Forum pracy nad projektem wskrzeszenia The Forge

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Surgery the patient's anxiety and its flow of psychological intervention


e *. Even with surgical incision wire fixation. Satisfactory functional recovery. These are as follows: 1 Data and methods 11 male and 12 cases of general information. 5 female left i l1 cases. On the right side of the age of 12 6 - 55 years. An average of 31 years. 15 cases of falls,[link widoczny dla zalogowanych], bruises 2 http; injury to treatment time 1 day to 1 month. Relaxation after the knee injury, fatigue, unstable intra-articular hemorrhage, pain, arsenic expansion, joint activity limitation. X ray showed a clear fracture line in 14 cases, the fresh fracture. 3 cases of fracture lines blur, condylar eminence asked deformation. The old fracture. Eminence with lateral condylar bone films showed separation, shift 2 - 2Omm. 12 surgical side note supine position, epidural anesthesia, on the tourniquet. Preoperative routine checks whether the medial and lateral ligament injury pay. Yu anterior medial incision, layered skin incision, the skin, not to damage the hip under the implicit support of God, the Department of the extensor expansion of the joint capsule incision, pay attention not to damage the meniscus anterior horn, clear the remaining hematoma. Flush joint cavity. Check the articular surface. Medial ligament pay, medial meniscus ligament. If damage. Be dealt with accordingly. Knees 9o. The patellar shift. Fully exposed the anterior cruciate ligament and intercondylar eminence, to remove the hematoma. Reset. On the bit in the medial tibial tuberosity and tibial condyle articular surface upward after the Foreign Office under 4cm drill two tunnel depends on bone slices of bone pieces of fixed size. Such as fracture block larger. Directly across the bone tunnel. Such as bone saddle small. Condylar eminence in the tunnel is about the same very boring, then 191 * after dural puncture with a needle inserted into the tunnel l the wire. Medial tibial tuberosity drilling in place, screwed into a screw. The fixed-wire tension and tightening the screw on the wire. Flush joint cavity. The amount of Negative Pressure to Luk. Close the wound. Fixed plaster of surgery and knee flexion section 10 to 15. , Three days after the line quadriceps exercise. After removal of plaster around the joint line of functional exercise. 2 bagel were followed up for l ~ 1O years. An average of 6 years. 16 patients with normal joints. Walk without discomfort. 1 case of knee flexion pain. Quadriceps atrophy, X-ray film showed knee osteoarthritis. Press 3 to discuss joint tibial condylar fractures are intra-articular fractures. Hyperextension of the knee or more outside the malleability of violence caused. Attached to the anterior cruciate ligament with the tibial eminence. Important to the stability of the structure of the knee joint. When news of tibial eminence fractures if handled improperly, can be part of the ligament or complete loss of function. Leading to joint instability. Therefore, to request temporary solution to cut reset. Manual reduction difficult to achieve the purpose of treatment, usually require early open reduction. Surgical operation to be careful. Stop bleeding completely, do not damage the tibial plateau and femoral condyle articular cartilage surface. Negative pressure after the operation cited Luk, 24 hours removed to prevent joint adhesion. Medial tibial tubercle screws screwed into one, we think that this wire fixation, removal of plaster can be fixed just four weeks. Activities conducive to an early knee joint, knee joint stiffness fat only. Satisfactory functional recovery. (Closing date 1996-09-01} prayer stable dose intramuscular and intravenous injection of glucose, or oral administration of sugar, in order to avoid collapse. 33 intraoperative distraction. Easing tensions reason abortion is carried out under the patient awake . Also, because the surgical site - in sub-FU by the autonomic domination. dispersion and pelvic pain of other organs involved, the patient will not have a more intense response to surgery in this patient should be closely observed during the reaction a timely manner with attention to patient characteristics Weishusan asked the patient if some of life issues, or discuss topics of interest to some patients to reduce patient pain and discomfort of surgery concerns. thereby reducing the perception of their shoulders and shoulder responsiveness, improved the spirit of intraoperative special state. 34 _. reasonable technical guidance related Yue, some patients may arise after Vice cartridge should be: If vomiting. doctors and patients must not unwarranted because Pazang snapped. but should the affable, sincere care and guidance of patients in a manner that the fitness. the effect of a surgery and postoperative precautions should be patient. a measured way of illustration and care, must not lightly, and do not deliberately exaggerated, the patient should be able to cause enough attention So far, so self-maintenance patients. In some patients, doctors kind of attitude, irrational thoughts would be exposed, the doctor should be to grasp, sulfur lead time, people poured in patients after surgery to have a good mental state summary table spoon , induced abortion is a routine operation in family planning clinics, but the foot of the anxiety associated with surgery and physical and psychological side effects are very obvious. Work experience reminds us: As a qualified gynecologist not only to be able to quickly and correctly handle the physical The crux of the problem, surgery should also be able to solve a variety of psychological concerns of patients to clear the resulting side effects, to make our health care standards and quality of service even higher level access. (the closing date of '1996 lotus -11-181