{"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":"1032","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":"为病友提供:小儿骨折论坛_病友论坛_病友交流平台，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"小儿骨折论坛_病友论坛_病友交流平台","title":"小儿骨折论坛_病友论坛_病友交流平台","channels":null},"data":{"list":[{"id":"11428","isDel":0,"createAt":1516411474350,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"女童遭陌生女猛踹 致女童轻伤二级被刑拘","content":"

   1月12日晚，湖南省衡阳县西渡镇一名四岁女童在商店门前遭一陌生女子脚踹头部后摔倒在地，女子随后离去。1月18日晚，湖南省衡阳县公安局官方微博发布相关警情通报，称嫌疑人因涉嫌故意伤害罪被依法刑事拘留，对其作精神病鉴定，案件正在进一步审理中。

 

\"女童遭陌生女猛踹\"


   相关视频显示，一小女孩在监控画面中正摇摇晃晃地来走出商店。一名身着黄色上衣的女子上前随即对女童头部进行猛踹。黄衣女子向店内瞭望一番后，在女童身旁停留数秒后离去。

 

    1月18日晚，衡阳县公安局微博发布相关警情通报称，经查，12日下午6时许，犯罪嫌疑人刘某燕（女，现年31岁，衡阳县西渡镇人，疑似患精神病人）无故踢打受害人曾某致轻伤二级。目前，受害人曾谋正在医院接受治疗，嫌疑人刘某燕因涉嫌故意伤害罪被依法刑事拘留，并对其做精神病鉴定，案件正在进一步审理中。


\"女童遭陌生女猛踹


   网友莫星哥哥在看到消息后，愤然表示:老子没打开着个网页就在想，官方回应，可能又是神经病！+结果还真是，+神经病做了案还知道看有人没有，没人就跑了，来点新鲜的回应，套路都被我们老百姓猜透完了，还不换点字眼！+++还有这种B人抓住就该打！+反正是神经病！



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　　刚刚升为人母人父的时候，对待自己的孩子是一个新手，很多的家庭都会选择月嫂，但是你会想到你的孩子在月嫂的手中度过的是什么日子?最近发生的金牌月嫂狂甩女婴的事情，也是引发了很多的人关注:

 \"金牌月嫂狂甩女婴

　　29岁的傅先生，刚刚做了父亲，回想起2017年12月25号上午，发生在他家客厅的一幕，傅先生至今愤恨不平。画面中的婴儿，是傅先生出生仅40天的女儿;抱孩子的中年妇女，则是高薪请来的月嫂。傅先生说，这段20几秒的镜头，是他在另一个房间调试监控无意中录下来的，月嫂对着自家宝贝儿摇身子、蹲腿、颠头一气呵成;没来得及点录制键前，月嫂连续打孩子脸四五下，他也看得真真切切。

 

　　这位月嫂也是亲戚介绍来的，从2017年11月10号照顾孩子至今，双方也是一直和气，但是为何月嫂会如此做呢?对此月嫂的解释是，不过是在给孩子拍嗝，防止吐奶。而且坚持说自己没有恶意的，只不过是因为傅先生一家是因为太在乎孩子，小题大做了。而且这位月嫂从事该职业已经九年了，也考取了金牌月嫂的资格，如果存在虐待孩子的行为，早就在这一行混不下去了。但是傅先生一家还是报警进行了处理。

 

看到本新闻，相关网友评论如下：

不能说的秘密0906：qnmlgb，我这么虐待你刚出生的孩子行不行？还特么正常育婴手法，脑残玩意

 

黑龙江省网友：坏的冒浓

 

eyesmeblood：请了个金牌打手回来....

 

村民马先生：这要是东北爷们，就得扇这月嫂十个大嘴巴子。自称这是问好方式

 

放羊的咩咩咩：挣小孩的钱就是容易啊,而且还多.

