{"nowTime30":1746787532071,"lyBarModerator":null,"metaSearch":{"description":"找良医网提示：如果遇到小儿骨折，家长朋友们切勿慌张，一定按照医生嘱咐的治疗进行，小儿骨折包括复位、固定、功能锻炼这三基本原则，其次还包括康复治疗。其具体治疗方法如下所述：一、治疗利用治疗的方式，使骨折的部位最终最大可能的、最大限度的恢复其功能。因此，在骨折治疗中，其复位、固定、功能锻炼这三基本原则十","keywords":"专家向您解答小儿骨折的治疗方法是什么 _洞医","title":"专家向您解答小儿骨折的治疗方法是什么 _洞医","channels":null},"identificate":{"id":"5a3adeaa985911e8972100163e0462f1","isDel":0,"createAt":1533437016805,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","realName":"周鑫","certifiedStatus":2,"phone":"15525873223","email":"langlixunta@163.com","hospitalId":"14629","departmentId":"2035","illName":"","illId":"ac6f137def9411e7a3d800163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1533437073284.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"内分泌科","hospitalName":null},"fj":[],"canEdit":null,"adList":[],"lyBar":{"id":"1199","isDel":0,"createAt":1483430619624,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"小儿骨折","type":102,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":null,"cityId":null,"illId":"6cc7f2eabb5f11e6a61c00163e04584d","hospitalId":null,"keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"channels\":{\"病友社区\":{\"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\"},\"治疗\":{\"description\":\"为您提供:小儿得骨折怎么办_小儿骨折黄金治疗时间等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿得骨折怎么办_小儿骨折黄金治疗时间\",\"title\":\"小儿得骨折怎么办_小儿骨折黄金治疗时间\"},\"症状\":{\"description\":\"为您提供:小婴儿骨折有什么症状_小儿骨折表现等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小婴儿骨折有什么症状_小儿骨折表现\",\"title\":\"小婴儿骨折有什么症状_小儿骨折表现\"},\"并发症\":{\"description\":\"为您提供:儿童骨折后遗症吗_小孩骨折有没后遗症等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"儿童骨折后遗症吗_小孩骨折有没后遗症\",\"title\":\"儿童骨折后遗症吗_小孩骨折有没后遗症\"},\"饮食\":{\"description\":\"为您提供:小儿骨折多吃什么_小儿骨折吃什么好得快等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿骨折多吃什么_小儿骨折吃什么好得快\",\"title\":\"小儿骨折多吃什么_小儿骨折吃什么好得快\"},\"病因\":{\"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\"},\"病友求助\":{\"description\":\"为您提供:小儿骨折愈合过程_孩子胳膊骨折多久恢复等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿骨折愈合过程_孩子胳膊骨折多久恢复\",\"title\":\"小儿骨折愈合过程_孩子胳膊骨折多久恢复\"},\"预防\":{\"description\":\"为您提供:小儿骨折的风险_儿童骨折预防等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿骨折的风险_儿童骨折预防\",\"title\":\"小儿骨折的风险_儿童骨折预防\"}},\"description\":\"为您提供:小儿骨折怎么治疗、小儿骨折愈合时间、小儿骨折后多久拆石膏、小儿骨折家长们的就医经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿骨折怎么治疗_小儿骨折愈合时间_小儿骨折后多久拆石膏\",\"title\":\"小儿骨折怎么治疗_小儿骨折愈合时间_小儿骨折后多久拆石膏\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"11258","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"专家告诉您小儿骨折预防的方式方法","content":"

\"专家告诉您小儿骨折预防的方式方法\"

 

小儿骨折的发生是可以避免的，家长们在日常生活中尤其的重视，孩子们天生就是一个好奇宝宝，对许多新鲜事物都会去琢磨，切记大人一定要在身边陪伴，在生活及工作中以安全第一，时刻注意就能减少骨折发生。

 

由于受到年龄的限制，儿童走路不稳，容易摔倒，尤其不能到高处玩耍，要教育和看好儿童，避免摔伤。少年玩耍较多，好奇心强，家长及老师要做好教育工作，不要爬墙上树。上街最好不骑自行车，不要到拥挤的公共场所。在平时生活中，多教会孩子如何自我保护，尤为重要。

 

找良医网温馨提示：对孩子的成长，一定是要由家长陪伴的，安全第一，其他第二！


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\"　小儿骨折吃哪些食物对身体比较好呢\"

 

　1、高能量、高蛋白膳食：有助于恢复元气。但宜在骨折2周后食用。骨折初期还应以清淡饮食为宜。

 

