在维持生命的血管支性重症监护后,多肢缩患者的管理策略
Umar M Ghilzai1, Jad J Lawand1, Paul Adenuga1
1Department of Orthopedic Surgery, Baylor College of Medicine, Houston, TX.
The Journal of hand surgery
|November 28, 2025
概括
四肢截肢重建手术的重点是保持四肢长度并最大限度地提高未来的功能. 像3D打印这样的先进技术提供了具有成本效益的,个性化的假肢,以改善患者的独立性.
科学领域:
- 重建性手术是一种重建性手术.
- 生物医学工程 生物医学工程
- 假肢手术 假肢手术是一门专业.
背景情况:
- 用血管压缩剂治疗四肢死后重症监护室 (ICU) 的护理带来了独特的挑战.
- 区分这些病例与外周血管疾病或创伤伤害对于适当的治疗至关重要.
- 肢体长度的保存是管理这些复杂的截肢的一个主要问题.
研究的目的:
- 概述四肢截肢患者的重建策略.
- 强调功能结果和患者独立的重要性.
- 探索新兴技术在假肢解决方案中的作用.
主要方法:
- 在可行的情况下,利用局部血管化的片来保持长度.
- 考虑未来的功能需求,包括使用假肢.
- 利用3D打印技术进行定制假肢制造.
主要成果:
- 血管化板是保持长度的潜在选择,与外周血管疾病病例不同.
- 通过3D打印,可以创建由近接关节运动驱动的十度假肢.
- 这项技术有助于成本效益低廉,终身安装假肢.
结论:
- 重建外科医生必须优先考虑未来的功能目标,旨在使患者在日常活动中独立.
- 3D打印为假肢康复提供了创新和负担得起的解决方案.
- 最大限度地提高剩余数字的功能是实现最优前手的能力的关键.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
354
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
354
Peripheral Artery Disease IV: Nursing Management
321
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
321
Venous Thrombosis III: Interprofessional Care
265
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
265
Venous Thrombosis IV: Nursing Management
185
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
185
Peripheral Artery Disease III: Interprofessional Care
226
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
226
Aneurysm IV: Nursing Management
359
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
359


