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Neck injuries caused by tension pneumothorax scissors 1 case report of death


, Long into the vegetarian and dietary restrictions. The result is plant protein diet, excessive intake. With the stabbed body can not be fully heavier burden on the kidney or the week long-term restricted diet, resulting in protein malnutrition. ③ protein types of options: in principle, must be a protein-based biological titer is high-quality protein. Quality protein is the amino acid containing the necessary amount of fluoride are more non-essential amino acid fluoride of less food, the best for the eggs, milk, and its respect for the fish, shrimp, meat and other animal foods. Ancient plant protein as major non-essential amino acid fluoride, should be kept to a minimum, so the body can make use of in vivo synthesis of nitrogen-containing substances in non-essential amino acid fluoride with possession of a small body of nitrogenous substances. ③ the intake of water and salt t concentrate kidney function because of chronic renal failure decreased. Metabolic products can require more from the renal excretion East, therefore, no edema, heart failure can not strictly control the water inflow. In addition to daily make up the day before into the water outside the original volume. Should be added 400450Oral, if any, sweating, fever, vomiting, diarrhea, dehydration and loss of sodium Yuan,[link widoczny dla zalogowanych], should appropriately increase the amount of water. If edema or heart failure should limit people without water} edema and hypertension should not unduly limit sodium intake. General requirements for the amount of salt a day or so in the 2.5 ~ 30g, edema and hypertension should limit sodium intake. ④ 762,001 strong, 41 years, 18 transfer of Shandong Medical intake of total calories; most patients are eating low-protein diet, the daily intake per kilogram of body weight to be 30 to 35 kcal of stroke volume to maintain the body's nitrogen balance . Cases in our care. L7 patients with toxic substances such as urea, the role of the increased gastrointestinal symptoms, loss of appetite. Frequent nausea, Ⅱ Marina spit; another lO floating down the arsenic patients, oliguria, worried about increased edema after eating can not be discharged, so can not eat, leading to inadequate intake. In order to meet demand for energy, in addition to control symptoms. CRF patients we made the following arrangements diet; restrictions in the staple food rice, flour at the same time, Nursing and more into the wheat starch, corn starch, fans, etc. while adding appropriate amount of vegetable oil to increase energy and improve food color, general and taste,[link widoczny dla zalogowanych], to increase appetite. ⑤ intake of trace elements; nan chronic renal failure, elevated phosphate. Poor heating calcium income, so that anemia, nausea, vomiting loss of appetite, fatigue and other symptoms increase, this time should reduce the phosphorus-containing food such as celery, etc. intake; potassium should limit high-potassium foods, such as ancient oranges, bananas, dates,[link widoczny dla zalogowanych], etc. intake, the other for low-protein diet, dietary vitamin and minerals of the ancient lower than the maintenance of good health recommended by the supply, therefore, should be appropriate to add vitamins and calcium, iron and so on. Led by the shaking technique on the humeral fracture experience of 380 cases Star Sun Yuhua Wu Hai (Tengzhou City Chinese Medicine Hospital 277500) since l985 years 10 months, down 380 children admitted to our department extension type dirty bone fractures, led by mining dump restoration defense law , cardboard, or splints. Effect is significant cases are as follows I pick the children 6 years old, due to martial arts,[link widoczny dla zalogowanych], falls left elbow. L Department of swollen left elbow caused by swelling, pain, dysfunction, by the local indigenous restoration, swelling and pain worse. 3 days after injury to patient. Inspection: swelling of left elbow was. Boot-shaped deformity and dysfunction. Back of the hand swelling. Activities can be finger, ulnar arterial pulse is good. x ray film showed: straight crab on the port side condyle fracture ends completely shift, shift back to the ulnar distal. Forward displacement of the proximal. Treatment: local anesthesia (2 Nu Fuka because of 10m1); double restoration led by the shaking method, traction against the 2 to 3 minutes. Correction pull down the remote side shaking fracture displacement. While elbow flexion 9o. , Before and after the shift correction, plus a fixed elbow pad orthopedic carton 90 in supination elbow bandage elbow 8 and suspension of the word. Good reduction and fixation activity after the finger, the radial arterial pulse sound, x ray examination of the place is good. Phase III orthopedic Diagnosis and Prescription. 3 weeks after the X ray examination: the fracture site callus growth significantly, removal of external fixation. If blood soup with Chinese medicine Angelica Shen and function outside the practice. T 2 weeks after discharge elbow fixed flexion of 10 ~, extension 120. Rotation is good. Discussion: I feel ① X-ray film to be more re-reading. On a three-dimensional concept of fracture displacement, and the decision based on degree of displacement of the severity of enamel hand. Offerings touch ends, the way to the elbow with a ② session before and after the shift correction. Fresh elbow 9O. . Move over too easily lead to angular deformity stump, before and after the shift is too small is not correct. ③ led by the shaking down side to correct the displacement, traction is important that we must separate ends overlap. No puzzle, this means lost the meaning and effect basis, so. Pinch surgeon who condyle to be accurate, that force should be strong, the intensity should be moderate. ④ fixed restoration, we must closely observe the situation of interest-limb arterial pulse and finger function. ⑤ the orthopedic cardboard texture is not hard,[link widoczny dla zalogowanych], and soft tissue blood flow in patients without accidental damage.