外科常识点滴原创（Surgery tips, originality）.docVIP

外科常识点滴原创（Surgery tips, originality） Surgery common sense The hernia inguinal ligament: located in the inner side, children, young adults to see, the inguinal canal is prominent, oval or pear shaped, the hernia block on the inner ring, hernia piece is no longer outstanding, light test, prone to intestinal obstruction. The hernia: elderly male, inguinal triangle (Hesselbachs triangle) prominent, semiglobose, base is wide, the hernia block on the inner ring, can block hernia outstanding, light test (-), is not easy to be incarcerated. The femoral hernia: foreign in the inguinal ligament, above average women see more, through the femoral canal prominent, oval fossa from semiglobose, hernia piece, press the inner hernia block still prominent, light test (-), easily incarcerated, prone to intestinal obstruction. The most common surgery: McVay repair. Radius of 1/3 fracture combined with dislocation of head of ulna: Monteggia fracture. Upper 1/3 fracture of ulna combined with radial head dislocation: fracture of hood. Fracture of the proprietary signs: deformity, abnormal activity, bone fricative. The proper signs of dislocation are deformity, elastic fixation, and joint emptiness. The medial anterior tibial fracture in subcutaneous, easy to pierce the skin formation of open fracture, the fracture of 1/3 due to the displacement of fractures of the distal segment, artery compression at the intersection, can cause leg ischemia or necrosis; lower 1/3 fracture, if the extrusion is heavy, often caused by osteofascial compartment syndrome; 1/3 fracture caused by blood bad, often delayed union or nonunion of bone fracture. The most likely cause of anterior urethral injury (bulb) is riding injury. The most likely cause of posterior urethral injury (membranous) is: pelvic fracture. The vital signs of increased intracranial pressure: an early manifestation of high blood pressure, pulse slow, slow breathing (a two slow); then breathing or shortness or tidal breathing, blood pressure,