 

有态度网友07jRjw：金牌是在哪个认证中心考的？要是我的话不报警，直接十个大嘴巴子，就说是对她特殊的方法用最崇高的礼仪表示感谢！然后直接到月嫂中心要赔偿，不然直接拉横幅曝光，就想知道这个狗逼金牌是怎么定的？

 

我推过那堵墙：是啊，给别人家孩子专用的手法



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\"意外伤害骨折患儿增多

假期儿童各类活动增多，意外伤害的发生率也随之上升，家长应引起重视，加强对孩子的安全教育，同时掌握一些正确的应急处理措施能有效挽救生命、降低伤害。

孩子骨折怎么办?

 

拨打120急救电话，争取在最短的时间内送宝宝去医院处理，在等待急救人员赶来的时候，密切观察孩子是否因疼痛、出血过多而出现面色苍白、出冷汗、脉搏细弱、血压降低，甚至昏迷等休克的症状，这时候家长应把宝宝的头置于低位，并注意肢体的保暖。

 

有出血应立即止血处理，对于骨折处出血，在送孩子去医院前，可以先用干净的毛巾压住伤口。如果出血较严重，可用橡皮筋管、橡皮带缠绕骨折的肢体，以压迫止血，但要注意每隔30分钟左右放松一次，以免影响血液循环导致骨折的肢体缺血。

 

　　家长不要在创面上撒消炎粉、止血粉之类药物，也不要在创面上覆盖不干净的棉布。止血后应在创面上盖上无菌纱布或未用过的毛巾，防止在运送的过程中创面受到污染。如果有骨的断端暴露在皮肤外，家长不要挪动它。


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\"意外骨折急救步骤5步走\"

生活中不慎跌落或者高处摔下都可能导致骨折，骨头在我们身体中起着支架的作用，因此一旦骨折，必须慎重处理，不能盲目移动位置。这些都是急救必备的常识，而生活中大部分人通常不知道该如何处理骨折。下面就带大家了解骨折时的急救措施有哪些？

骨折急救措施

 

　　1、抢救生命

 

　　严重创伤现场急救的首要原则是抢救生命。如发现伤员心跳、呼吸已经停止或濒于停止，应立即进行胸外心脏按压和人工呼吸;昏迷病人应保持其呼吸道通畅，及时清除其口咽部异物；病人有意识障碍者可针刺其人中、百会等穴位；开放性骨折伤员伤口处可有大量出血，一般可用敷料加压包扎止血。严重出血者若使用止血带止血，一定要记录开始使用止血带的时间，每隔30分钟应放松1次(每次30至60秒钟)，以防肢体缺血坏死。如遇以上有生命危险的骨折病人，应快速运往医院救治。

 

　　2、判断伤情

 

　　骨折物员的伤情判断。根据伤员的外伤史、生命体征变化和受伤部位简单而迅速地做出伤情判断。

 

　　如病人处于休克状态中，应以抗休克为首要任务;注意保温，有条件时应输血、输液。对处于昏迷的病人，应注意保证呼吸道通畅。闭合性骨折有穿破皮肤，损伤血管、神经的危险时，应尽量消除显着的移位，然后用夹板固定。

 

　　3、创口包扎

 

　　绝大多数的创口出血，用绷带压迫包扎后即可。在大血管出血时，可用止血带，记录开始用止血带的时间。若骨折端已穿出创口并污染，但未压迫血管神经时，不应立即复位，以免将污染物带进创口深处。可待清创后将骨折端清理，再行复位。

 

　　4、临时紧急固定

 

　　肢体临时固定是骨折急救的重要措施，急救固定的目的为：避免在搬运时骨折端移动而加重软组织、血管、神经或内脏损伤;骨折固定后即可止痛，有利于防止休克;便于运输，若备有特制的夹板，最为妥善。

 

　　肢体骨折时，用夹板固定最好，其次可用木棍、木板代替，如无代替物，上肢骨折可绑在胸部，下肢骨折同另侧健肢绑在一起，亦可起到暂时固定的作用。脊柱骨折则应平卧于床板或门板之上，避免屈曲、后伸、旋转。如为开放性骨折，则应用急救包或清洁布类包扎。

