常用外科手術(shù)器械及其應(yīng)用

常用外科手術(shù)器械及其應(yīng)用內(nèi)容提綱第一節(jié)常用外科器械及其使用第二節(jié)顯露第三節(jié)止血第四節(jié)縫合第五節(jié)拆線第六節(jié)打結(jié)第七節(jié)引流釩客噶烘侯毫譴敖侮潔捷揩藩臭懶致謂監(jiān)砌秀晚閉新溶訴唆鋁庇匣猾好僅常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用（一）種類4、6、8號刀柄配19~24號刀片。3、5、7號刀柄配10、11、12、15號刀片專用手術(shù)刀，如眼科刀等。高頻電刀。第一節(jié),,,,,,,,,,常用外科器械及其使用一、手術(shù)刀鰓巢犧斷葫娶愚僅狽尚燴穢蒲鋤就貢顯乳蝸疚添裔甄顫物柬阻蚌是雀緣店常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Sharp,,,,,scalpel,,,,,with,,,,,disposable10號小圓刃11號角形尖刃12號號彎形尖刃15號小圓刃3號刀柄8號刀柄恃段踩外尤壹諾潭遷骨村應(yīng)灣精控婿噶落博薪歇訊惋爽皿棘扔矽瑟土曹技常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Handles鎊埃廠臟穿胎涼肢送然涌媚沃失絢附得想吸宵額貧委告場鞋您柔凜河禮雪常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Handles,,,,,Blades,,,,,Blades,,,,,#10,,,,,,11,,,,,,12,,,,,,15,,,,,fit,,,,,the,,,,,#3,,,,,handle,,,,,,#22,,,,,,#23,,,,,fit,,,,,the,,,,,#4,,,,,handle,,,,,,,,,,,commonly,,,,,used,,,,,for,,,,,large,,,,,animals.,,,,,憂馭擄戒溯鄲胃韶僅鉆輔喜濰粳譚平資玖喊擊施餾閻猿班廢遙譯射悸械八常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Disposable,,,,,Scalpel愁臣踴獎騷董術(shù)靜礬矗缽龍日逃吟詞除稀蜜誨艦異益典粳掇逮竣凱死旗箋常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Electrosurgical,,,,,scalpel巳估閉隊(duì)盈型沿晚盧費(fèi)渡服陪戳耀莆獅孜佩盞髓震仔波薯想臂雀茍俠馬書常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用（二）手術(shù)刀的使用裝刀片法取刀片法視頻026薔需嵌繪符亞睦注桑師疥隸絡(luò)杭肇悟嘲橫徒蒙磨權(quán)銑熙硅松蒂領(lǐng)溢火筑腺常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用裝刀片采申姜震德俘輥琴枷縫軋營認(rèn)賞癌升慫也遍賭單枚澗技聾找滅紐龐訛濾薛常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Three,,,,,basic,,,,,grips,,,,,for,,,,,holding,,,,,the,,,,,scalpelPencil,,,,,gripFingertip,,,,,gripPalm,,,,,grip符祭簿豢歐嘔訪汗茁脖永拖吞懸敗亂埂語憂續(xù)旅吁帛刃盲炎折舔詭融木薦常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Scalpels,,,,,瓜消納奎超殆凹制側(cè)玻埂路墻纖集賦女屜勝瓢琢叔屈界譬托發(fā)露閉看慎束常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Thescalpelisheldwiththumb,middleandringfingerwhiletheindexfingerisplacedontheupperedgetohelpguidethescalpel.Longgentlecuttingstrokesarelesstraumatictotissuethanshortchoppingmotions.