一般外科手術及術後照護 簡介 - cch.org.t lecture/surgery/實習醫師一般外科... ·...
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09212009
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:1.2.:1.2.
:1. ( ): ,2.: ,,,,3.( ),,,
4.: ,5.: 6.:7.
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1.:2.:,,
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1.ectomy::appendectomy,cholecystectomy,
thyroidectomy 2. stomy: feedingjejunostomy,
gastrojejunostomycolostomy
3.otomy: laparotomy,thoracotomy
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1. thyroid,parathyroid, thyroidectomy,,
2.breast,mastectomy3.stomach,gastrectomy4.duodenum,jejunum,ileum,,
5.spleen,splenectomy
6.liver,hepatectomy7.pancreas,pancreatectomy
8.gallbladder,cholecystectomy
9.appendix,appendectomy
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1. laparoscopicappendectomy
laparoscopiccholecystectomy(LC )
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(Appendix,appendectomy)
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Appendectomy
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1.tubes:a.JP
2.?3. ?
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Appendectomy
1.:a.b.ileusc.(,,
)d.
UGIbleedingandPPU= uppergastrointestinalbleedingandperforatedpepticulcer
=
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UGI bleeding and PPU
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Simpleclosure:
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1.tubes:a.NGb.JPc.Foleycatheter
2.?3. ?
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:a.b.ileusc.(,,
)d.e.f.
(stomach,gastrectomy)(subtotal):75%80%,(total),
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:
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Billroth I and II
BillrothI:Gastroduodenostomy
Billroth I and II
BillrothII:Gastrojejunostomy,
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Roux-en-Y gastrojejunostomy
1.tubes:a.NGb.JPc.Foleycatheter
2.?3. ?
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:a.b.ileusc.(,,
)d.e.
:liver,hepatectomy:GB(gallbladder),cholecystectomy::
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:
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Laparoscopic Cholecystectomy
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1.tubes:a.JP
2.?3. ?
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1.tubes:a.JPb.Ttubec.Foleycatheter
2.?3. ?
:a.b.ileusc.(,,
)d.e.
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(pancreas)(pancreaticoduodenectomy)
(,,)
WhippleOperation
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1.tubes:a.NGb.JPc.Foleycatheterd.
2.?3. ?
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:a.b.ileusc.(,,
)d.e.( )
:spleen,splenectomy
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Splenectomy
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1.tubes:a.JPb.Foleycatheter
2.?3. ?
:a.b.ileusc.(, )d.e.
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: breast,mastectomy
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1.tubes:a.Hemovac
2.?3. ?
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:a.b.( )c.d.
: thyroid,thyroidectomy
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1.tubes:a.Minivac
2.?3. ?
:a.b.( )c.d.
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: ( smallintestine)
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Enterolysis
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1.tubes:a.NGb.JPc.Foleycatheter
2.?3. ?
:a.b.ileusc.(,,
)d.e.
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:(hernia,herniorrhaphy)
:,
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:a.b.ileusc.(,,
)d.
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Thanksforyourattention!