常用外科手术器械及其使用.pptxVIP

第六章手术基本操作技术Copyright?Allreserved,MAWMPhD01稳、准、巧、轻、快是基本要求。手术种类繁多，范围、大小和复杂程度不同，但基本操作技术是相同的手术顺利完成，一定意义上取决于基本操作的熟练程度及其理论的掌握理论指导下的不断实践，是唯一的正确途径。020304

Copyright?Allreserved,MAWMPhD内容提纲第一节常用外科器械及其使用第二节显露第三节止血第四节缝合第五节拆线第六节打结第七节引流

一、手术刀Copyright?Allreserved,MAWMPhD种类6、8号刀柄配19~24号刀片。5、7号刀柄配10、11、12、15号刀片专用手术刀，如眼科刀等。高频电刀。第一节常用外科器械及其使用

Sharpscalpelwithdisposable10号小圆刃11号角形尖刃12号号弯形尖刃15号小圆刃3号刀柄8号刀柄

HandlesCopyright?Allreserved,MAWMPhD

Blades#10,11,12,15fitthe#3handle,#22,#23fitthe#4handle,commonlyusedforlargeanimals.HandlesBlades

DisposableScalpel

Electrosurgicalscalpel

（二）手术刀的使用装刀片法取刀片法视频026

装刀片

ThreebasicgripsforholdingthescalpelPencilgripFingertipgripPalmgrip

Scalpels

Longgentlecuttingstrokesarelesstraumatictotissuethanshortchoppingmotions.Thescalpelisheldwiththumb,middleandringfingerwhiletheindexfingerisplacedontheupperedgetohelpguidethescalpel.

Thescalpelshouldneverbeusedinastabbingmotion

surgicalscissors组织剪剪线剪Commonlyusedsurgicalscissors

ClassificationbytypeofpointsAlltypesofscissorscanhavebluntorsharpblades(A:Sharp:Sharp,B:Blunt:Blunt).

Alltypescanhaveeitherstraightorcurvedblades

MayoandMetzenbaum

Mayoscissors(B)areusedforcuttingheavyfasciaandsutures.Metzenbaumscissors(A)aremoredelicatethanMayoscissors.Metzenbaumscissorsareusedtocutdelicatetissuesandscissorshavealongerhandletobladeratio.

执剪的方法Copyright?Allreserved,MAWMPhD剪线的方法视频027

tissueforcepsDifferenttissueforcepsPencilgripforthumbforcepinusePalmedpositionforthumbforcepbeingcarried

Thumbforcepsareheldlikeapencil

ThumbForcepsarenotheldlikeaknife

镊子在手术中的使用视频028

HemostaticforcepsCopyright?Allreserved,MAWMPhD止血钳持针钳Needleholder

持针钳在手术中的应用

Hemostaticforcepsandhemostatsmaybecurvedorstraight.Classificationbysizeandshapeandsizeoftips

M