常用外科手术器械机器使用.ppt

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1、第六章手术基本操作技术手术种类繁多，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理论指导下的不断实践，是唯一的正确途径。稳、准、巧、轻、快是基本要求。内容提纲第一节常用外科器械及其使用第二节　显露第三节止血第四节缝合第五节拆线第六节打结第七节引流（一）种类4、6、8号刀柄配19~24号刀片。3、5、7号刀柄配10、11、12、15号刀片专用手术刀，如眼科刀等。高频电刀。第一节常用外科器械及其使用一、手术刀Sharpscalpelwithdisposable10号小

2、圆刃11号角形尖刃12号号弯形尖刃15号小圆刃3号刀柄8号刀柄HandlesHandlesBladesBlades#10,11,12,15fitthe#3handle,#22,#23fitthe#4handle,commonlyusedforlargeanimals.DisposableScalpelElectrosurgicalscalpel（二）手术刀的使用装刀片法取刀片法视频026装刀片ThreebasicgripsforholdingthescalpelPencilgripFingertipgripPalmgripSca

3、lpelsThescalpelisheldwiththumb,middleandringfingerwhiletheindexfingerisplacedontheupperedgetohelpguidethescalpel.Longgentlecuttingstrokesarelesstraumatictotissuethanshortchoppingmotions.Thescalpelshouldneverbeusedina"stabbing"motion二、surgicalscissors组织剪剪线剪Commonlyuse

4、dsurgicalscissorsClassificationbytypeofpointsAlltypesofscissorscanhavebluntorsharpblades(A:Sharp:Sharp,B:Blunt:Blunt).AlltypescanhaveeitherstraightorcurvedbladesMayoandMetzenbaumMayoscissors(B)areusedforcuttingheavyfasciaandsutures.Metzenbaumscissors(A)aremoredelicat

5、ethanMayoscissors.Metzenbaumscissorsareusedtocutdelicatetissuesandscissorshavealongerhandletobladeratio.执剪的方法剪线的方法视频027三、tissueforcepsA.DifferenttissueforcepsB.PencilgripforthumbforcepinuseC.PalmedpositionforthumbforcepbeingcarriedThumbforcepsareheldlikeapencilThumbF

6、orcepsarenotheldlikeaknife镊子在手术中的使用视频028四、止血钳五、持针钳HemostaticforcepsNeedleholder持针钳在手术中的应用ClassificationbysizeandshapeandsizeoftipsHemostaticforcepsandhemostatsmaybecurvedorstraight.KellyHemostaticForcepsandMosquitoHemostatsBotharetransverselyserratedMosquitohemostats

7、(A)aremoredelicatethanKellyhemostaticforceps(B).Mosquitohemostats(A)haveasmaller,finertipComparisonofKellyandMosquitotipsCarmalt视频029Mayo-HegarHeavy,withmildlytaperedjaws.Nocuttingblades.Olsen-HegarIncludesbothneedleholdingjawandscissorsblades.Thedisadvantagetohaving

8、bladeswithintheneedleholderisthesuturematerialmaybeaccidentallycut.六、surgicalneedles1.needlepoint2.needlebody3.needlelength4.needle