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First, hemostasis; Appropriate treatment of large hemorrhages with compression, and appropriate treatment of small ones;
second, disinfection, 3% hydrogen peroxide;
Third, deep wounds should not be bandaged, but should be fully exposed to avoid tetanus bacillus infection. If it is shallow, if it affects the activity, it is better to wrap it up.
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Wash the wound with hydrogen peroxide to stop the bleeding, then disinfect it with iodine, and finally wrap it in sterile gauze (if it is a small wound, use a hemostatic patch), and change it once a day.
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1.Early debridement is an important measure to prevent infection and promote wound healing. The sooner the better, generally no later than 8 hours after the injury, the wound should be cleaned and repaired, dirt and foreign bodies should be removed, and severely bruised and viable tissues should be removed.
However, it is necessary to preserve viable tissues as much as possible, especially to retain the length of the thumb, index finger and middle finger, and the ** and palm width of the finger working surface. The initial surgical treatment should be as perfect as possible, so as not to cause difficulties or leave undue sequelae for the post-treatment.
2.If the incision is lengthened during debridement, it should be based on the anatomical characteristics of the hand and the function considered, and no important tissues should be injured or scarred that would interfere with function. The wound on the palm of the hand should be in the direction of the wrinkle; The wound of the finger should be lengthened laterally, not on the pad of the finger.
3.Hand trauma with fracture or joint dislocation should be reconstructed and fixed first. If the bone and joint are relatively stable after reconstruction, it can be treated as a closed injury after debridement and suture, and fixed with a paper shell or small aluminum sheet for 3 to 4 weeks.
Do not immobilize fingers without fracture and dislocation to allow for early mobilization. Unstable open metacarpal and phalangeal fractures can be fixed with a K-wire.
4.Injury to tendons and nerves is an important factor affecting hand function. Relatively clean and neat cutting wounds should be sutured in time.
However, it is important to identify them carefully, and the severed ends of tendons and nerves should never be mistakenly sutured together. In complex and seriously polluted wounds, patients with tendon and nerve defects should not be sutured early, because some tissue necrosis and serious contamination will occur in the long run. The broken end can be marked and fixed with a black line first, and then repaired later.
5.Early suture**. Wound elimination is the key to the initial treatment of hand trauma, and it is also an important measure to prevent and mitigate infection.
The method of wound closure depends on the condition of the wound. Depending on whether there is a defect, the extent and depth of the defect, direct suture, free skin grafting, partial flap or skin tube plasty can be used.
6.Postoperatively, unless there is a special need, the fingers should not be fixed in a straight or excessively flexed position, but should be fixed in the functional position of the hand, i.e., the thumb is moderately abducted, slightly flexed, and opposite, and the other four fingers are slightly flexed and semi-fisted. In this way, even if some joints become ankylosis in the future, the angle of ankylosis is the functional position, and the compensatory effect of other joints can still preserve its function to the greatest extent.
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Suggestion: Analysis: The situation described is a cut wound on the hand, causing bleeding from the wound.
Guidance: In this case, the bleeding should be stopped by finger pressure, if the wound is not large, it should be sterilized with iodine and then aseptically bandaged, and if the wound is larger and deeper, it should be sutured in the hospital in time.
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Six home remedies for chapped hands and feet.
1. Peel the leek juice by hand.
Take a handful of fresh leeks, wash and mash them into puree, wrap them in gauze, wring out their juice, add an appropriate amount of red and white sugar, take them once a day, and generally take them four times in a row to heal.
2. Yellow wax oil treats cracked hands and feet.
Method: 100g of sesame oil, 20 to 30g of yellow wax (available in Chinese medicine stores), hot sesame oil with fire, and wait for the yellow wax to melt.
Usage: Soak your hands (feet) in warm water for 10 to 15 minutes, soak your hands (feet) thoroughly and wipe them dry, rub wax oil on the affected area, and dry them with fire.
