发声距离半径骨折:支和家庭管理是否安全?
Meghana Nandigam1, Margarita Chmil, Benjamin Patrick Thompson
1From the Radiology.
Pediatric emergency care
|May 7, 2024
概括
可拆卸支架治疗是安全的飞翔远距离半径扣扣骨折在儿童. 与护理人员的共同决策可以影响这些常见的儿科骨折的治疗选择.
科学领域:
- 儿科整形外科 儿科整形外科
- 儿科创伤学 儿科创伤学
- 儿科骨折管理 儿童骨折管理
背景情况:
- 远半径扣扣骨折是常见的儿科损伤,通常涉及背皮质.
- 目前的标准治疗包括可拆卸支架和家庭管理.
研究的目的:
- 评估可拆卸支架的安全性和有效性,以及对飞偏半径扣扣骨折的家庭治疗.
- 为了比较飞行与背部远半径扣扣骨折的结果.
主要方法:
- 从2019年4月到2022年5月的儿科远距离半径扣骨折 (3-16岁) 的回顾性审查.
- 根据严格的诊断标准,骨折被分类为背部或飞行骨折.
- 对人口统计数据,损伤机制,治疗和并发症的分析.
主要成果:
- 发现了333个骨折:254个是背部骨折 (76%) 和79个是飞行骨折 (24%).
- 发声骨折发生在年龄较大的儿童 (平均9.3岁) 中,在女孩中更频繁.
- 两种骨折类型的初始可拆卸支架治疗率高 (96%),延续率相似 (82%的背部,89%的飞行).
- 转换为造的低转换率 (11%的飞行对比18%的背部),经常受到护理人员偏好的影响.
- 只有一个肺骨折患者需要额外访问持续疼痛.
结论:
- 可拆卸支架和家庭管理是在使用严格的标准诊断时,对于飞行距离半径扣骨折的安全治疗选择.
- 与护理人员的共同决策很重要,可以影响治疗选择.
- 这种方法支持儿科飞扣骨折的保守管理.
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