 

　　固定、捆绑的松紧要适度，过松容易滑脱，失去固定作用，过紧会影响血液循环。固定时应外露指(趾)尖，以便观察血流情况，如发现指(趾)尖苍白或青紫时，可能是固定包扎过紧，应放松重新包扎固定。

 

　　5、迅速安全转运

 

　　骨折伤员须经妥善固定后运往医院，运送途中应有伙护人员密切观察和陪同。特别要注意脊柱骨折时的搬运方式和姿势。

 

　　(1)脊椎外伤伤员的搬运：对脊椎外伤伤员应用木板或门板搬运，方法是先使伤员两下肢伸，两上肢也伸并放于身旁。木板放在伤员一侧，2-3人扶伤员躯干，使其成一核体滚动移至木板上。或3人用手臂同时将伤员乎托至木板注意不要使伤员的躯干扭转，切忌使用搂抱或一人抬头、一人抬足的方法，同时禁用凉椅、藤椅之类的丁具运送伤员。

 

　　(2)颈椎外伤伤员的搬运：在搬运颈椎损伤的伤员时，要有专人托扶其头颈部，沿纵轴方向略加牵引，并使头颈部随躯干一同滚动。或由伤员自已双手托住头部后再缓慢搬移，严禁随意强行搬动头部。伤员躺在木板1几时应用沙袋或折好的衣物放在其颈部的两侧加以固定。

 

　　(3)合并截瘫伤员的搬运：在运送截瘫伤员时，木板卜应铺一柔软的褥垫，伤员衣物里的坚硬物件应及时取出以防压伤。禁用热水袋或盐水瓶等进行保暖以免发生烫伤。


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\"摔伤骨折

跌伤、摔伤造成骨折是非常常见的，有的人为减轻疼痛，有个错误的思想，习惯用手去揉捏伤部。然而，这是错误的，骨折后乱揉捏可能会造成十分严重的后果。那么，摔伤骨折怎么办？

 

　　1.发生截瘫如果是颈椎骨折，误用揉捏可使脊髓受压发生高位截瘫。胸腰部脊柱骨折时，揉压按捏过重可以损伤腰脊髓神经发生下肢瘫痪。

 

　　2.刺破血管引起内出血骨折时，其折裂端可能较锋利，按、揉、挤、捏均会刺破局部血管导致出血。如锁骨粉碎性骨折，揉捏可能伤及锁骨下动脉；肱骨外踝颈骨折，揉按会伤及腋动脉；肱骨踝上骨折，揉治可损伤肱动脉；大腿下端骨折，揉捏可伤及动脉；肋骨骨折时，揉按可致骨折端刺破肺脏，发生气胸、血胸、纵隔及皮下气肿及咯血等。

 

　　3.损伤神经四肢长骨骨折，骨折裂端会像刀子一样锋利，在此状态下，揉捏按压除可造成出血外，还可能使骨折端刺伤或切断周围的神经，严重者可能造成神经麻痹。

 

　　4.加重休克严重的骨折如大腿、骨盆或多发性肋骨骨折合并内脏损伤时，由于失血和疼痛，病人可发生休克。如果再施以揉捏会进一步加重休克，甚至造成伤者死亡。

 

　　5.造成骨缺血性坏死如股骨颈、腕骨骨折后盲目揉捏，可损伤关节囊血管和骨干滋养血管，导致骨颈缺血性坏死。当骨折已造成内部肌肉出血，揉捏会加重肌肉和血管的损伤，时间稍久可能形成局部肌肉缺血，导致神经功能丧失，如不及时处理，易造成肢体坏死，严重者可发展为挤压综令征而危及生命。


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\"关于小儿骨折的检查项目\"

