头颈外科常见手术及的术后并发症.pptVIP

头颈外科常见手术及术后并发症 甲状腺手术 颈清扫 腮腺手术 部分喉及全喉切除 其他 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 甲状腺手术 　主要术式 良性肿物：结节剜除　一侧腺叶切 除 恶性肿物：腺叶切除　全甲状腺切除　联合根治 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 术中副损伤引起的并发症 声带麻痹 　喉返神经切断或结扎，声带永久固定 　手术刺激或钳夹，暂时声带麻痹 低钙血症 　甲状旁腺损伤 　暂时或永久性 　表现：手足，口唇麻木，抽搐 　全甲状腺切除术后多见 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 其他问题 　出血 多发生在术后当天 创面渗血或线结脱落 表现：皮瓣浮起，触之较硬，皮下多出现瘀斑，引流可多可少 处理：多需返回手术室止血 　　　伴有呼吸困难者床旁打开伤口 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 颈清扫 切除椎前筋膜以上所有脂肪组织和淋巴结 根治性颈清扫 　副神经－－－－肩部疼痛，抬举困难 　胸锁乳突肌－－颈部凹陷 　颈内静脉、颈外静脉－－－头面部肿胀 　颈丛神经－－－颈部，耳部无感觉 　 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 颈清扫 改良清扫　 “三保留”　颈内静脉　胸锁乳突肌　副神经 “五保留”　除以上外还有　耳大神经　颈外静脉 择区性清扫 仅清扫颈部某一个或几个分区 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 术后并发症 出血 感染、皮瓣坏死 颈总动脉破裂