常用外科手术器械及其使用.ppt

College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD 第六章第六章 手术基本操作技术手术基本操作技术 手术种类繁多，范围、大小和复杂手术种类繁多，范围、大小和复杂程度不同，但基本操作技术是相同的程度不同，但基本操作技术是相同的 手术顺利完成，一定意义上取决于手术顺利完成，一定意义上取决于基本操作的熟练程度及其理论的掌握基本操作的熟练程度及其理论的掌握 理论指导下的不断实践，是唯一的理论指导下的不断实践，是唯一的正确途径。正确途径。稳、准、巧、轻、快是基本要求。稳、准、巧、轻、快是基本要求。College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD 内 容 提 纲 第一节第一节 常用外科器械及其使用常用外科器械及其使用 第二节第二节 显露显露 第三节第三节 止血止血 第四节第四节 缝合缝合 第五节第五节 拆线拆线 第六节第六节 打结打结 第七节第七节 引流引流 College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD （一）种类（一）种类 4 4、6 6、8 8号刀柄配号刀柄配19192424号刀片。号刀片。3 3、5 5、7 7号刀柄配号刀柄配1010、1111、1212、1515号刀片号刀片 专用手术刀，如眼科刀等。专用手术刀，如眼科刀等。高频电刀。高频电刀。第一节第一节 常用外科器械及其使用常用外科器械及其使用 一、手术刀一、手术刀 College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD Sharp scalpel with disposable 10号小圆刃号小圆刃 11号角形尖刃号角形尖刃 12号号弯形尖刃号号弯形尖刃 15号小圆刃号小圆刃 3号刀柄号刀柄 8号刀柄号刀柄 College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD Handles College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD Handles Blades Blades#10,11,12,15 fit the#3 handle,#22,#23 fit the#4 handle,commonly used for large animals.College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD Disposable Scalpel College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD Electrosurgical scalpel College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD （二）手术刀的使用（二）手术刀的使用 装刀片法装刀片法 取刀片法取刀片法 视频026 College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD 装刀片装刀片 College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD Three basic grips for holding the scalpel Pencil grip Fingertip grip Palm grip College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD Scalpels College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD The scalpel is held with thumb,middle and ring finger while the index finger is placed on the upper edge to help guide the scalpel.Long gentle cutting strokes are less traumatic to tissue than short chopping motions.College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD The scalpel should never be used in a stabbing motion College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD 二、二、surgical scissors 组织剪组织剪 剪线剪剪线剪 Commonly used surgical scissors College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD Classification by type of points All types of scissors can have blunt or sharp blades(A:Sharp:Sharp,B:Blunt:Blunt).College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD All types can have either straight or curved blades College of Animal Science and Veterinary MedicineCollege of Animal Science and Veterinary Medicine Shandong Agricultural UniversityShandong Agricultural University Copyright All reserved,MA WM PhD Mayo and Metzenbaum College of Animal Science and Veterinary Med