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我院近年应用尺骨鹰嘴牵引、小夹板外固定,中药外敷、内服联合治疗儿童肱骨髁间粉碎性骨折48例,疗效满意,现报告如下。1 临床资料1.1 一般资料 本组48例患儿男33例,女15例;年龄为4～13岁之间,平均7.4岁;骨折位左侧6例,右侧12例,受伤至就诊时间为3～25小时。愈后随访均在半年以上。致伤原因大部分为从高处跌下患侧手掌着地,均无明显血管、神经损伤,也无其它合并伤。骨折均为伸直型,骨折块明显移位,尤其髁间碎裂、分离明显,患肘肿胀严重,部分患儿皮肤出现张力性水泡。1.2 治疗方法 本组48例因无血管及神经损伤,无其它合并伤,故入院后立即在局麻下行尺骨鹰嘴穿针,患儿仰卧,患肢向上悬吊平衡牵行,牵行重量约患儿体重的1/7～1/10,均取屈肘位。
In our hospital in recent years, the application of ulnar olecranon traction, external fixation of small splints, external application of traditional Chinese medicine, oral administration of 48 cases of comminuted humeral intercondylar fractures in children with satisfactory results, are as follows. 1 Clinical data 1.1 General Information The group of 48 children with 33 males and 15 females; aged 4 to 13 years old, an average of 7.4 years old; fracture left and right sides in 6 cases, 12 cases of injury to the treatment time was 3 ~ 25 hours. Follow-up were more than six months. Most of the causes of injury fell from the heights of the affected area of the palm of the hand, no obvious blood vessels, nerve damage, no other injuries. Fractures are straight type, the fracture block was significantly displaced, especially intercondylar fragmentation, separation was obvious, suffering from severe elbow swelling, some children with tension blisters on the skin. 1.2 The treatment of 48 cases because of no vascular and nerve injury, no other injuries, so after admission immediately under local anesthesia ulnar olecranon needle, the child supine, limbs up balance balance traction, holding the weight of about Children with 1/7 ~ 1/10 body weight, were taking elbow.