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Openai/68f5ab1f-77e0-800d-92c1-380f2f05f769
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=== Assistant: 了解,我在提供具體照護與復健建議前,需要先確認幾個關鍵點,以確保你目前的情況沒有需要立即就醫的風險。請你幫我回答以下問題: === 了解,我在提供具體照護與復健建議前,需要先確認幾個關鍵點,以確保你目前的情況沒有需要立即就醫的風險。請你幫我回答以下問題: # 👉 外觀與功能: - 現在小拇指的外觀是否仍有明顯變形或不自然角度? - 你能否主動輕微彎曲與伸直該指?是否有「卡住」或「滑動異常」的感覺? # 👉 疼痛與腫脹: - 現在(事發後幾小時)疼痛程度約幾分(0~10分)? - 指節是否明顯腫脹、瘀青或變色? # 👉 感覺與血液循環: - 指尖是否仍有正常的感覺(不麻、不刺)? - 指尖顏色是否正常(不蒼白、不發紫)? # 👉 復位方式: - 你提到「以牽引復位」,請說明當時的情況:是你自己徒手牽引、還是由他人協助? - 復位時是否有「喀」一聲、或之後外觀立即恢復接近正常? 這些資訊能幫我判斷脫臼的穩定性與是否可能合併韌帶或骨裂傷。 等你回覆後,我會依照「亞洲骨科臨床指引」與「手外科復健標準」幫你規劃完整照護與復健流程(包括急性期、亞急性期與運動恢復期)。 請你先回答上面的四組問題。
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