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1、妇产科基本技能操作 一、妇科检查法 二、妊娠中晚期检查法(产科四步触诊法、听胎心法)三、骨盆外测量 四、阴道手术前消毒铺巾 五、子宫内膜活组织检查 六、宫颈脱落细胞检查七、宫颈活组织检查 八、正常分娩基本操作(接生过程)九、人工流产术(负压吸引术)十、妇科阴道手术常规 产科手术操作常规 一、会阴切开缝合术二、产钳术常规(低位产钳)三、胎头吸引术常规四、剖宫产术常规五、人工破膜常规六、会阴三度裂伤修补术常规 七、新生儿窒息复苏常规 securitysituationanalysis,timelyorganizestudyandsolvemajorproblems,timelyes
2、tablishmentofthelistofissuesandalistofresponsibilities,increasetheareaofallenterprises,unittoperformthesupervisionandinspectionofthesafetyproductionresponsibilitysystem,inatimelymannertourgetherectificationoftheexistingproblems,andresolutelyputanendto"sick"production,meettherequirementsofsafepr
3、oduction.Second,wemustgraspthewholegovernmentwork.Eacharea,eachunitshouldstrictlycomplywiththesafetydiscipline,adheretoProblemoriented,strengtheninformationcommunicationandcoordination,theeffectiveintegrationoftheregion,theindustrytechnology,humancapital,etc.theadvantagesofresources,earnestlyca
4、rryoutthehiddendangersrectificationofthework,especiallytheinclusionoftheprovincialgovernmentsupervisethehandlingoftheXiningWangjiazhuangsmallcommoditymarketandCityWestKunlun,onemajorfirehazards,eastdistrictgovernment,Chengxidistrictgovernmentandotherrelevantregionalandcitypolicefirebrigade,City
5、SafetySupervisionBureau,thecityplanningandConstructionBureau,theCityPropertyBureauandotherrelateddepartmentsshouldstrengthencooperation,itembyitemdecompositionaccidenthiddenrectificationresponsibility,rapidimplementationoftherectificationofsafetymeasures,toensurethattheprovincialsecuritycommitt
6、eewillsupervisionwithinthetimelimittocompletetherectificationwork.TheIndustrialParkCMCtopay妇产科基本技能操作 一、妇科检查法 一、适应证 二、准备工作 1.用物:一次性会阴垫、窥器、手套。 2.患者解小便,排空膀胱后,取膀胱截石位。有尿失禁者,检查前不需排空膀胱。检查者面向患者,立在患者两腿之间。 三、操作方法 1.外阴部 观察外阴发育及阴毛分布情况,有无皮炎、溃疡及肿块,分开小阴唇,暴露阴道前庭、尿道口和阴道口。嘱患者用力向下屏气,观察有无阴道前后壁的脱垂和子宫脱垂。 2.阴道窥器检查:检
7、查者用左手将两侧阴唇分开,右手将窥器斜行沿着阴道后侧壁缓慢插入阴道内,插入后逐渐旋转至前方,摆正后缓慢张开两叶,暴露宫颈、阴道壁及穹窿部,然后旋转至一侧以暴露侧壁。观察阴道粘膜、阴道分泌物及宫颈有无异常。 3.双合诊:检查者戴手套,右手(或左手)食中两指顺阴道后壁轻轻插入,检查阴道通畅度和深度,再扪及宫颈大小、形状硬度及外口情况,有无接触性出血。随后将阴道内两指放在宫颈后方,另一只手手掌心朝下手指平放在患者腹部平脐处,当阴道内手指向上向前抬举宫颈时,腹部手