腹部外科手术中英优质PPT课件
合集下载
相关主题
- 1、下载文档前请自行甄别文档内容的完整性，平台不提供额外的编辑、内容补充、找答案等附加服务。
- 2、"仅部分预览"的文档,不可在线预览部分如存在完整性等问题,可反馈申请退款(可完整预览的文档不适用该条件!)。
- 3、如文档侵犯您的权益，请联系客服反馈,我们会尽快为您处理(人工客服工作时间：9:00-18:30)。
• Gastro-intestinal tract & pancreas 胃肠道&胰腺
Exploratory Celiotomy 剖腹探查术
• Gastro-intestinal tract & pancreas 胃肠道&胰腺
Exploratory Celiotomy 剖腹探查术
• Duodenum 十二指肠
– Splenectomy 脾切除术 – Liver biopsy & liver lobectomy
肝脏活检&肝叶切除术
Exploratory Celiotomy 剖腹探查术
• Indications 适应症
– Trauma 创伤 – Penetrating wounds 穿透伤 – Haemoabdomen 腹腔有血液 – Tumors 肿瘤 – Septic abdomen
Exploratory Celiotomy 剖腹探查术
• Adrenal gland right 右侧肾上腺
Exploratory Celiotomy 剖腹探查术
• Right kidney 右侧肾脏
Exploratory Celiotomy 剖腹探查术
• Female reproductive tract 雌性生 殖系统
• Prevent enclosing abdominal fat in suture line 在缝合线处防止闭合腹部脂肪
Midline Celiotomy 中线剖腹术
Exploratory Celiotomy 剖腹探查术
• ALWAYS check the entire abdominal cavity in the SAME order 要以相同顺序检查整个腹腔
• Lift the abdominal wall with forceps when stab incision is made 用镊子提起腹壁刺开切口
• Check for adhesions before cutting through the linea alba 切开腹白线之前检查是否有粘连
操作 – Draping 覆盖创巾 – Basic surgical instruments 基本的外科器械
Midline Celiotomy 中线剖腹术
Midline Celiotomy 中线剖腹术
Midline Celiotomy 中线剖腹术
Midline Celiotomy 中线剖腹术
腹部感染 – Ileus 肠梗阻
Midline Celiotomy 中线剖腹术
• Most common approach 最常见的方法 – Diagnostic procedures 诊断程序 e.g. biopsy, exploratory surgery 例如活组织检查，探查术 – Therapeutic surgery 治疗手术 e.g. gastric dilatation volvulus, cystotomy 例如胃扩张肠扭转，膀胱切开术 – Elective surgery 选择性外科手术 e.g. ovariectomy 例如卵巢切除术
Exploratory Celiotomy 剖腹探查术
• Jejunum 空肠
Exploratory Celiotomy 剖腹探查术
• Ileum, caecum & colon 回肠，盲肠& 结肠
Exploratory Celiotomy 剖腹探查术
• Spleen 脾脏
Exploratory Celiotomy 剖腹探查术
• ALWAYS check all instruments & swabs are accounted for!!!! 经常清点所有器械和棉签
Introduction; Gastric Surgery 介绍；胃外科学
• Gastric foreign bodies 胃异物
– induction of vomiting 诱导呕吐 – endoscopic removal 内窥镜移除 – gastrotomy 胃切开术
腹部外科手 术中英
Introduction 前言
• Exploratory celiotomy/laparotomy 剖腹探查术
– Gastrotomy & gastropexy for GDV 胃切开术&胃固定术治疗胃扭转
– Enterotomy & resection & anastomosis 肠切开术&切除术&吻合术
Exploratory Celiotomy 剖腹探查术
• Bladder & male reproductive tract 膀胱&雄性生殖系统
Exploratory Celiotomy 剖腹探查术
• Left retroperitoneal area & adrenal 左侧腹膜后区&肾上腺
Leabharlann Baidu
Exploratory Celiotomy 剖腹探查术
Midline Celiotomy 中线剖腹术
• Preoperative aspects 术前准备
– Correct anesthetic protocol (AB) 恰当的麻醉方案
– Clipping 剪毛 – Dorsal recumbency 背侧斜卧 – Sterile preparation operation site 无菌手术
• Start with abdominal wall, peritoneum (free fluid) 要从腹壁、腹膜（游离液体）开始
Exploratory Celiotomy 剖腹探查术
• Diaphragm & liver 隔膜& 肝
Exploratory Celiotomy 剖腹探查术
• Liver & bile ducts 肝&胆管
Midline Celiotomy 中线剖腹术
Midline Celiotomy 中线剖腹术
Midline Celiotomy 中线剖腹术
