
请好心人帮我翻译一下这段文章好吗?我急用,谢谢大家!!
FirstAidInTheField:>Rest:Patientshouldbetakenoutoffieldimmediatelyafterinjury>Ice:Ice...
First Aid In The Field:
> Rest: Patient should be taken out of field immediately after injury
> Ice: Ice I Cool Packs should be applied, several times, each application. 20-30 Minutes
>Compression: Bandages or tapes can include cool - packs
> Elevation: Injured limb should be elevated around 15-20
copyright Prof. Dr. v an Laack, Aachen, Germany
Afterwards reproducible stress-radiograms should be taken as well of both sides to distinguish between traumatic or habitual lesion. If the distance between tibial-bone and talar-bone is longer than 6 mm on lateral x-ray in stress-radiogranis with 15 kp a.p.-force, a partial rupture can be made obvious. The same can be said, if the angle of gaping between tibial and fibular bone on the one side, and the talar-bone on the other side is greater than 100 on the a.p. x-ray with 15 kp side-bending forces.
Sometimes, diagnosis can be difficult due to pain and reflectory muscle- contraction when stress-radiograms are performed. In those cases, anaesthesia may be required to repeat stress-radiograms.
But anyway, the most important investigative procedure is the immediate clinical examination right after injury, when swelling has not appeared that much yet: If excessive mobility in the direction of supination can be made evident in contrast to the non-injured other ankle-joint, a grade - 3 - sprain will be probable. If no greater laxity can be found, a grade-i or grade-2- sprain seems to be obvious. In these cases immediate conservative treatment is mostly required and sufficient enough! In former times, plastering the injured ankle was a normal procedure, but functional bandaging with special tapes is much better nowadays, and does only restrict pathological motion patterns, but allows other physiological motion directions. This is necessary to avoid long-term recoveries and total immobilisation which sometimes can lead to severe interfering complications, such as thrombosis and embolic events.
Tapes should be changed every day in the first week after injury and then changed once a week afterwards. Such tapes are required for at least three weeks, sometimes up to six weeks, and can be supported and later substituted by special braces! Sufficient braces protect and cover the heel completely to avoid supination and anterior drawer, due to its design of continuous hard-plastic material. Otherwise their function is not for use in case of acute injury!
Habitual instability of ankle-joints as well as instabilities due to repeated injuries should be managed by surgical procedures like ligamentoplasty. Several different methods are known. Autogenous plasties are much better according to long-term results than the use of allografts. The long-term anchorage is not contentedly solved until now. 展开
> Rest: Patient should be taken out of field immediately after injury
> Ice: Ice I Cool Packs should be applied, several times, each application. 20-30 Minutes
>Compression: Bandages or tapes can include cool - packs
> Elevation: Injured limb should be elevated around 15-20
copyright Prof. Dr. v an Laack, Aachen, Germany
Afterwards reproducible stress-radiograms should be taken as well of both sides to distinguish between traumatic or habitual lesion. If the distance between tibial-bone and talar-bone is longer than 6 mm on lateral x-ray in stress-radiogranis with 15 kp a.p.-force, a partial rupture can be made obvious. The same can be said, if the angle of gaping between tibial and fibular bone on the one side, and the talar-bone on the other side is greater than 100 on the a.p. x-ray with 15 kp side-bending forces.
Sometimes, diagnosis can be difficult due to pain and reflectory muscle- contraction when stress-radiograms are performed. In those cases, anaesthesia may be required to repeat stress-radiograms.
But anyway, the most important investigative procedure is the immediate clinical examination right after injury, when swelling has not appeared that much yet: If excessive mobility in the direction of supination can be made evident in contrast to the non-injured other ankle-joint, a grade - 3 - sprain will be probable. If no greater laxity can be found, a grade-i or grade-2- sprain seems to be obvious. In these cases immediate conservative treatment is mostly required and sufficient enough! In former times, plastering the injured ankle was a normal procedure, but functional bandaging with special tapes is much better nowadays, and does only restrict pathological motion patterns, but allows other physiological motion directions. This is necessary to avoid long-term recoveries and total immobilisation which sometimes can lead to severe interfering complications, such as thrombosis and embolic events.
Tapes should be changed every day in the first week after injury and then changed once a week afterwards. Such tapes are required for at least three weeks, sometimes up to six weeks, and can be supported and later substituted by special braces! Sufficient braces protect and cover the heel completely to avoid supination and anterior drawer, due to its design of continuous hard-plastic material. Otherwise their function is not for use in case of acute injury!