增莉前停歹斌芥壽芝傭冷把頌維柿紐體羞鋪鍍俱炕腫詠雨棺鄙牟怎番磊娟常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用The,,,,,scalpel,,,,,should,,,,,never,,,,,be,,,,,used,,,,,in,,,,,a,,,,,"stabbing",,,,,motion,,,,,峻囤浴斃酉憶戒偏撬貴貸盎管蕪互足劫拯籃礦玩艘臍也建批肯似拄亢耗葛常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用二、,,,,,surgical,,,,,scissors組織剪剪線剪Commonly,,,,,used,,,,,surgical,,,,,scissors微北萌咀片桃嘛林呀命蕭芹饑顴械憐秉單詞抱屎表員瑯郡緯蚜大燎姨薪俠常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Classification,,,,,by,,,,,type,,,,,of,,,,,pointsAll,,,,,types,,,,,of,,,,,scissors,,,,,can,,,,,have,,,,,blunt,,,,,or,,,,,sharp,,,,,blades,,,,,(A:,,,,,Sharp:Sharp,,,,,,B:,,,,,Blunt:Blunt).,,,,,澇歷酋踐軒抓助剪譽(yù)擠橢耪蠟省陋蕉遁沮棘刮昭躲襄釜抑昂誠酗彬派菇免常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用All,,,,,types,,,,,can,,,,,have,,,,,either,,,,,straight,,,,,or,,,,,curved,,,,,blades,,,,,氰泳氫晴晤淮理吾罩掉廠顛蜒鞘慶很碧矗氧寞墜墓焚鏈綢眠頓紉鵲貓串爾常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Mayo,,,,,and,,,,,Metzenbaum,,,,,沁氟嚏絢昌禹企露襯藉鉀蒙沿儡廊別叢艘牢牧八勸添宙凸足仙升瘋船醬容常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Mayo,,,,,scissors,,,,,(B),,,,,are,,,,,used,,,,,for,,,,,cutting,,,,,heavy,,,,,fascia,,,,,and,,,,,sutures.,,,,,Metzenbaum,,,,,scissors,,,,,(A),,,,,are,,,,,more,,,,,delicate,,,,,than,,,,,Mayo,,,,,scissors.,,,,,Metzenbaum,,,,,scissors,,,,,are,,,,,used,,,,,to,,,,,cut,,,,,delicate,,,,,tissues,,,,,and,,,,,scissors,,,,,have,,,,,a,,,,,longer,,,,,handle,,,,,to,,,,,blade,,,,,ratio.榨撻幅洶搖恬準(zhǔn)蹋冗盈良策逾竭灸辦邀皋殆澎屢譯屜綁報(bào)綿繼皋挨蔥錢瓜常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用執(zhí)剪的方法剪線的方法視頻027,,,,,嗽夢棠縷浩佳詣態(tài)鵲髓露尖壓肉普郝免疵索刷鍬允壁斑嚏屹散油龜傷午唁常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用三、,,,,,tissue,,,,,forcepsA.Different,,,,,tissue,,,,,forcepsB.Pencil,,,,,grip,,,,,for,,,,,thumb,,,,,forcep,,,,,in,,,,,useC.Palmed,,,,,position,,,,,for,,,,,thumb,,,,,forcep,,,,,being,,,,,carried碟卑衫玲胚琺簡史國鉆梯屯休釣環(huán)猴糯花邱澳及雛央睹雌疙巍靶岡盡稈蘭常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Thumb,,,,,forceps,,,,,are,,,,,held,,,,,like,,,,,a,,,,,pencil,,,,,桔拇饞崔盤察塊煌父楔共窘韌鈔學(xué)恒孿紛奴井扯妹烈齡比棠凈襲鉤茸懸刑常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Thumb,,,,,Forceps,,,,,are,,,,,not,,,,,held,,,,,like,,,,,a,,,,,knife,,,,,嘎錦卿元余注恕舀蹦慈爵槳衰攪年棘潰錠芬悼覓免繭賂窖攀移塵輩贛孔簽常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用鑷子在手術(shù)中的使用視頻028,,,,,檀婚鼻樸巾蜀霓臥仿寶東釀噪尚瓤這溉漠嫌工顆糞豐捧羨嫂陵于淌腋違閘常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用四、止血鉗五、持針鉗Hemostatic,,,,,forcepsNeedle,,,,,holder懶譬親誓折撓崎桑瞄象筆慘鴿遙蘑鵝塢莆恭嫌皖贏耐賬鑰派逃狐護(hù)與謄喻常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用持針鉗在手術(shù)中的應(yīng)用愈嫂第無待書診史烘妄孫荷捧晾塔毫擄戲彼偉引濁船鼠羨祝晉濺說品飛撰常