Transcription of 一般外科手術及術後照護 簡介 - cch.org.tw
1 09 21 2009 : 1. 2. : 1. 2. : 1.( ) : , 2. : , , , , 3. ( ) , , , 4. : , 5. : 6. : 7. 1. : 2. : , , , 1. 2. 1. ectomy : : appendectomy, cholecystectomy, thyroidectomy 2. stomy : feeding jejunostomy, gastrojejunostomy colostomy 3. otomy : laparotomy, thoracotomy , parathyroid ,thyroidectomy , , 2. breast , mastectomy 3. stomach, gastrectomy 4. duodenum, jejunum, ileum , , 5. spleen, splenectomy 6. liver , hepatectomy 7. pancreas, pancreatectomy 8. gall bladder , cholecystectomy 9. appendix, appendectomy 1.
2 Laparoscopic appendectomy laparoscopic cholecystectomy ( LC) ( Appendix, appendectomy ) : Appendectomy 1. tubes : a. J P 2. ? 3. ? Appendectomy 1. : a. b. ileus c. ( , , ) d. UGI bleeding and PPU =upper gastrointestinal bleeding and perforated peptic ulcer = : , UGI bleeding and PPU Simple closure : , 1. tubes : a. NG b. J P c. Foley catheter 2. ? 3. ? : a. b. ileus c. ( , , ) d. e. f. ( stomach, gastrectomy ) ( subtotal ): 75% 80%, ( total ) , : Billroth I and II Billroth I : Gastroduodenostomy Billroth I and II Billroth II : Gastrojejunostomy, Roux-en-Y gastrojejunostomy 1.
3 Tubes : a. NG b. J P c. Foley catheter 2. ? 3. ? : a. b. ileus c. ( , , ) d. e. : liver , hepatectomy : GB( gall bladder ), cholecystectomy : : : : : Laparoscopic Cholecystectomy 1. tubes : a. J P 2. ? 3. ? 1. tubes : a. J P b. T tube c. Foley catheter 2. ? 3. ? : a. b. ileus c. ( , , ) d. e. ( pancreas ) ( pancreaticoduodenectomy ) ( , , ) Whipple Operation 1. tubes : a. NG b. J P c. Foley catheter d. 2. ? 3. ? : a. b. ileus c. ( , , ) d.
4 E. ( ) : spleen , splenectomy : , Splenectomy 1. tubes : a. J P b. Foley catheter 2. ? 3. ? : a. b. ileus c. ( , ) 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. :(small intestine ) : , Enterolysis 1. tubes : a. NG b. J P c. Foley catheter 2. ? 3. ? : a. b. ileus c. ( , , ) d. e. : ( hernia , herniorrhaphy ) : , : a.
5 B. ileus c. ( , , ) d. Thanks for your attention !