　2、含钙的食物：骨折后若一直在室内休养，晒不到太阳，容易缺乏致维生素D。因此骨折后要多吃富含维生素D的食物，并尽可能多晒些太阳。

 

　3、蔬菜水果： 骨折早期因忧思少动、气机郁滞，加上卧床不起、活动量减少，导致大肠的运动乏力，骨折患者经常会出现大便秘结难排现象，时间一久容易引发结石或尿路感染；因此在骨折后应多吃含纤维素多的水果、蔬菜，如香蕉、梨、西瓜等，并多喝些蜂蜜水，这样不但可以润肠通便，还会加速骨头的愈合。

 

4、水：骨折后由于久坐不动，容易引发便秘，此时应多喝些水来保证肠道畅通。

 

5、含锌的食物：锌是人体骨骼生长所需的碱性磷酸酶的重要组成部分，因此骨折后要多吃含锌元素的食物，比如：动物肝脏、海产品、黄豆、葵花籽、蘑菇等。

 

 


","barId":"1199","topicTypeId":null,"topicThemeId":"1035","readLevel":0,"files":"","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":2},{"id":"11255","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"专家告诉您小儿骨折主要症状 有可能引发其他疾病","content":"

\"专家告诉您小儿骨折主要症状

 

如果孩子出现骨折现象，家长们一定谨慎，小儿骨折可能并发休克、脂肪栓塞综合征、重要内脏器官损伤、重要周围组织损伤、骨筋膜室综合征等症状，其具体并发症状如下所述：

 

一、脂肪栓塞综合征：虽然常发生于成人，但不可忽视，预防孩子出现此类情况也是重中之重，这种状况是由于骨折处骸腔内血肿张力过大破坏，脂肪滴进入破裂的静脉窦内，可引起肺、脑脂肪栓塞。

 

二、重要内脏器官损伤：肝、脾破裂；胸肺损伤；膀肮和尿道损伤；肠损伤，这类情况一定就医治疗。

 

三、重要周围组织损伤：如果出现此类症状，切不可大意，需要就医检查具体位置和情况。

 

1、重要血管损伤：常见的如伸直型肋骨探上骨折，近侧骨折端易造成动脉损伤。

 

2、周围神经损伤：特别是在神经与其骨紧密相邻的部位。

 

3、脊髓损伤：脊柱骨折和脱位的严重并发症，多见于脊柱颈段和胸腰段，可出现截瘫。

 

四、骨筋膜室综合征：即由骨、骨间膜、肌间隔和深筋膜形成的骨筋膜室内肌肉和神经，因急性缺血而产生的一系列早期症候群。

 

找良医网温馨提示：如有身体不适，请及时就医！


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我的儿子现年九岁左尺挠骨骨折需要手术，要全身麻醉，以后会不会对大脑有副作用吗


","barId":"1199","topicTypeId":null,"topicThemeId":"1033","readLevel":0,"files":"","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":2},{"id":"7999","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"小儿骨折如何应急处理","content":"

\"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。


","barId":"1199","topicTypeId":null,"topicThemeId":"1032","readLevel":0,"files":"","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":2},{"id":"8020","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"小儿骨折的临床表现","content":"

\"小儿骨折的临床表现\"

 

1、全身表现

 

（1）休克 对于多发性骨折、骨盆骨折、股骨骨折、脊柱骨折及严重的开放性骨折，患者常因广泛的软组织损伤、大量出血、剧烈疼痛或并发内脏损伤等而引起休克。

 

（2）发热 骨折处有大量内出血，血肿吸收时体温略有升高，但一般不超过38℃，开放性骨折体温升高时应考虑感染的可能。

 

2、局部表现

 

骨折的局部表现包括骨折的特有体征和其他表现。

 

3、骨折的特有体征

 

（1）畸形 骨折端移位可使患肢外形发生改变，主要表现为缩短、成角、延长。

 

（2）异常活动 正常情况下肢体不能活动的部位，骨折后出现不正常的活动。

 

（3）骨擦音或骨擦感 骨折后两骨折端相互摩擦撞击，可产生骨擦音或骨擦感。

 

以上三种体征只要发现其中之一即可确诊，但未见此三种体征者也不能排除骨折的可能，如嵌插骨折、裂缝骨折。一般情况下不要为了诊断而检查上述体征，因为这会加重损伤。


","barId":"1199","topicTypeId":null,"topicThemeId":"1029","readLevel":0,"files":"","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":2},{"id":"11385","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"小儿骨折如何急救——家长不妨往这看","content":"

孩子好动，且没有安全意识，大人稍不注意，孩子就有可能磕伤跌伤，严重的可能还会出现骨折的现象，那么，碰到孩子骨折的时候该如何做好急救措施呢？下面找良医网为您介绍小儿骨折如何急救？