3. Wheat straw** hands and feet are cracked.
Take the wheat straw and cut it into 10 cm long pieces, take a handful in the morning, soak it in water for a day, cook it on the fire for about 10 minutes at night and then soak your hands or feet, change the water and wheat straw once in three days, and it will be effective for a week.
4. Cypress branches and leaves are treated with finger and palm dragging.
Boil the branches and leaves of fresh cypress trees with water, and soak the affected palm for good healing.
5. Black cloud beans are boiled to heal cracked hands and peeling.
70 grams of pure black cloud beans are boiled over fire, and eaten with beans in soup, twice a day, and five kilograms are eaten for a course of treatment. After one course of treatment, stop eating this prescription for half a month, and a total of three courses of treatment can cure the condition of cleft hands and peeling.
6. Orange peel can cure chapped hands and feet.
Orange peel two or three or more, put it in a pot or basin and add water to fry for two to five minutes, wash your hands first and then soak your feet until the water is not hot, wash at least once a day, wash for many days, there is a significant effect.
Hope it helps.
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First: Compress to stop bleeding, wrap it in sterile cotton or a clean towel and press it.
Second: If you go to the hospital for debridement and suturing.
Third: intramuscular TAT
Fourth: oral antibiotics.
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First, hemostasis; Appropriate treatment of large hemorrhages with compression, and appropriate treatment of small ones;
second, disinfection, 3% hydrogen peroxide;
Third, deep wounds should not be bandaged, but should be fully exposed to avoid tetanus bacillus infection. If it is shallow, if it affects the activity, it is better to wrap it up.
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Stop the bleeding. Band-aids stick.
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Wash it with water and then wrap it with gauze.
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1. Pressurized bandaging to stop bleeding: fold a pad slightly larger than the wound with sterilized gauze or a clean towel or cloth to cover the wound, and then tie it tightly with a bandage or cloth belt. However, this method should not be used when there is a suspicion of a fracture or a foreign body in the wound.
2. Acupressure hemostasis: according to the direction of the artery, at the proximal end of the bleeding wound, press the artery with a finger to temporarily stop bleeding, and it is mostly used for arterial bleeding of the head, neck and limbs.
3. Tourniquet to stop bleeding: use rubber or cloth strips to wrap and tie the muscley parts above the wound, and its tightness is suitable to not feel the distal arterial pulse and wound hemostasis, too loose has no hemostatic effect, too tight will affect blood circulation, damage nerves, and cause limb necrosis. If the tourniquet is clearly marked, for more than two hours, relax every hour for 3 minutes, and change to acupressure to stop bleeding.
This method is indicated for those who cannot stop bleeding with pressure.
Bleeding from the great arteries of the extremities.
Note: For patients with internal bleeding or suspected internal bleeding, the patient should be absolutely quiet and immobile.
limbs, the patient should be taken to the nearest hospital for treatment.
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Problem Analysis:
Post-traumatic bleeding needs to be standardized to stop bleeding and prevent infection, and the treatment method needs to be based on the specific situation of the wound
At present, it is recommended to use a clean gauze to compress the part to stop bleeding, combined with the physical examination of the local surgeon, if the wound is deep, debridement and suturing are required, if the wound is not deep, it is necessary to apply external hemostatic drugs after disinfection and dressing, oral antibiotics after wound treatment, and tetanus antitoxin if necessary
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Suggestion: Analysis: Hello! This condition requires prompt debridement and suturing to stop the bleeding.
Suggestions: If the wound caused by trauma is large and the bleeding is difficult to stop, it should be debrided and sutured in time, and the wound should be washed with normal saline and hydrogen peroxide alternately, and the surrounding area should be disinfected with iodine, and then the wound should be sutured, and tetanus antitoxin injections should be injected within 24 hours. The wound can only heal well after suturing, the scar is relatively small, ** will not be valgus, and the wound on the wrist is generally removed two weeks after the injury, during which attention should be paid to prevent wound infection.
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