鑵告闃荤殑椋查

鑵告闃荤殑椋查

鑵告闃绘寚鐨勬槸鑵稿収(n猫i)瀹圭墿閫氶亷闅滅锛屼富瑕佺櫦(f膩)鐥呰垏灏忚吀锛涜吀姊楅樆鎮ｈ€呮渻(hu矛)鍑虹従(xi脿n)鎯″績銆佸様鍚�銆佽吂鑴圭瓑鐧ョ媭銆傝吀姊楅樆鐨勯２椋熸槸寮曡捣鑵告闃荤殑涓昏鍥犵礌锛屾墍浠ュ湪鏃ュ父鑵告闃荤殑椋查涓渶瑕侀噸榛�(di菐n)娉ㄦ剰鑵搁亾鐨勫仴搴�銆傝吀姊楅樆鐨勯２椋熻閬靛惊涓夊疁涓夊繉鍘熷墖锛屼笁瀹滄寚瀹滄竻娣＄嚐椁�(y菐ng)涔嬮鐗�锛屽疁楂樼簴缍珮铔嬬櫧椋熺墿锛屽疁淇冮€�(j矛n)娑堝寲涔嬮鐗�锛涗笁蹇屽氨鏄蹇岀矖绯欓鐗╋紝蹇屾补鑶╅鍝�锛屽繉鐧�(f膩)鐗╋紝鐧�(f膩)鐗╂槸鎸囬洖铔�銆佺墰鑲夈€侀鑿滅瓑椋熺墿銆�

鑵告闃绘€庝箞杈�

鑵告闃绘槸绲�(ji茅)鑵哥檶甯歌鐨勫苟鐧�(f膩)鐧ワ紝澶у鐐虹檶鎬ф闃�銆傛牴鎿�(j霉)绲�(ji茅)鑵哥殑瑙ｅ墫鐢熺悊鐗归粸(di菐n)锛屽乏鍋�(c猫)绲�(ji茅)鑵哥檶姊楅樆鏇村姞澶氳锛屾槸鑰佸勾鎬ц吀姊楅樆鏈€甯歌鐨勫師鍥�銆傛枃鐛�(xi脿n)鍫�(b脿o)閬擄紝绲�(ji茅)鑵哥檶鑵告闃�70%浣嶄簬宸﹀崐绲�(ji茅)鑵�锛�20%浣嶄簬鍙冲崐绲�(ji茅)鑵搞€傚皪(du矛)浜庡彸鍗婄祼(ji茅)鑵哥檶鍚堝苟姊楅樆鐨勬墜琛�(sh霉)鏂瑰紡宸查仈(d谩)鎴愬叡璀�(sh铆)锛岃€屽乏鍗婄祼(ji茅)鑵哥檶姊楅樆鐨勮檿鐞嗕粛瀛樺湪涓€瀹氱殑鐖銆傝繎骞翠締宸﹀崐绲�(ji茅)鑵哥檶鎵€鑷存€ヨê鎵嬭(sh霉)閲囩敤鈪犳湡鍒囬櫎鍚诲悎娌荤檪鐨勫牨(b脿o)閬撻€愭几澧炲锛屼絾鏄硣鏂欓’绀鸿(sh霉)鍚庡惢鍚堝彛鐦烘檪(sh铆)鏈夌櫦(f膩)鐢熴€� 绲�(ji茅)鑵告帓绌虹亴娲�(intraoperative irrigation o鈥︹€�

