Spain David
Allamanda 24 Hour Emergency Care Centre, Allamanda Private Hospital.
Aust Fam Physician. 2004 Mar;33(3):105-9.
Upper limb injuries are very common and patients frequently present to general practitioners for treatment. Circumstances of the injury and varied patient factors are critical to assessment. Outcome of these injuries involves short term pain control and diagnosis; fracture immobilisation, comfort and function in the treatment device medium term; and longer term, the best functional outcome.
This article aims to guide GPs through the initial assessment and early management of fractures and provides a logical, simple structure for this process. Understanding of different injury patterns and patient characteristics to assist correct overall management is emphasised and the correct timing for early follow up is discussed.
Many upper limb fractures can be comprehensively managed in general practice. Bad outcomes from injuries are not uncommon and most commonly occur due to relatively minor errors in early decision making. These 'second accidents' are often completely preventable.
上肢损伤非常常见，患者经常前往全科医生处接受治疗。损伤情况和各种患者因素对评估至关重要。这些损伤的结果包括短期的疼痛控制和诊断；中期骨折固定、治疗装置中的舒适度和功能；以及长期的最佳功能结果。
本文旨在指导全科医生对骨折进行初步评估和早期处理，并为这一过程提供一个合理、简单的框架。强调了解不同的损伤模式和患者特征以协助进行正确的整体处理，并讨论早期随访的正确时机。
许多上肢骨折在全科医疗中都能得到全面处理。损伤导致的不良后果并不罕见，最常见的原因是早期决策中相对较小的失误。这些“二次事故”往往是完全可以预防的。
