手术室电外科.pptVIP

刀头锐利性 锐面刀头 钝面 切割快 止血少 切割慢 止血多 使用时最好把组织钳夹在刀头前2/3的部位 使用注意事项 确认超声刀的脚部是固定在车架顶部的凹槽里 放置在离电刀至少1米远处，尽可能用两个不同的电源插座 同时踩到两个脚踏开关时，会有报警 在电刀运行的时候不要进行系统诊断。 错误可以由STANDBY键清除 预运行的诊断测试 在按STANDBY键后就可执行 必须完成整个测试过程，否则测试会再重复 刀头必须在空气中，钳口张开 测试可由脚控或手控操作 机械能会通过刀头，不要用手触摸 超声刀刀头及手柄配件等的消毒 刀头用完后宜马上清洗，避免血块凝固，影响清洗效果 把刀头浸泡在酶中，可以分解血液和蛋白 消毒方法 低温等离子消毒 不可高温高压消毒 手柄清洗：使用PH值中性洗涤剂清洗 小结 电外科的广泛应用，固然为手术提供了极大的方便，但是也存在着诸多的隐患，这就需要我们在工作中严格按照安全操作执行，为保护患者的生命安全我们应该谨慎！谨慎！再谨慎！ 注意： 爱护设备， 人人有责。 * With the bipolar mode there are still two electrodes, an active and a return electrode. They are both incorporated into the same instrument. In this example, the current flows between the tips (simplistically, one is the active and the other is the return) of the bipolar forceps that are grasping tissue. Because the current flows from one tip (electrode), through tissue, to the other tip (electrode) the circuit is completed without current traveling through any other part of the patient’s body. A return electrode (pad) is not needed for a bipolar procedure. The tissue effect of bipolar electrosurgery, when forceps are used, is desiccation, because the tines of the forceps are in direct contact with the tissue. Other instrumentation is available that allows cutting during bipolar procedures. A benefit of bipolar electrosurgery is the use of lower voltage to push the current through the tissue. Because the forceps grasp only a small amount of tissue, the resistance is low. Consequently, the amount of voltage required will be low. * 利用电能加到人体组织上，使组织内的水分蒸发，以致组织分离或者凝固，这是利用电能代替传统刀切的基本构想。 * 各温度范围变化总结。 * * 快速升温，直接气化。 微观上是细胞膜被撑裂，宏观上形成切割带。 * 相对于切割，缓慢凝固，形成液化失水。 * * * * Always assess the patient for the presence of a metal prosthesis and other types of implants. It is important to determine the exact implant site. The presence of scar tissue around prosthesis creates an area of increased resistance. Also, scar tissue is high resistance tissue and may cause current to concentrate at