不知道的","channels":null},"data":{"list":[{"id":"11388","isDel":0,"createAt":1516345828302,"createBy":"8b39c578b53311e7a3d800163e04584d","createName":"梅油油","updateAt":0,"updateBy":null,"updateName":null,"userId":"8b39c578b53311e7a3d800163e04584d","title":"专家带你了解儿童骨折真正原因","content":"

小孩子比较活泼乱跳，难免会有磕碰、摔倒、跌落的现象发生，而马上车辆的增多都是儿童骨折发病率高的原因。小儿骨折给患儿和家庭添加了很多痛苦，但是由于一般的人们医学知识的匮乏，使他们对儿童骨折的治疗存在误区，甚至最终导致治疗效果的不满意，留下一定的遗憾。下面找良医网带大家分析一些常见的认识误区，多了解这方面知识。儿童骨折避免有这几大误区。


\"专家带你了解儿童骨折真正原因\"

 

儿童骨折会给患儿和家庭增加了很多痛苦，下面我们分析一些儿童骨折常见的几大误区，让您有备无患。

 

 

1、儿童骨折与成人骨折治疗一样

 

由于习惯性思维，长期以来大家都误认为儿童只是成人的一个缩影，只是身材较小，体重较轻，其他没有什么区别，往往套用成人骨科的思想来处理，但是大人们都没想到最重要的一个问题，即儿童是在不断地生长发育，其解剖结构、生理功能和生物力学性能都在不断变化，与成人的骨骼不同。所以对于儿童骨折应首先纠正认识“他们和成人是不同的”。

 

2、儿童骨折去看一般医院骨科就可以

 

由于儿童骨科发展的不平衡，很多小儿骨折创伤都由成人骨科医师医治，对于简单的儿童骨折也是可以医治的，但是对于儿童复杂骨折如严重合并伤，往往需要专业的儿童骨科大夫来诊治。

 

3、儿童骨折是因为体质弱

 

儿童骨折主要原因是由生理结构和发病特点决定的，不全是体质弱。儿童骨骼中有机质较多，无机质较少，柔韧性较大，强度性不够，所以儿童在外伤后容易导致骨折，尤其是青枝骨折，犹如青竹骨折裂而不断，并且由于发育速度差异，韧带弹性大于骨骺，所以儿童损伤骨骺的损伤远多于韧带断裂。

 

4、小儿骨折打上石膏就好了

 

还有一些大人甚至医师知道小儿骨折愈合快，塑型能力强，强烈要求保守治疗，打个石膏了事。确实，大多数儿童骨折经过手法复位后，采取外固定就可以，但不可忽视的一些需要及时手术治疗的骨折，如骨骺骨折，关节内骨折等，对这些骨折如果延误了诊断和治疗，则会导致畸形愈合和残疾。专家强调治疗方法的选择的决定因素是病情。

 

 

5、儿童骨折的手术太遭罪

 

对于必须手术的儿童患者，大人都是忧心忡忡，担心小孩子太受罪。随着对小儿骨折后愈合机制的不断了解和骨科器械的不断发展，治疗方法有了很大的改进。有了骨科牵引床和新型的骨科内固定器械（钛合金的弹性髓内钉，可吸收螺丝钉），一些原本要开刀的骨折现在只需很小的切口即能达到同样的或者是更好的效果。

 

6、儿童骨折会留后遗症

 

一般四肢骨干的骨折治疗及时有效大多是不会留下后遗症的，但其中有一些病儿由于严重的外伤如车祸、坠落伤等损伤了生 长结构（骺板）而日后产生畸形，往往在生长发育中逐渐出现畸形和肢体的长短不等，这个需要及时就诊，听取专科医生意见。

 

最后，找良医网祝大家身体健康！


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小孩子的骨骼正处于生长的黄金阶段，这个时候如果出现了小儿骨折的情况，对孩子的成长发育极为不利，严重的情况还可能会引起骨骼发育畸形，对孩子的影响很大，那么，您知道生活中导致小儿骨折的原因都有哪些吗？下面，就让找良医网专家来具体介绍一下吧。