Habitual instability of ankle-joints as well as instabilities due to repeated injuries should be managed by surgical procedures like ligamentoplasty. Several different methods are known. Autogenous plasties are much better according to long-term results than the use of allografts. The long-term anchorage is not contentedly solved until now. 展开
1个回答
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在领域中的急救:
>休息: 病人应该被在受伤之后立刻拿离领域
>冰: 冰冻我很棒的包裹应该被应用,好几次,每个申请。 20-30 分钟
>压缩: 绷带或音带能包括凉爽的 - 包裹
>海拔: 受伤的四肢应该是提高的大约 15-20
版权教授。 v 博士 Laack , Aachen, 德国
然后可再生的压迫力-无线电报应该两者边被恐怕最好轮流区别外伤的或习惯的损害。 如果距离在胫骨的之间-骨头和 talar-骨头是比 6 毫米长的在压迫力的侧面 X光上-和 15 kp a.p 的 radiogranis。-力量,一个部分的破裂能被做明显。一样的能被说, 如果在那一个上的胫骨和腓骨的骨头旁的 , 和 talar 之间的缝隙角度- 在另一边上的骨头是大超过 100 在 a.p 上。 和 15 kp 弯曲边的军队 X光。
有时,诊断由于痛苦和 reflectory 肌肉可能是困难的- 收缩当压迫力-无线电报被运行。 在那些情况, anaesthesia 可能是重复压迫力所必要者-无线电报。
但是无论如何,最重要的研究程序就在受伤之后是立即的临床考试,当膨胀没有仍然显得那么多的时候: 如果 supination 的方向过度的可动性能被做显然相反非者伤害了其他的脚踝-关节, 等级 - 3- 扭伤将会是可能的。 如果没有较棒的徐缓能被发现,等级-i 或等级-2- 扭伤似乎是明显的。 在这些情况立即的保守治疗大概被需要并且够充份的! 在前时代中, 涂抹灰泥受伤的脚踝是一个正常的程序,但是和特别的音带功能的绷带时下更好, 而且只确实限制病理的运动式样, 但是允许其他的生理学的运动方向。 这是必需避免长期的恢复和有时能导致严格的妨碍复杂化, 像是血栓症和栓塞症的事件总固定。
音带每天应该在受伤之后在第一个星期内被改变然后然后每星期一次改变。 如此的音带被需要至少三个星期, 有时达到六个星期, 而且能被支援而且稍后被特别支柱替换! 由于它的连续难- 塑料材料的设计充份的支柱完全地保护并且包括脚后跟避免 supination 和前面的抽屉。 否则他们的功能不是对于假使敏锐的受伤使用!
脚踝的习惯不安定-关节和不安定由于重复的受伤应该被外科像 ligamentoplasty 的程序处理。 一些不同的方法被知道。 自生的 plasties 更好依照长期的结果超过 allografts 的使用。 长期的下锚不满足被解决直到现在。
>休息: 病人应该被在受伤之后立刻拿离领域
>冰: 冰冻我很棒的包裹应该被应用,好几次,每个申请。 20-30 分钟
>压缩: 绷带或音带能包括凉爽的 - 包裹
>海拔: 受伤的四肢应该是提高的大约 15-20
版权教授。 v 博士 Laack , Aachen, 德国
然后可再生的压迫力-无线电报应该两者边被恐怕最好轮流区别外伤的或习惯的损害。 如果距离在胫骨的之间-骨头和 talar-骨头是比 6 毫米长的在压迫力的侧面 X光上-和 15 kp a.p 的 radiogranis。-力量,一个部分的破裂能被做明显。一样的能被说, 如果在那一个上的胫骨和腓骨的骨头旁的 , 和 talar 之间的缝隙角度- 在另一边上的骨头是大超过 100 在 a.p 上。 和 15 kp 弯曲边的军队 X光。
有时,诊断由于痛苦和 reflectory 肌肉可能是困难的- 收缩当压迫力-无线电报被运行。 在那些情况, anaesthesia 可能是重复压迫力所必要者-无线电报。
但是无论如何,最重要的研究程序就在受伤之后是立即的临床考试,当膨胀没有仍然显得那么多的时候: 如果 supination 的方向过度的可动性能被做显然相反非者伤害了其他的脚踝-关节, 等级 - 3- 扭伤将会是可能的。 如果没有较棒的徐缓能被发现,等级-i 或等级-2- 扭伤似乎是明显的。 在这些情况立即的保守治疗大概被需要并且够充份的! 在前时代中, 涂抹灰泥受伤的脚踝是一个正常的程序,但是和特别的音带功能的绷带时下更好, 而且只确实限制病理的运动式样, 但是允许其他的生理学的运动方向。 这是必需避免长期的恢复和有时能导致严格的妨碍复杂化, 像是血栓症和栓塞症的事件总固定。
音带每天应该在受伤之后在第一个星期内被改变然后然后每星期一次改变。 如此的音带被需要至少三个星期, 有时达到六个星期, 而且能被支援而且稍后被特别支柱替换! 由于它的连续难- 塑料材料的设计充份的支柱完全地保护并且包括脚后跟避免 supination 和前面的抽屉。 否则他们的功能不是对于假使敏锐的受伤使用!
脚踝的习惯不安定-关节和不安定由于重复的受伤应该被外科像 ligamentoplasty 的程序处理。 一些不同的方法被知道。 自生的 plasties 更好依照长期的结果超过 allografts 的使用。 长期的下锚不满足被解决直到现在。
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