Forced position

Introduction The body position is divided into the active position and the forced position, and the clinical position is more common, that is, the patient is forced to maintain a posture because of the need of the disease. Common forced positions include supine, flat, semi-recumbent, lateral, lateral, high-low, and low-foot high.

Cause

Common forced positions include supine, flat, semi-recumbent, lateral, lateral, high-low, and low-foot high.

The supine position of the pillow is common in patients after spinal anesthesia, in order to prevent headache caused by the reduction of intracranial pressure.

The concave position is common in shock patients, the purpose is to increase the amount of blood return, and thus increase cardiac output to reduce the risk of shock.

The semi-sitting position is common in patients with inflammation or abdominal surgery in the abdomen. The purpose of taking this position is to reduce the tension at the wound and relieve pain.

The sitting position is common in patients with bronchial asthma, and the purpose is to relieve breathing difficulties, because such patients will increase their breathing difficulties when lying down.

The lateral position is common in patients who need to be enema, or need to do anal and gastroscopy.

Head high and low position is common in patients who need skull traction due to cervical fractures, providing them with anti-traction.

Head low foot high is common in premature rupture of membranes during pregnancy, in this position to prevent uterine prolapse.

an examination

Related inspection

Body position bone and soft tissue CT examination

Therefore, clinically, patients with forced position should:

First, physical examination

Taking a medical history gives us a first impression and revelation, and also guides us to a concept of the nature of the disease.

Second, laboratory inspection

Laboratory examinations must be summarized and analyzed based on objective data learned from medical history and physical examination, from which several diagnostic possibilities may be proposed, and further consideration should be given to those examinations to confirm the diagnosis.

Differential diagnosis

Compulsive position: "Forcing position" refers to people's life and labor; the body is forced to stay in a certain space for a long time to form a certain fixed posture.

Automatic position: refers to physical activity freely, without any restrictions, seen in normal people or some early illnesses or diseases.

Passive position: Patients often use a comfortable position because of the different parts of the disease. Experienced people often use the posture posture to judge the disease, so that the correct treatment method is adopted. Passive position refers to the position that cannot adjust or change the limb by its own strength, in a fixed and uncomfortable state.

Swiveling position: Position refers to the state of the body in the lying position. Observing changes in body position can provide some clues for the diagnosis of certain diseases. The position of the squat is expressed as the patient tossing and turning in the bed and constantly changing the position.

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