- 12 Kirschner doc noi tuy
3.CHIN ME 1 Lam sang
3.1. Lam sang
La mot ap xe dudi da n&m d mup ngon tay. Day la loai nhiem khuan ban tay nhe nhat va hay gap nhat.
Ve giai p h iu thi mup ngon co nhieu vach xd (xem hinh 2.1). Cac vach xd nay chia mup ngon thanh cac khoang nho. Do do khi bi vet thUdng nhiem trung thanh chin me, thi o ap xe n lm trong cac khoang chat hep khong dan nd nen benh nhan dau nhtic rat nhieu, dau nhoi len theo nhip tim, lam benh nhan mat ngu.
3.2. Chin me gom co cac loai
Chin me nong (chin me do ting, chin me not phong): la mot not phong do tren mat da d dau ngon tay, dau ttic.
Chin me sau
- Hay gap d d lu ngon tay
- Xu hudng an sau vao ca gan, xUdng
3.3. Xurtri
- Neu chan doan dting trudc 48 gid, cho dieu tri khang sinh toan than, chUdm am, bat dong ban tay tot thi chin me tti khoi.
- Trong dan gian co cach dieu tri chin me: d ip qua ca m uoi, d i p la mo qua vao d lu ngon, Nhieu trUdng hdp cho ket qua tot
- Khi chin m6 qua 48 gid thi da thanh mu, phai rach d in ltiu mu
- Nguyen t i c rach d in ltiu: dUdng rach tranh lam dtit bo m ach t h in kinh hai ben ngon, tranh lam seo xau d mtip ngon va phai d in lUu tot.
Cach rach chin me (hinh 12.3)
- Ga-ro: tot nhat la ga-ro cao d canh tay (khi chin me sau), co the ga-ro goc ngon (neu chin me nong)
- Rach hai ben ngon, md het cac khoang, cat het cac vach xd - Cat loc het to chtic hoai tti, rtia oxy gia
- D in ltiu b ln g bac gac, rtit sau 48 gid. De hd da hoan toan
Duong rach chin me
Rach het cac lop
3.4. Cac bien chung cua chin me
- Viem xUdng (hay gap dot 3) do o ap xe vd vao m ang xUdng, xUdng dot 3 bi pha huy thanh xUdng chet, tao hoc mu do ra phia trudc m up ngon (xem hinh 12.4)
- Hoai tu mup ngon: neu chin me khong dUdc thoat mu thi cac mach mau ngon tay se bi tic , d in tcfi hoai tti mup ngon
- Viem bao gan gap ngon tay, do mu tran vao bao gan gap ngon tay.
Vi£m xuong
Hinh 12.4. Viem xuong dot 3