鏌ョ湅瑭虫儏

鑵告闃绘€庝箞杈�

鑵告闃绘€庝箞杈�?灏堝绲�(ji茅)濠氭巸锛屾偅涓婅吀姊楅樆娌荤檪鎳�(y墨ng)瑭茬敤鎵嬭(sh霉)娌荤檪銆傝吀姊楅樆鎳�(y墨ng)瑭叉牴鎿�(j霉)鐥呭洜銆佹€ц唱(zh矛)銆侀儴浣嶅強鍏ㄨ韩鎯呮硜閬告搰涓嶅悓鐨勬墜琛�(sh霉)銆備笅闈㈡槸鑵告闃绘墜琛�(sh霉)娌荤檪鐨勪粙绱癸紝甯屾湜灏�(du矛)澶у鏈夊公鍔�銆� 鑵告闃绘墜琛�(sh霉)娌荤檪鐨勪粙绱� 鈶犺В闄ゆ闃荤梾鍥狅細鏈夌矘閫ｆ澗瑙�;鑵稿鐤婃垨鑵告壄杞�(zhu菐n)寰�(f霉)浣�;鑵稿垏闁嬪彇鐣扮墿绛夈€� 鈶¤吀鍒囬櫎鑵稿惢鍚堣(sh霉)锛氱敤浜庤吀绠¤叓鐦�銆佺値鎬ц吀鐙圭獎銆佽吀澹佸姝荤瓑銆傝吀绲炵獎鐨勫垽鏂凤細鑵稿宸插憟榛戣壊骞跺闄�;鑵稿澶卞幓寮靛姏锛岀劇锠曞嫊(d貌ng)锛岃吀绠℃摯(ku貌)澶э紝灏�(du矛)鍒烘縺鐒℃敹绺弽鎳�(y墨ng);鐩告噳(y墨ng)鐨勮吀绯昏啘绲傛湯灏忊€︹€�

鏌ョ湅瑭虫儏

鑵告闃绘€庝箞杈�

涓€鎿�(d膩n)鎮ｄ笂鑵告闃婚€欑ó鐥呮偅鑰呭氨瑕佸強鏅�(sh铆)鐨勬帴鍙楁不鐧�锛岄€欑ó鐥呮槸涓€绋緢闆ｆ不鐧傜殑涓€绋梾锛屼竴鎿�(d膩n)鎮ｄ笂鏈�(hu矛)绲︽偅鑰呭付渚嗗緢澶х殑鐥涜嫤锛岃吀姊楅樆鏄竴绋毚(y谩n)閲嶇殑娑堝寲閬撶柧鐥咃紝鑵告闃绘渻(hu矛)灏�(d菐o)鑷存偅鑰呭嚭鐝�(xi脿n)鍔囩儓鑵圭棝銆佸様鍚愭垨浼戝厠绛夊毚(y谩n)閲嶇櫏鐙€锛屼笅闈㈡垜鍊戜締浠嬬垂鑵告闃绘€庝箞杈�銆�1銆佽儍鑵告笡澹擄細閫氶亷鑳冭吀鎻掔娓涘鍙紩鍑哄悶鍏ョ殑姘ｉ珨鍜屾化鐣欑殑娑查珨锛岃В闄よ吀鑶ㄨ劰寰炶€屾偅鑰呰吀姊楅樆寮曡捣鐨勪笉閬�锛岄伩鍏嶅惛鍏ユ€ц偤鐐�锛屾笡杓曞様鍚�锛屾敼鍠勭敱浜庤吂鑴瑰紩璧风殑寰挵(hu谩n)鍜屽懠鍚哥獦杩櫏鐙€锛屽湪涓€瀹氱▼搴︿笂鑳芥敼鍠勬闃讳互鈥︹€�

鏌ョ湅瑭虫儏

鑵告闃荤殑娌荤檪

锛堜竴锛夊熀绀�(ch菙)娌荤檪 1锛庣尘姝ｆ按銆侀浕瑙ｈ唱(zh矛)绱婁簜鍜岄吀鍫垮け琛★細涓嶈珫閲囩敤鎵嬭(sh霉)鍜岄潪鎵嬭(sh霉)娌荤檪锛岀尘姝ｆ按銆侀浕瑙ｈ唱(zh矛)绱婁簜鍜岄吀鍫垮け琛℃槸妤甸噸瑕佺殑鎺柦銆� 2锛庤儍鑵告笡澹擄細鏄不鐧傝吀姊楅樆鐨勯噸瑕佹柟娉曚箣涓€銆� 3锛庨槻娌绘劅鏌撳拰姣掕鐧ワ細鎳�(y墨ng)鐢ㄦ姉鐢熺礌灏�(du矛)浜庨槻娌荤窗(x矛)鑿屾劅鏌�锛屽緸鑰屾笡灏戞瘨绱犵殑鐢�(ch菐n)鐢熼兘鏈変竴瀹氫綔鐢�銆傛澶栵紝閭勫彲鎳�(y墨ng)鐢ㄩ幃(zh猫n)闈滃姂銆佽В鐥欏姂绛変竴鑸皪(du矛)鐧ユ不鐧�锛屾鐥涘姂鐨勬噳(y墨ng)鐢ㄥ墖閬靛惊鎬ヨ吂鐧ユ不鐧傜殑鍘熷墖銆� 锛堜簩锛夎В闄ゆ闃汇€€鍙垎鎵嬭(sh霉)娌荤檪鍜岄潪鎵嬭(sh霉)娌荤檪鍏╁ぇ椤�銆� 1锛庢墜琛�(sh霉)娌荤檪锛氬悇绋鍨嬬殑绲炵獎鈥︹€�

鏌ョ湅瑭虫儏

鑵告闃荤殑闋�(y霉)鍚�

鍠磾鎬ц吀姊楃殑姝讳骸鐜囩磩鍦�3%宸﹀彸銆傝€岀禐绐勬€ц吀姊楅樆鍓囧彲閬�(d谩)10%锝�20%銆傛敼鍠勯爯(y霉)鍚庣殑闂�(gu膩n)閸靛湪浜庢棭鏈熻ê鏂�銆佸強鏅�(sh铆)铏曠悊銆�

鏌ョ湅瑭虫儏

鑵告闃荤殑椋查鐩搁棞(gu膩n)鍟忛

Q锛氳吀姊楅樆鐨勯２椋�: A锛氭不鐧� 鑵告闃荤殑娌荤檪鏂规硶锛屽彇姹轰簬姊楅樆鐨勫師鍥�銆佹€ц唱(zh矛)銆侀儴浣嶃€佺梾鎯呭拰鎮ｈ€呯殑鍏ㄨ韩鎯呮硜銆備絾涓嶈珫閲囧彇浣曠ó娌荤檪鏂规硶锛岀殕鏈夊繀瑕佸仛鑳冭吀娓涘浠ユ敼鍠勬闃婚儴浣嶄互涓婅吀娈电殑琛€娑插惊鐠�(hu谩n)鈥︹€�[瑭崇窗(x矛)]

Q锛氳吀姊楅樆椋查: A锛氳吀姊楅樆锛屼富瑕佺殑鐧ョ媭鏄柤鍚愯劰锛屼互鍙婂ぇ渚夸笉閫�锛屼竴鑸拰绯栧翱鐥呯劇闂�(gu膩n)锛屼笉鐭ラ亾鑰佷汉鐨勫皬鑵告闃伙紝鏄粈涔堝師鍥犲紩璧风殑銆� 椋查涓�锛屼富瑕佹槸绂佸繉杈涜荆娌硅啯绛夐鐗�锛屽鍚冮珮铔嬬櫧锛屸€︹€�[瑭崇窗(x矛)]

Q锛氳吀姊楅樆鐨勯２椋�: A锛氫笉瀹屽叏鑵告闃昏鐪嬫帓澶т究鎯呮硜姹哄畾椋查.鏃″ぇ渚挎帓鎳�(y墨ng)瑭茬椋�.鎺掑皯瑷卞ぇ渚垮彲鏈嶆祦姹佸姘�.鑲夋汞.绫虫汞.澶т究鍩烘湰姝�?锛熺厼顟疯倱榛犲瑣姗欑及绔洪弮l.绫崇挡.甯舵福鐨勮倝婀瓑.[瑭崇窗(x矛)]

Q锛氳吀姊楅樆椋查: A锛氫綘濂斤紝鑵告闃荤殑鎵嬭(sh霉)鎸囧緛鏄吀鍥犳闃诲悗鍑虹従(xi脿n)澹炴鎴栧悎骞惰吂鑶滅値銆傜祼(ji茅)鍚堜綘鐨勬弿杩颁笂娆＄殑姊楅樆鐥呮儏杓冭紩锛屽缓璀伴２椋熶笂浠ュ皯娌硅啯娓呮贰瀹规槗娑堝寲椋熷搧鐐轰富锛屽鍚冮潚鑿滄按鏋滐紝澶氬枬姘�锛屸€︹€�[瑭崇窗(x矛)]

Q锛氳吀姊楅樆鎮ｈ€呴２椋�: A锛氫綘濂�,鑵告闃诲湪椋查鏂归潰鎳�(y墨ng)鐣�(d膩ng)娉ㄦ剰锛氫笉鍚冪‖椋�,绮橀浠ュ強绾栫董璞愬瘜鐨勯鐗�,涓嶅悆鍐烽,涓嶅枬鍐烽２,鐩″彲鑳藉悆绮�,楗呴牠,铔嬬硶,濂堕,璞�?ji茅){绛夎粺椋熷拰娴侀.閭勮灏戦澶氶,鍒囧繉鏆撮２鏆撮.鈥︹€�[瑭崇窗(x矛)]