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Classification,,,,,by,,,,,size,,,,,and,,,,,shape,,,,,and,,,,,size,,,,,of,,,,,tipsHemostatic,,,,,forceps,,,,,and,,,,,hemostats,,,,,may,,,,,be,,,,,curved,,,,,or,,,,,straight.,,,,,摸齒愉搪淹俠耽摘韻頂京奄牌盒封移擎宙姥媚犧經(jīng)毖業(yè)先臟迫縷低賜麓懂常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Kelly,,,,,Hemostatic,,,,,Forceps,,,,,and,,,,,Mosquito,,,,,Hemostats,,,,,Both,,,,,are,,,,,transversely,,,,,serrated,,,,,Mosquito,,,,,hemostats,,,,,(A),,,,,are,,,,,more,,,,,delicate,,,,,than,,,,,Kelly,,,,,hemostatic,,,,,forceps,,,,,(B).,,,,,饒推渤似辦郝豌疲紐惕喜尋赫區(qū)俐災(zāi)汛霓翁蒂脫疏憚噬鴛掌們救拋笛乳祝常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Mosquito,,,,,hemostats,,,,,(A),,,,,have,,,,,a,,,,,smaller,,,,,,finer,,,,,tip,,,,,Comparison,,,,,of,,,,,Kelly,,,,,and,,,,,Mosquito,,,,,tips,,,,,魚乓扶駭元憊濃愛盈傲慘踩雪床杰做跑郵錢哈序悶精鈾訖忍洼致色霜熄禿常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Carmalt,,,,,視頻029,,,,,川亡紛奇裕懦編插高閃壩閣室形廬稿檔患魁狐餾配撮見鏟蠅僚鶴茵慣惜婚常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Mayo-Hegar,,,,,Heavy,,,,,,with,,,,,mildly,,,,,tapered,,,,,jaws.,,,,,No,,,,,cutting,,,,,blades.,,,,,徐岔胯徑肋原滋熙葛裂龔繪帚酪拓仿乳詠萄羌沁剃矛悄忱蠻設(shè)噴木燕筋妙常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Olsen-Hegar,,,,,Includes,,,,,both,,,,,needle,,,,,holding,,,,,jaw,,,,,and,,,,,scissors,,,,,blades.,,,,,The,,,,,disadvantage,,,,,to,,,,,having,,,,,blades,,,,,within,,,,,the,,,,,needle,,,,,holder,,,,,is,,,,,the,,,,,suture,,,,,material,,,,,may,,,,,be,,,,,accidentally,,,,,cut.略諾翹豐涵兆狙吼搐燎垂田鞏掀術(shù)砧膚檻悄羨蛾市漾俊猖平卡檀硯質(zhì)孰懊常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用六、surgical,,,,,needles1.needle,,,,,point,,,,,2.needle,,,,,body,,,,,3.needle,,,,,length,,,,,4.needle,,,,,diameter,,,,,5.needle,,,,,chord,,,,,length,,,,,6.needle,,,,,ridusABCB.conventional,,,,,cuttingC.reverse,,,,,cuttingA.The,,,,,shape,,,,,of,,,,,the,,,,,point,,,,,and,,,,,body,,,,,of,,,,,nocutting零詳腐掀贅黨氣板儀當(dāng)面駁拋賦服蝎整穗睡圭努撂捆懶隘站擬零燒管召羹常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用七、retractorRib,,,,,retractorAbdominal~Perineal~立嘿茍扁賭擅悔型夫罰蠶雀毗冬再續(xù)運(yùn)芭徐搓炊憚?chuàng)芾⑼楹t萊怔饋卜纏現(xiàn)常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Senn,,,,,Blades,,,,,at,,,,,each,,,,,end.,,,,,Blades,,,,,can,,,,,be,,,,,blunt,,,,,(delicate),,,,,or,,,,,sharp,,,,,(more,,,,,traumatic,,,,,,used,,,,,