孩子出现骨折，会出现疼痛感，局部肿胀和出现瘀斑，肢体功能部位或完全丧失，完全性骨质尚可出现肢体畸形及异常活动。那么。一旦骨折，要做哪些检查呢？我们一起来了解一下：

 

　　骨折应该做哪些检查？

 

　　X线检查对骨折的诊断和治疗具有重要价值：

 

　　凡疑为骨折者应常规进行X线拍片检查，可显临床上难以发现的不完全性骨折、深部的骨折、关节内骨折和小的撕脱性骨折等，即使临床上已表现为明显骨折者，X线拍片检查也是必要的，可以帮助了解骨折的类型和具体情况，对治疗具有指导意义。

 

　　X线摄片应包括正、侧位，井须包括邻近关节，有时须加摄斜位、切线位或健侧相应部位的x光片。仔细阅读x光片后应辨明以下几点：

 

　　（1）骨折是损伤性或病理性。

 

　　（2）骨折是否移位，如何移位。

 

　　（3）骨折对位对线是否满意，是否需要整复。

 

　　（4）骨折是新鲜的还是陈旧的。

 

　　（5）有否临近关节或骨伤损伤。

 

　　在日常生活中家长一旦发现孩子发生骨折，第一时间首先要及时送到医院进行检查，小儿骨折应该做哪些检查？希望上面内容介绍能够给你帮助。在此我们提醒家长朋友们，要时刻留意孩子的举动，如果发现孩子有异常，要及时的送到正规医院接受检查并治疗，千万不可拖延，以免错失了最佳的治疗时机，让孩子承受病痛的折磨。祝愿所有的孩子们健康成长！


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孩子天性就是好动的，难免会少不了磕磕碰碰的，而且对存在的安全隐患也不是那么的重视，在这过程中很容易出现意外，甚至导致骨折的都有可能。

\"儿童骨折家长需重视\"

 

小儿骨折后自然恢复和塑造能力较强，大多数骨折患儿在治疗上只需要复位后进行石膏或小夹板外固定即可，但在骨折后如果不能及时给予治疗，则容易出现骨折不愈合、畸形愈合的可能。但目前有些家长对小孩摔伤后造成的骨折重视程度不够，常常在孩子摔伤后随便擦点药酒就算了，待发现不对劲时才将小孩送到医院检查，可这个时候已经或多或少出现了影响康复的情形了。

 

小儿外伤的种类很多，也比较复杂，那么平时家长应该如何去区分小孩的摔伤是否已经合并了骨折了呢？

 

人的骨骼是由坚硬的骨密质和骨松质组成的，非常坚硬，在人体内起着支架的作用，但在比较大力或暴力的作用下，可导致骨折。当家长发现小孩在摔伤后出现以下症状时，应该要考虑是否合并了骨折的可能：

 

小孩摔伤后受伤的患肢出现活动障碍，局部皮肤有红肿，甚至青紫，有压痛，活动肢体可听到骨摩擦音。一旦怀疑有骨折的可能时，家长应该立即将孩子送往医院。

 

但也有些时候，当小孩摔伤后，可能会因软组织挫伤而出现肢体疼痛、肿胀，甚至活动障碍，表面上看上去与骨折很像，一般来说，骨折是沿骨折局部四周即左右前后均有肿痛和压痛，而软组织损伤仅是在损伤一侧的局部肿胀和压痛，而对侧则无此症状，但如果家长遇到难以辨别的情况时，最好也是先带孩子去医院看医生，照个X光，以排除骨折的可能，一旦确定发生了骨折，最好能尽快复位固定。

 

