一般外科手術及術後照護 簡介 - cch.org.t lecture/surgery/實習醫師一般外科... ·...

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一般外科手術及術後照護 簡介 09‐21‐2009 謝清水 一般外科手術簡介及照護開刀 後的病人應注意事項

Transcript of 一般外科手術及術後照護 簡介 - cch.org.t lecture/surgery/實習醫師一般外科... ·...

  • 09212009

  • :1.2.:1.2.

    :1. ( ): ,2.: ,,,,3.( ),,,

    4.: ,5.: 6.:7.

  • 1.:2.:,,

    ,

    1.2.

  • 1.ectomy::appendectomy,cholecystectomy,

    thyroidectomy 2. stomy: feedingjejunostomy,

    gastrojejunostomycolostomy

    3.otomy: laparotomy,thoracotomy

  • 1. thyroid,parathyroid, thyroidectomy,,

    2.breast,mastectomy3.stomach,gastrectomy4.duodenum,jejunum,ileum,,

    5.spleen,splenectomy

    6.liver,hepatectomy7.pancreas,pancreatectomy

    8.gallbladder,cholecystectomy

    9.appendix,appendectomy

  • 1. laparoscopicappendectomy

    laparoscopiccholecystectomy(LC )

  • (Appendix,appendectomy)

    :

    Appendectomy

  • 1.tubes:a.JP

    2.?3. ?

  • Appendectomy

    1.:a.b.ileusc.(,,

    )d.

    UGIbleedingandPPU= uppergastrointestinalbleedingandperforatedpepticulcer

    =

  • :,

    UGI bleeding and PPU

  • Simpleclosure:

    ,

    1.tubes:a.NGb.JPc.Foleycatheter

    2.?3. ?

  • :a.b.ileusc.(,,

    )d.e.f.

    (stomach,gastrectomy)(subtotal):75%80%,(total),

  • :

  • Billroth I and II

    BillrothI:Gastroduodenostomy

    Billroth I and II

    BillrothII:Gastrojejunostomy,

  • Roux-en-Y gastrojejunostomy

    1.tubes:a.NGb.JPc.Foleycatheter

    2.?3. ?

  • :a.b.ileusc.(,,

    )d.e.

    :liver,hepatectomy:GB(gallbladder),cholecystectomy::

  • :

    :

    :

  • Laparoscopic Cholecystectomy

  • 1.tubes:a.JP

    2.?3. ?

  • 1.tubes:a.JPb.Ttubec.Foleycatheter

    2.?3. ?

    :a.b.ileusc.(,,

    )d.e.

  • (pancreas)(pancreaticoduodenectomy)

    (,,)

    WhippleOperation

  • 1.tubes:a.NGb.JPc.Foleycatheterd.

    2.?3. ?

  • :a.b.ileusc.(,,

    )d.e.( )

    :spleen,splenectomy

    :,

  • Splenectomy

  • 1.tubes:a.JPb.Foleycatheter

    2.?3. ?

    :a.b.ileusc.(, )d.e.

  • : breast,mastectomy

    :

  • 1.tubes:a.Hemovac

    2.?3. ?

  • :a.b.( )c.d.

    : thyroid,thyroidectomy

    :,( )

  • 1.tubes:a.Minivac

    2.?3. ?

    :a.b.( )c.d.

  • : ( smallintestine)

    :,

    Enterolysis

  • 1.tubes:a.NGb.JPc.Foleycatheter

    2.?3. ?

    :a.b.ileusc.(,,

    )d.e.

  • :(hernia,herniorrhaphy)

    :,

  • :a.b.ileusc.(,,

    )d.

  • Thanksforyourattention!