1、The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.脊柱外科：宋依芮2015.4.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.骨牵引，又称骨牵引，又称，是是利用利用或或穿过骨质，使牵引力直接通过骨骼而抵达损伤穿过骨质，使牵引力直接通过骨骼而抵达损伤部位。部位。The 3rd Affiliated
2、 Hospital Of Southern Med. Univ. 什么样的患者需要做颅骨牵引？什么样的患者需要做颅骨牵引？颅骨牵引有什么作用？颅骨牵引有什么作用？为什么选择为什么选择颅骨颅骨牵引？牵引？ 颅骨牵引的过程中需要注意的是什么？颅骨牵引的过程中需要注意的是什么？4The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.u 颈颈7（C）u 胸胸12（T）u 腰腰5（L）u 骶骶5（S）The 3rd Affiliated Hospital Of
3、 Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.颈椎因外力造成损伤颈椎因外力造成损伤，导致导致颈椎颈椎的的不稳定或移位不稳定或移位！The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Souther
4、n Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.患者，男性，30岁，不慎从3.5米高空摔楼，落地时头面部着地,当下急诊入院。下颌部、颈部疼痛；左上肢、左下肢疼痛、麻木、活动无力；左上肢肌力3级，左下肢肌力3+级，右侧肢体活动感觉正常，生命体征正常。CT示：寰枢椎骨折、下颌骨骨折。 The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Ho
5、spital Of Southern Med. Univ.1.需要牵引治疗而又不具备枕颌带牵引的条件。2.需要大重量牵引（5KG）。The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ. 意义、目的。 步骤、注意事项。 皮肤（剃头）。 The 3rd Affiliated Hospital Of Southern Med. Univ.工具工具划线划线包扎包扎置入牵引器置入牵引器钻孔钻孔切开切开局部麻醉局部麻醉定位定位消毒铺巾消毒铺巾The 3rd A
6、ffiliated Hospital Of Southern Med. Univ. 保持颅骨牵引轴线正确合理。 保持牵引重量。 生命体征。 皮肤。 The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.患者，男性，30岁，不慎从3.5米高空摔楼，落地时头面部着地,当下急诊入院。查体：左上肢肌力3级，左下肢肌力3+级，右侧肢体活动感觉正常，生命体征正常。CT示：寰枢椎骨折、下颌骨骨折。准备行颅骨牵引术。 The 3rd Affiliated Hospi
7、tal Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospi
8、tal Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.The 3rd Affiliated Hospital Of Southern Med. Univ.谢谢您的观看！