 

\"专家为您解答儿童骨折的危害都有哪些\"


(l)坠积性肺炎：多发生于因骨折长期卧床不起的病患，尤其是年老体弱和伴有慢性病的思者，随时可因此而危及患者生命，应鼓励思者及早下床活动。

 

(2)褥疮：严重骨折后患者长期卧床不起，身体骨突起处受压，局部血液循环障碍易形成褥疮。常见部位有能骨部、破部、足跟部。

 

(3)下肢深静脉血栓形成：多见于骨盆骨折或下肢骨折，下肢长时间制动，静脉血回流缓慢，加之损伤所致血液高凝状态，容易导致血栓形成。应加强活动锻炼，预防其发生。

 

(4)感染：常见开放性骨折特别是污染较重或伴有较严重的软组织损伤者，若清创不彻底，坏死组织残留或软组织覆盖不佳，可能发生感染。处理不当可致化脓性骨髓炎。

 

(5)损伤性骨化：又称骨化性肌炎。由于关节扭伤、脱位或关节附近骨折，骨膜剥离形成骨膜下血肿，处理不当使血肿扩大，机化并在关节附近软组织内广泛骨化，造成严重关节活动功能障碍。特别多见于肘关节。

 

(6)损伤性关节炎：关节内骨折，关节面遭到破坏，又未能准确复位，骨愈合后使关节面不平整，长期磨损易引起损伤件关节炎，致使关节活动时出现疼痛。

 

(7)关节僵硬：病患肢长时间因定，静脉和淋巴回流不畅，关节周围组织中浆液纤维性渗出和纤维蛋白沉积.发生纤维粘连.并伴有关节变和周围肌挛缩，致使关节活动障碍。这是骨折和关节损伤最为常见的并发症。及时拆除固定和积极进行功能锻炼是预防和治疗关节僵硬的有效方法。

 

(8)急性骨萎缩：即损伤所致关节周围的病性骨质疏松，亦称反射性交感神经性骨营养不良c好发于手、足骨折后，典型症状是疼痛和血管舒缩紊乱。

 

(9)缺血性骨坏死：骨折使某一骨折段的血液供应被破坏，而发生该骨折段缺血性坏死。常见的有腕舟状骨骨折后近侧骨折段缺血性坏死。

 

(10)缺血性肌挛缩：多为骨筋膜室综合征处理不当的严重后果，是骨折最严重的并发症之一。它可由骨折和软组织损伤所致，也常因骨折处理不当造成，特别是外固定过紧。一日发生则难以治疗，常致严重残疾。典型的畸形是爪形手和爪形足。


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\"小儿骨折是怎么引起的\"

 

众所周知，小儿正处于发育期，起身体中的骨质还未成熟，及其容易出现骨折，而且小儿骨折的发生常与暴力和积累性劳损有关，找良医网告诉您，小儿骨折的具体发病原因如下所述：

 

1、直接暴力

 

受到暴力影响，直接作用于骨骼某一部位而致该部骨折，常伴有不同程度软组织破坏。车轮撞击小腿，可于撞击处发生胫腓骨骨干骨折。

 

2、间接暴力

 

间接暴力作用时通过纵向传导、杠杆作用或扭转作用使远处发生骨折。从高处跌下足部着地时，躯干因重力关系急剧向前屈曲，胸腰脊柱交界处椎体受折刀力的作用而发生压缩性骨折(传导作用)。

 

3、积累性劳损

 

如果长期、反复轻微的直接或间接损伤，可致使肢体某一特定部位骨折，此类骨折是日积月累造成的，就像远距离行军一样，及其容易致第二、三跖骨及腓骨下1/3骨干骨折。

 