 

\"小儿骨折如何急救——家长不妨往这看\"


1、大人首先不要惊慌失措，保持冷静的头脑，判断孩子发生骨折后，应避免搬动受伤的肢体，以免加重骨折的程度，进一步发生错位，避免骨折处的骨刺损伤血管、神经。千万不能乱揉，有人习惯用手给小孩揉捏伤部，这样可能会给正常治疗带来困难，直接关系到康复。

 

小儿骨折如何急救

 

2、有时，儿童在玩球时，由于接球用力，指骨也可能断裂，但当时只有一点发肿，过后才会出现淤斑。儿童在玩耍时，有时会将脊椎骨摔断，但从外表看不出伤痕，只是孩子弯腰跑跳时才会感到疼痛。所以一般地说，孩子摔跌或受到撞击后，如出现持续疼痛，肿胀或淤斑时，应考虑是否是骨折。

 

3、如果是四肢受伤骨折，则可用小木条、树枝、铁条、铝条等进行简易的固定，再搬动受伤的肢体，固定时支撑物长度要超过骨折上下两个关节，再送医院专科处理。

 

4、判断是开放性骨折（骨折附近皮肤及皮下软组织破裂，骨折断端与外界相通的一类骨折）还是闭合性骨折（闭合性骨折后，两闭合性骨折端相互摩擦时，可产生骨擦音或骨擦感），如果出现开放性骨折有出血时，则要用生理盐水清洗伤口，并敷上消毒纱布，以免造成更严重的损伤和感染。

 

5、在送医院治疗处理前，不能让骨折部位活动，可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，随时调节夹板的松紧。

 

6、如发现孩子发生了骨折，应让其停止活动，不要触及伤处，及时 就医 。不要移动孩子，如果可能，把孩子伤到的肢体用自制夹板固定住。夹板可用木片或折叠起来的报纸或杂志制成，放在受伤的肢体下面或侧面，用三角形绷带、皮带或领带缠住夹板和受伤的肢体。不要缠得太用力，不要用纱布或细绳子，这些都可能阻碍血液循环。

 

7、儿童在跌倒时，如果是肩部着地或手掌撑地，常常引起锁骨折断。通此情况，可用一条布带将骨折一侧的小手臂从颈向斜固定在胸前，然后送医院。


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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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\"小儿骨折的治疗方法是什么

 

找良医网提示：如果遇到小儿骨折，家长朋友们切勿慌张，一定按照医生嘱咐的治疗进行，小儿骨折包括复位、固定、功能锻炼这三基本原则，其次还包括康复治疗。其具体治疗方法如下所述：

 

一、治疗

利用治疗的方式，使骨折的部位最终最大可能的、最大限度的恢复其功能。因此，在骨折治疗中，其复位、固定、功能锻炼这三基本原则十分重要。

 

1、复位：将骨折后发生移位的骨折断端重新恢复正常或接近原有正常位置，以重新恢复骨骼的支架作用。复位的方法有闭合复位和手术复位、外固定架复位。

 

2、固定：骨折复位后，因其不稳定，还可能发生再移位，所以要采用不同的方法方式将其固定在满意的位置上，使其逐渐愈合。常用的固定方法有小夹板、石膏绷带、外固定支架、牵引制动固定等，这些叫外固定。如果通过手术切开上钢板、钢针、髓内针、螺丝钉等，就叫内固定。

 

3、功能锻炼：通过受伤肢体肌肉收缩，增加骨折周围组织的血液循环，促进骨折愈合，防止肌肉萎缩。通过主动或被动活动未被固定的关节，防止关节粘连、关节囊挛缩等，使受伤肢体的功能尽快恢复到骨折前的正常状态。

 

二、康复措施

 

1、加强功能锻炼。长期卧床的病人，如不适当的活动常会导致肌肉萎缩、关节强直、肢体末端肿胀。因此，应将伤肢保持在适当的功能位置。在床上活动，如做大腿肌肉收缩、足趾和踝关节运动；也可将房梁上或床头、墙上拴一绳索活动上身和上肢，并尽力让病人自己梳洗、吃饭，手中可握握力圈、健身球、健身棒锻炼，以达到活动的目的。

 

2、在不影响骨折固定愈合的情况下，病人可扶持他人或借助双拐的力量，早期下床。早活动，晚持重，活动量由小到大逐渐进行，切忌急躁。

 

找良医网温馨提示：骨折的恢复需要缓步进行，切不可操之过急，如果急躁处理的话，很可能二次骨折或者出现其他并发症！


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