儿童骨折后在施行外固定的时间里，因时间比较长，一般需要一个月左右，这期间如果不能正确地护理好，也有可能会造成感染、缺血性肌萎缩或骨畸形等，因此，在进行石膏或小夹板外固定时，父母应经常观察患肢的血液循环情况，特别是留意肢体远端的皮肤颜色、温度，密切关注患肢手指或脚趾的伸屈活动能力，同时，父母还应当遵照医生嘱咐鼓励及配合患儿进行患肢的功能锻炼，恰当的功能锻炼可以促进患肢的血液循环，使血肿快速吸收，骨痂生长好，还可以减轻患肢的肌肉萎缩、骨质疏松及关节僵硬等。另外，让孩子多吃有助于骨生长的钙质食品如鱼、虾、蛋、廋肉等，为骨折的恢复提供足够的营养，并教育患儿在伤肢活动中注意自我保护，预防再损伤的发生。


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\"小儿骨折如何应急处理\"

 

1、如有皮肤伤口及出血者，要清除可见的污物，然后用干净的棉花或毛巾等加压扎。

 

2、四肢开放性骨折（骨折断端经伤口暴露出来）有出血时，不能滥用绳索或电线捆扎肢休。可用宽布条、橡皮胶管在伤口的上方捆扎。捆扎不要太紧，以不出血为度，并且要隔1小时放松 l-2分钟。上肢捆扎止血带应在上臂的上1/3处，以避免损伤桡神经。

 

3、上肢骨折可用木板或木根、硬纸板进行固定，然后用绷带或绳索悬吊于脖子上。下肢骨折可用木板或木根捆扎固定，也可将双下肢捆绑在一起以达固定目的。注意：若孩子年龄太小，最好不要固定，让其自然下垂，及时送往医院救治。

 

4、骨盆骨折，用宽布条扎住骨盆，病人仰卧，膝关节半屈位，膝下垫一枕头或衣物，以稳定身体，减少晃动。


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儿童骨折在骨科当中是比较常见的一种症状，但是很多的家长在对于儿童骨折的认识上有一些误区，造成了一些不必要的麻烦，那么儿童骨折注意事项有什么呢？下面就和大家一起来了解下。

\"儿童骨折时应该注意什么\"

 

1、儿童骨折不能盲目补充钙质

 

钙是构成骨骼的重要原料，有人以为骨折以后多补充钙质能加速断骨的愈合。但科学研究发现，增加钙的摄入量并不能加速断骨的愈合，而对于长期卧床的骨折病人，还有引起血钙增高的潜在危险，而同时伴有血磷降低。由于长期卧床，一方面抑制对钙的吸收利用，一方面肾小管对钙的重吸收增加的结果。所以，对于骨折病人来说，身体中并不缺乏钙质，只要根据病情和按医生嘱咐，加强功能锻炼和尽早活动，就能促进骨对钙的吸收利用，加速骨折的愈合。尤其对于骨折后卧床期间的病人，盲目地补充钙质，并无益处，还可能有害。

 

2、儿童骨折注意有别于成人骨折

 

长期以来，由于习惯性思维，人们往往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观点来处理，然而人们忽略了一个重要的问题，即儿童是在不断地生长发育的，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。

 

3、儿童骨折忌偏食

 

骨折病人常伴有局部水肿、充血、出血、肌肉组织损伤等情况，机体本身对这些有抵抗修复能力，而机体修复组织，长骨生肌，骨痂形成，化瘀消肿的原料就是靠各种营养素，由此可知保证骨折顺利愈合的关键就是营养。在饮食上要做到营养丰富，色、香、味俱佳，能刺激食欲。适当多吃一些西红柿、苋菜、青菜、包菜、萝卜等维生素C含量丰富的蔬菜，以促进骨痂生长和伤口愈合。

 

4、儿童骨折注意不能过于依赖保守治疗

 

有一些家长甚至医师知道小儿骨折愈合快，塑型能力强，而忽视了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，则会引起畸形愈合和残疾。因此，病情是治疗方法选择的决定因素。

 

 

5、儿童骨折注意不能滥用药

 

接骨药物一般具有活血化瘀的作用，对于青少年可以适当吃，对于幼儿往往不能吸收，甚至产生一定的副作用，具体应该在医生的指导下服用药物。


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