找良医网温馨提示：儿童需要呵护，家长朋友们一定要对孩子们多加以保护，教育其对自己进行自我保护，陪伴成长最重要！


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\"引起骨折的四大原因

骨折是一种经常发生在小孩和老人身上的一种骨科病症，了解骨折的原因和预防工作是相当重要的。那么什么原因极易引起骨折呢？不妨一起看下吧！

 

说到骨折，大家要明白伤筋动骨要休息很久的，因此日常要对骨折造成的原因和预防工作都要了解才行！那么经常导致骨折的原因有哪些呢？如何预防和医治骨折呢？一起看下！

 

骨折的原因

 

1、骨折多由直接暴力作用于机体所致，如打伤、按伤及火器伤等。多为开放性骨折，软组织损伤较重。

 

2、骨折也可由间接暴力所致，例如走路不慎而滑倒时，以手掌撑地，通过传导作用，发生上肢骨折。

 

3、身体自高处跃下，与地面接触，如足部着地，可发生脊柱及跟骨的压缩性骨折，或肢体一端被固定，另一端被强力扭转而发生骨折。

 

4、肌肉的强力收缩使肌内附着处发生骨折，如踢足球或骤然跪倒时，股四头肌猛烈收缩，可发生假骨骨折等。


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\"什么是小儿骨折

小儿骨折在骨科尽快疾病中，一般选择少被人重视患者，其实就是儿童的活动能力病情和范围增大儿童困难的骨折创伤，不断增加其中包括很多有病由交通事故引起的复合伤和多发性骨折周一。因为其骨骼与成人不一样，大多数骨折首先可以复位但也要提防愈合后出现畸形。

 

小儿骨折愈合快：儿童成功骨折损伤与成人是有区别的，儿童的骨骼在不断生长发育其生理功能和生物力学性能都在不断变化，儿童骨头因骨质多孔骨膜肥大等骨折时较不易完全断裂，绝大部分的儿童救命骨折都不需要选择手术，但发生于关节附近结合特别是伤及生长板时常需移植手术复位。

 

与成人的骨骼不同，儿童骨骼一方面会使畸形愈合后自行纠正，有时却会使没有也不畸形的骨折愈合后出现畸形和肢体的长短不等，有些孩子病人就是心地因为现象仍然手术时损伤了生长结构，产生畸形其实大多数。小儿骨折可以移植复位有时骨折复位问题不好，有错位小孩安排会凭借强大的塑型能力，不但将畸形自行纠正不够当然需要在一定的范围内，但骨骺骨折关节内骨折等如果延误了诊断及为和治疗意思会引起畸形愈合和残疾。

 

小儿骨折咋应急：如果小孩紧张的颈部或背部遭到损伤出现骨折，要先医托检查孩子是否出现苍白呼吸，加快出汗口渴等休克状态如果是要立刻就诊。不要碰动被折断或脱臼的部位，如果手臂受伤要轻轻地斜挂着支撑后，将绷带的末端固定在肘关节上送孩子多拉去医院。

 

如果出现开放性骨折有出血时，要用生理盐水清洗伤口敷上消毒纱布，暴露于外面的断端要注意以免造成更严重，损伤和感染在送很多医院治疗太少前疲劳，不能让骨折部位活动可寻找夹板附于患侧肢体上在夹板或肢体之间垫一层毛巾，用带子捆绑松紧适宜，超过上下两个关节四肢固定时要暴露手指脚趾，以便观察指部位血液循环情况调节夹板的松紧。

 

骨折后以前不能乱揉：有的人习惯用手给小孩角度揉捏伤部，其实骨科不会，专家指出这样即使反倒可能，造成不好困难后果骨折后乱揉捏应该危险会给，正常面前治疗带来困难素质根治。一旦发生严重一句的跌倒和摔伤，尤其是无法动弹时最好安静躺着急送考虑医院。

 

如胸腰部脊柱骨折时揉压过，可能损伤腰脊髓神经发生下肢截瘫，刺破血管引起内出血骨折时揉挤会刺破局部血管导致出血。

 


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