Chapter 375 It's Actually Very Simple!(2/2)
Lu Chengcheng said meticulously: "Remember, what you are holding is the child's hand with both hands, and then gently and continuously apply force to the longitudinal axis of the body to pull, and I will resist the pulling!"
"In this way, the broken ends of the fracture will separate. After separation, the patient will not have any pain reaction. Because continuous traction will only reduce the patient's pain. This is the key point of reduction. You must use force simultaneously with me!"
Hearing what Lu Cheng said, Zhou Mingyu, who grabbed Sansan's legs, frowned and said, "Doctor Lu, can you come and reset my child? She is still so young."
Lu Chengcheng smiled casually and said, "I am the one doing the reset. Don't worry. I also need an assistant to do the reset. A single tree cannot make a forest. How can one person do the traction and reset? Imagine it yourself?"
Zhou Mingyu closed his mouth again.
Peng Shanquan was told to stop by his family, and he was actually very nervous. But after seeing Lu Cheng's encouraging look, he plucked up the courage again.
Lu Cheng had skillfully increased the traction toward the proximal end of the body and said to Peng Shanquan, "Okay, you can start."
"Ah!" The little girl immediately started crying when she was first pulled.
"Yes, that's it. First hold the patient's hand. Don't squeeze her too hard. What you want to increase is the traction of the longitudinal axis of the body!" Lu Cheng scolded her immediately.
With Peng Shanquan's exertion, the crying little girl opened her eyes at that time. Although she was still crying aggrievedly, it seemed that the pain before was lessening. She just tightened her mouth and was not crying so loudly.
"Come, let's watch together."
"Shanquan, please use a little more force!"
"We can see that the broken end of the child's fracture has begun to move? Is the direction of movement now toward the distal end of the body?"
"What type of fracture is hers? An oblique fracture, slightly displaced, so what we have to do is restore the lateral and rotational displacement. Shanquan, what you need to do is a little internal rotation!"
"Yes!" Lu Cheng very calmly used the fingers of his left hand to gently push the little girl's fractured end, and immediately everyone heard a very slight click!
"Yes, now after the reduction, slowly remove the force. Don't do it too fast. If you do it too fast, the fracture will shift again due to muscle contraction, and the patient will also experience great pain at that moment!"
"Children are actually particularly sensitive to pain, but if we do a good job of traction so that there is no friction at the broken end of the fracture, then they will not have any pain reaction."
"Full traction must be..."
After Peng Shanquan and Lu Chengdu released their strength respectively, the little girl's cries became quieter again.
At this moment, Xie Jian just in time soaked the small plywood and homemade gypsum cotton pads with gypsum powder in water, and handed them to Lu Cheng.
At this time, Lu Cheng once again explained: "The diameters of children's upper arms and lower limbs are smaller than those of adults, so the plasters we commonly use are not very applicable to them. In this case
, we are going to make plaster ourselves.”
"This is also a very important point. Orthopedics is orthopedics, and pediatric orthopedics is pediatric orthopedics. The points that need to be paid attention to in pediatric orthopedics are different from those in adult orthopedics."
"There are only a few points that you need to pay attention to when putting on a plaster. Don't squeeze the muscles, don't be too loose, and don't be too tight. Just do it!"
…
About five minutes later, Lu Cheng finally finished putting the child's plaster on the functional position. As the plaster slowly solidified, Lu Cheng said, "You can let go of the child now. This plaster has a certain weight."
, recently the child cannot lift the affected limb by himself."
"The most important thing you need to pay attention to is that her other little hands and legs support her body, and then she falls, causing the affected limb to be injured again. And after returning, you must also pay attention to the temperature of this hand. If it becomes cold, or
If it turns purple or blue, come to the hospital immediately."
"If there is no such situation, just come to the hospital outpatient clinic for review X-rays in one week, two weeks, one month, or two months."
"Of course, you will also need to get an X-ray later. If there is nothing wrong with the X-ray, you can go back," Lu Cheng said.
Before Zhou Mingyu could react, he opened his mouth slightly and asked, "Doctor Lu, is this, is this the end?"
I want to know it was so easy, why am I like this?
"Well, otherwise what else do you want to do? Now that the reset and fixation are done, the children don't need much functional exercise. When they can move, they will be able to move by themselves, and they don't need too much.
Passive exercise. That’s it. I’m just waiting for a review to see if there is any more displacement.”
"Furthermore, children's bones are highly malleable. After successful reduction, the pain will be less than that of us adults. I used to meet some child patients who had multiple fractures and were still playing around without surgery.
, apart from looking distressed when crying, there is actually no need to worry about anything else."
"There are no special taboos for the child after he returns home, but be careful not to injure the hand and do not take off the plaster. Just pay attention when taking a bath. If there is any looseness, just re-tie the plaster. Others
Nothing special."
"The precautions will be written in your emergency medical record later. Read it carefully and ask again if you don't understand." Lu Cheng replied very relaxedly. After explaining the precautions, he took it directly with him.
People are gone.
After Lu Cheng left, Zhou Mingyu looked at his father-in-law with a strange expression, while his mother-in-law looked at the old man with a bad expression, and her hand was already halfway out.
Chapter completed!