• Good separation of subcutis and rectus sheath will make closing of the abdomen easier 良好的分离皮下组织及腹直肌会更容易地关闭腹腔
Exploratory Celiotomy 剖腹探查术
• Gastro-intestinal tract & pancreas 胃肠道&胰腺
Exploratory Celiotomy 剖腹探查术
• Duodenum 十二指肠
– Splenectomy 脾切除术 – Liver biopsy & liver lobectomy
肝脏活检&肝叶切除术
Exploratory Celiotomy 剖腹探查术
• Indications 适应症
– Trauma 创伤 – Penetrating wounds 穿透伤 – Haemoabdomen 腹腔有血液 – Tumors 肿瘤 – Septic abdomen
Exploratory Celiotomy 剖腹探查术
• Adrenal gland right 右侧肾上腺
Exploratory Celiotomy 剖腹探查术
• Right kidney 右侧肾脏
Exploratory Celiotomy 剖腹探查术
• Female reproductive tract 雌性生 殖系统
• Prevent enclosing abdominal fat in suture line 在缝合线处防止闭合腹部脂肪
Midline Celiotomy 中线剖腹术
Exploratory Celiotomy 剖腹探查术
• ALWAYS check the entire abdominal cavity in the SAME order 要以相同顺序检查整个腹腔
• Lift the abdominal wall with forceps when stab incision is made 用镊子提起腹壁刺开切口
• Check for adhesions before cutting through the linea alba 切开腹白线之前检查是否有粘连
操作 – Draping 覆盖创巾 – Basic surgical instruments 基本的外科器械
Midline Celiotomy 中线剖腹术
Midline Celiotomy 中线剖腹术
Midline Celiotomy 中线剖腹术
Midline Celiotomy 中线剖腹术
腹部感染 – Ileus 肠梗阻
Midline Celiotomy 中线剖腹术
• Most common approach 最常见的方法 – Diagnostic procedures 诊断程序 e.g. biopsy, exploratory surgery 例如活组织检查，探查术 – Therapeutic surgery 治疗手术 e.g. gastric dilatation volvulus, cystotomy 例如胃扩张肠扭转，膀胱切开术 – Elective surgery 选择性外科手术 e.g. ovariectomy 例如卵巢切除术
Exploratory Celiotomy 剖腹探查术
• Jejunum 空肠
Exploratory Celiotomy 剖腹探查术
• Ileum, caecum & colon 回肠，盲肠& 结肠
Exploratory Celiotomy 剖腹探查术
• Spleen 脾脏
Exploratory Celiotomy 剖腹探查术
• ALWAYS check all instruments & swabs are accounted for!!!! 经常清点所有器械和棉签
Introduction; Gastric Surgery 介绍；胃外科学
• Gastric foreign bodies 胃异物
– induction of vomiting 诱导呕吐 – endoscopic removal 内窥镜移除 – gastrotomy 胃切开术
腹部外科手 术中英
Introduction 前言
• Exploratory celiotomy/laparotomy 剖腹探查术
– Gastrotomy & gastropexy for GDV 胃切开术&胃固定术治疗胃扭转
– Enterotomy & resection & anastomosis 肠切开术&切除术&吻合术
Exploratory Celiotomy 剖腹探查术
• Bladder & male reproductive tract 膀胱&雄性生殖系统
Exploratory Celiotomy 剖腹探查术
• Left retroperitoneal area & adrenal 左侧腹膜后区&肾上腺
Leabharlann Baidu
Exploratory Celiotomy 剖腹探查术
Midline Celiotomy 中线剖腹术
• Preoperative aspects 术前准备
– Correct anesthetic protocol (AB) 恰当的麻醉方案
– Clipping 剪毛 – Dorsal recumbency 背侧斜卧 – Sterile preparation operation site 无菌手术
• Start with abdominal wall, peritoneum (free fluid) 要从腹壁、腹膜（游离液体）开始
Exploratory Celiotomy 剖腹探查术
• Diaphragm & liver 隔膜& 肝
Exploratory Celiotomy 剖腹探查术
• Liver & bile ducts 肝&胆管
Midline Celiotomy 中线剖腹术
Midline Celiotomy 中线剖腹术
Midline Celiotomy 中线剖腹术
• Good separation of subcutis and rectus sheath will make closing of the abdomen easier 良好的分离皮下组织及腹直肌会更容易地关闭腹腔