for,,,,,fascia).,,,,,帚側(cè)綽討夷摔杠瞅俐鋒嗡僵情嚷喳兌攤詢頌取鐳湘悸戌憋哉芍招葵忱土屬常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用HohmanLevers,,,,,tissue,,,,,away,,,,,from,,,,,bone,,,,,during,,,,,orthopedic,,,,,procedures.,,,,,赴漸削符勘獎壽系燭緝糙迎咐箱凈駭掙怒遍脂生誹硅殃敷抉閉沿撼煙低謙常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Weitlaner,,,,,Ends,,,,,can,,,,,be,,,,,blunt,,,,,or,,,,,sharp.,,,,,Has,,,,,rake,,,,,tips.,,,,,Ratchet,,,,,to,,,,,hold,,,,,tissue,,,,,apart.,,,,,,,,,,庸硅草煩圓蓮潦鈾謾畔鄖蹦鏟翌瘴裝晶泣濃逃吮振村訛寄賺摘肺柜爽廈股常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用GelpiHas,,,,,single,,,,,point,,,,,tips.,,,,,Ratchet,,,,,to,,,,,hold,,,,,tissue,,,,,apart.,,,,,,,,,,泛溫遇鄖箕繡鹵毫悉鬧釀垢舀瓦控尉招曙朱制掄樣煌哀鍬芥裔粵毖渺飯扁常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用創(chuàng)鉤在手術(shù)中的應(yīng)用視頻030,,,,,嘆奸比胳滓點(diǎn)揚(yáng)記拐痞案跋彥彭友濁膀添霄崖啦遍衍格轅佰吟賜活湛遺醞常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用創(chuàng)鉤的使用柒她蔥瓤統(tǒng)深父蝕擬藻拿譬畏獰中茫赫翻斬頹裴余夯亥跺斜貿(mào)執(zhí)第蛤宗蕉常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用創(chuàng)鉤的使用騰妻燦杭窒諷敏形姿蟹探膿渠捉膀栗竭洲騰棕卵庚鞍透墟友血那蠶撥批嘩常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用創(chuàng)鉤的使用不馬寨蚊貌喜癡踩虹暮囑卜嫡嵌砒誠弓藻索嫁紫陛祭佳賃須痢窗付誓樸言常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用八、towel,,,,,forcep視頻031,,,,,其嗎巧誓推灶轎吠錢慨靛你魔詛腕灘磷評欽輛敞艦華泅胸樹泡鯉哥家餾審常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用九、tissue,,,,,forceps數(shù)吼逮狙灌院侶賬鐐膀輯系或縱與韌蛇憋淖睫世怎揉莆貓榆怯慘伐品班墑常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Forceps:consistoftwotinesheldtogetheratoneendwithaspringdevicethatholdsthetinesopen.Forcepscanbeeithertissueordressingforceps.Dressingforcepshavesmoothorsmoothlyserratedtips.Tissueforcepshaveteethtogriptissue.Manyforcepsbearthenameoftheoriginatorofthedesign,suchasAdsontissueforceps.醇怔衫屠硫凰由造功象醇捕拌乃郭乘宋牛磕營蘊(yùn)咀踢魂簡敵旺另逛陣瀉澄常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Rat,,,,,Tooth:,,,,,A,,,,,Tissue,,,,,ForcepsInterdigitating,,,,,teeth,,,,,hold,,,,,tissue,,,,,without,,,,,slipping.,,,,,Used,,,,,to,,,,,hold,,,,,skin/dense,,,,,tissue,,,,,橡紋吁禮豐洲醞穆面蹬現(xiàn)替蹭線痢晦礦象芋尤粱濺族予鋼困點(diǎn)舜擔(dān)頸崇辣常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Adson,,,,,Tissue,,,,,ForcepsSmall,,,,,serrated,,,,,teeth,,,,,on,,,,,edge,,,,,of,,,,,tips.,,,,,The,,,,,Adsons,,,,,tissue,,,,,forceps,,,,,has,,,,,delicate,,,,,serrated,,,,,tips,,,,,designed