昨天,我省很多地方迎来了2020年的第一场大雪。不过,这样的天气也给我们的出行带来了很大的安全隐患——路滑!

Yesterday, many places in our province ushered in the first heavy snow in 2020. However, this kind of weather also brings the very big safety hidden danger to our trip - the slippery road!

  摔倒,对于一些年轻人来说,只是“拍拍灰站起来”那么简单,而对于老年人来说,却不亚于心脏病、中风发作,轻则骨折,重则危及生命。一次摔倒就有可能让一位健康老人的健康水平断崖式急转直下。

Fall, for some young people, just \"clap ash to stand up\" so simple, but for the elderly, but no less than heart disease, stroke, light fracture, heavy is life-threatening. A single fall could bring a healthy old man's health to a cliff level.

  “老年人大多骨质疏松、骨量减少,即使轻微的外力即可造成骨折,此外,摔倒后保护机制减少也是很重要的因素。”河南省洛阳正骨医院(河南省骨科医院)郑州院区上肢损伤科周中华主任介绍说。

“Most of the elderly have osteoporosis and reduced bone mass, even if a slight external force can cause fractures, and the reduced protective mechanism after falling is also an important factor. Luoyang Zhenggu Hospital, Henan Province (Department of Orthopaedics Hospital, Henan Province) Zhengzhou hospital area upper limb injury department director Zhou Zhonghua said.

  老年人常见的摔倒姿势,是缺少上肢缓冲保护机制,通常直接摔到髋部。所以,老年人摔倒后常发生的骨折:一是臀部着地,导致股骨颈骨折、腰椎压缩性骨折。此类情况,老人通常无法自行站起,骨折后卧床时间长,愈合慢,易发生术后并发症,重则危及生命。二是用手撑地,导致手臂骨折。用手撑地,往往损伤的是腕关节,或者是尺骨远端/桡骨远端骨折,术后不需卧床,且康复训练容易做,避免发生致命的并发症。

The common fall posture of the elderly is the lack of upper limb cushioning protection mechanism, usually directly to the hip. Therefore, the elderly fall often occurred after the fracture: one is the hip to the ground, resulting in fractured femoral neck, lumbar compression fracture. In this kind of situation, the elderly usually cannot stand up on their own, after the fracture stay in bed for a long time, healing slowly, prone to postoperative complications, serious is life-threatening. The second is to use the hand to support the ground, resulting in a broken arm. With the hand to support the ground, often injured wrist, or distal ulna\/radius fracture, postoperative do not need to stay in bed, and rehabilitation training is easy to do, to avoid fatal complications.

  周中华主任说,这是因为大部分人在摔倒时都会自然地想用手撑住地面保持平衡,可是雪后路面摩擦减小,手着地的那一刻,整个身体的重量和摔倒的冲击力都压在腕部,极容易导致腕部、肩部骨折。

'It's because most people naturally want to balance the ground with their hands when they fall,' Mr. Zhou said.'However, the friction on the road decreases after the snow.

  当手腕也来不及支撑的时候,很多人会用屁股往后坐。“对于年轻人来说,顶多就是尾椎疼几天,但如果是年纪大的人这么摔一下,极有可能会发生胸腰椎压缩性骨折。”周中华主任指出,整个屁股着地很危险,可在摔倒时一侧屁股着地,更是一种很危险的姿势,老年人本就骨质疏松,在这样大力量的冲击下,很容易发生髋部骨折,包括股骨颈骨折、股骨粗隆间骨折等现象。

When the wrists also have no time to support, a lot of people will sit back with their buttocks. 'For young people, it's probably the tailbone that hurts for days at most, but if it's an older person who falls like that, it's very likely to have a thoracolumbar compression fracture.' Director zhou zhonghua pointed out that the whole buttock landing is very dangerous, can fall on one side of the buttock landing, but also a very dangerous posture, the elderly have osteoporosis, under such a strong impact, it is easy to occur hip fracture, including femoral neck fracture, intertrochanteric fracture and so on.

  摔倒后的应对措施也非常重要,周中华主任提醒,摔倒后不要急于起身,而是检查一下身体各处关节,有没有剧痛的情况。

The response after the fall is also very important, director zhou zhonghua cautioned, after the fall do not rush to get up, but to check the body joints, there is no severe pain.

  腕关节和踝关节骨折,虽然疼痛明显,但大多数都能勉强活动,可使用书本、硬纸壳、木条等临时固定受伤部位,立即前往附近医院治疗。

Wrist and ankle fractures, although the pain is obvious, but most can barely move, can use books, cardboard shell, wooden strips and other temporary fixation of the injured site, immediately to the nearby hospital for treatment.

  如果感觉腰疼,尽量不要乱动。因为胸腰椎骨折后,如果随意活动,可能造成骨折块移位、压迫神经,严重时可能导致下肢瘫痪。此时应该尽快呼救。施救者也不要盲目地去拖、拉、背、抱伤者。正确的做法是,在伤者周围设立标志,提醒、警示过往人员和车辆,保护伤者免受二次伤害。同时拨打120急救电话,由专业医护人员救助。

If you feel pain in your waist, try not to move. Because after the thoracolumbar vertebrae fracture, if free movement, may cause the fracture block displacement, the compression nerve, may cause the lower extremity paralysis when serious. Call for help as soon as possible. Don't blindly drag, pull, carry and hurt the rescuers. The right thing to do is to put signs around the injured, to warn, warn and protect people and vehicles from secondary injuries. At the same time call 120 emergency telephone, by the professional medical staff assistance.

  在急救人员到达之前,如果不得已要移动伤者,要顺势慢慢整体平移,“一条线”移动,不要屈曲、扭转或大幅度移动伤者。

Before the first aid personnel arrive, if they have to move the injured person, slowly move the whole body,\" one line \"move, do not bend, reverse or move the injured person significantly.

  总而言之,雨雪天气,路面结冰,尽可能减少出门次数,走瓷砖铺设的人行道时,也要尽量挑水少、冰少的地方,注意脚下,放低重心,慢慢走才是最关键的。

All in all, rain and snow weather, road ice, as far as possible to reduce the number of times to go out, when walking tile paved sidewalk, but also try to carry less water, less ice, pay attention to the foot, lower the center of gravity, walk slowly is the most critical.

  1.双手不插在口袋里,双手放在外面可以保持平衡,万一跌倒可以用手撑着,不容易把腿跌伤,毕竟上肢的外伤比下肢的外伤好处理,预后也比较好。

1。 Hands do not insert in the pocket, hands on the outside can maintain balance, in case of fall can be held with the hand, not easy to fall the leg injury, after all, the upper limb trauma is better than the lower limb trauma, the prognosis is better.


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