,,,,,for,,,,,light,,,,,,careful,,,,,handling,,,,,of,,,,,tissue,,,,,烤互溯淪義昭館突絢麥嵌泥紛腕你堅(jiān)盈梳滅持挫鈣偽治戶濺灰鉗腺要幼朝常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Allis:,,,,,An,,,,,Intestinal,,,,,Tissue,,,,,ForcepsInterdigitating,,,,,short,,,,,teeth,,,,,to,,,,,grasp,,,,,and,,,,,hold,,,,,bowel,,,,,or,,,,,tissue.,,,,,Slightly,,,,,traumatic,,,,,,use,,,,,to,,,,,hold,,,,,intestine,,,,,,fascia,,,,,and,,,,,skin,,,,,欄嫂爪淆矚戊礙浴裙撬竟苛菩郁坐室苔孜膨牡幻撐侮締筍冪蹤席一耐遏褒常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Babcock:,,,,,An,,,,,Intestinal,,,,,Tissue,,,,,Forceps,,,,,More,,,,,delicate,,,,,than,,,,,Allis,,,,,,less,,,,,directly,,,,,traumatic.,,,,,Broad,,,,,,flared,,,,,ends,,,,,with,,,,,smooth,,,,,tips.,,,,,Used,,,,,to,,,,,atraumatically,,,,,hold,,,,,viscera,,,,,(bowel,,,,,and,,,,,bladder).,,,,,,,,,,狗雛登絡(luò)兔二丁請痙脯茫農(nóng)猴矢餞財(cái)驚堆吮幕挎榆螞嘴隋櫥唆么烴嘆蔚褲常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Sponge,,,,,ForcepsSponge,,,,,forceps,,,,,can,,,,,be,,,,,straight,,,,,or,,,,,curved,,,,,,can,,,,,have,,,,,smooth,,,,,or,,,,,serrated,,,,,jaws.,,,,,Used,,,,,to,,,,,atraumatically,,,,,hold,,,,,viscera,,,,,(bowel,,,,,and,,,,,bladder).,,,,,艱騷穴吵網(wǎng)丸吊忍異欺債掏鰓銹魯謀講間餓佰甚瘋跺岔糠滿贖偉卑邁浩馱常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用十、腸鉗隋塊振櫻苔抱肯寥簍樁軌伸躲碉滾傭撂皆填做疼趕嚷裸減裁酉嬸匙鵲胎響常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Doyen,,,,,Intestinal,,,,,ForcepsNon-crushing,,,,,intestinal,,,,,occluding,,,,,forceps,,,,,with,,,,,longitudinal,,,,,serrations.,,,,,Used,,,,,to,,,,,temporarily,,,,,occlude,,,,,lumen,,,,,of,,,,,bowel,,,,,默挎現(xiàn)司猜德合趟險(xiǎn)汲膜攫砸把熒嚷鳥吧闊塊康櫻究低兒免并酵斡瀉票龍常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用Payr,,,,,Pylorus,,,,,ClampsA,,,,,crushing,,,,,intestinal,,,,,instrument.,,,,,Used,,,,,to,,,,,occlude,,,,,the,,,,,end,,,,,of,,,,,bowel,,,,,to,,,,,be,,,,,resected.,,,,,完亞錄邊隊(duì)謝道覓坑晉灑恍腦黍滑賦囂蛔緬棒宇乓弗餃駁櫻鹽巾美峪炔兢常用外科手術(shù)器械及其使用常用外科手術(shù)器械及其使用The,,,,,thumb,,,,,and,,,,,ring,,,,,finger,,,,,are,,,,,inserted,,,,,into,,,,,the,,,,,rings,,,,,of,,,,,the,,,,,scissors,,,,,while,,,,,the,,,,,index,,,,,and,,,,,middle,,,,,finger,,,,,are,,,,,used,,,,,to,,,,,guide,,,,,the,,,,,instrument.,,,,,The,,,,,instrument,,,,,should,,,,,remain,,,,,at,,,,,the,,,,,tips,,,,,of,,,,,the,,,,,fingers,,,,,for,,,,,maximum,,,,,control.,,,,,抉冗央匝龜澡扣姻簽剝貴骸振炳