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演讲人:日期:腹部手术英语目录BasicconceptsandclassificationofautonomoussurgeryFundamentalsofAnatomyandPhysiologyinAbsoluteSurgeryStepsandtechniquesfordomesticsurgeryPeriodicmanagementandnumberingmeasuresCompressionidentificationandmanagementstrategies01BasicconceptsandclassificationofautonomoussurgeryDefinitionandpurposeofdomesticsurgeryAbsolutesurgeryinvolvessurgicalproceduresperformedonorgansandstructureswithintheabdominalcavityThepurposeofdomesticsurgeryistodiagnose,treat,andmanageawiderangeofconditionsaffectingthedomesticorganizationsAninquiryismadeintheabdominalwalltoaccesstheabdominalcavityLaparometryAminimallyinvasivesurgicaltechniquewheresmallimpactsaremadeandalaparoscopeisinsertedtovisualizethedominantorganizationsLaparocopySurgicalcorrectionofahero,whichisapromotionofanorganizationorissuethroughaweaknessintheabsolutewallHerniarepairSurgeriesinvolvingtheStomach,smallintention,largeintention,andotherdigestiveorgansGastrointestinalsurgeriesCommontypesofdomesticsurgeriesIndicationsforabnormalsurgeryincludethepresenceofapathologicalconditionaffectinganabnormalorganization,suchasinflation,infection,malice,ortraumaContainmentsfordomesticsurgerymayincludemultiplecomorbidities,poorgeneralhealthstatus,andintegritytothesurgicalprocedureoranyotheraspectIndicationsandcontraindicationsVSPreoperationalevaluationincludesathroughassessmentofthepatient'smedicalhistory,physicalexamination,andlaboratorytestsPreparationworkinvolvesensuringthepatientisinthebestpossibleconditionforsurgery,whichmayincludeoptimizingnutrition,managingcomorbidities,andprovidingpsychologicalsupportPreoperationalevaluationandpreparationworkPreoperativefastingistypicallyrequiredtoreducetheriskofaspirationduringanesthesiaAntimicrobialprophylaxismaybeadministeredtoreducetheriskofsurgicalsiteinfectionsPreoperationalevaluationandpreparationwork02FundamentalsofAnatomyandPhysiologyinAbsoluteSurgeryTheabdomenhousesmanyvitaminorganizationsincludetheStomach,liver,gallbladder,pancreatic,smallintent,largeintent,kidneys,andspleenEachorganizationhasaspecificstructureandfunctionthatcontributestotheoverallhealthandwellbeingoftheindividualUnderstandingtheanatomyandphysiologyoftheseorganismsiscriticalforsurgeonsperformingadominantsurgeStructureandfunctionofdominantorganizationsTheabdomenissuppliedbyarichnetworkofbloodvesselsandnervesthatprovideoxygen,nutrients,andsensorandmotorstimulationtotheabdominalorganizationsThedomesticnervesarepartoftheautonomousnervoussystemandplayaclinicalroleinregulatingthefunctionofdomesticorganizationsMajorabnormalbloodvesselsincludetheaorta,inferiorvenacava,andtheirbranchessuchasthecellulartrunk,superiormesentericart,andinferiormesentericartDistributionandfunctionofdomesticbloodvesselsandnervesAbsolutesurgerycanhaveasignificantimpactonthephysiologicalfunctionoftheabdominalorgansandtheoverallhealthofthepatientSurgicalprocedurescanaffectthestructureandfunctionoftheorgans,leadingtochangesindigestion,absorption,metabolism,andadditionPostoperativepain,ileus,andothercomplicationscanalsoaffectthepatient'srecoveryandphysiologicalfunctionTheimpactofdomesticsurgeryonphysiologicalfunctionPostoperativecomplicationsarecommonafterdomesticsurgeryandcanincludeinfection,bleeding,bowelconstruction,andherniaPreventivemeasuressuchasproperpreoperativepreparation,sterilesurgicaltechnique,andearlymobilizationcanreducetheriskofcomplicationsManagementofpostnatalcomplicationstypicallyinvolvingmedicaltreatment,supportivecare,andinsomecases,additionalsurgicalproceduresPreventionandmanagementofoccupationalcomplications03StepsandtechniquesfordomesticsurgerySurgicalsitepreparationwithadversesolutionstoreducetheriskofsurgicalsiteinfections(SSIs)CommonlyusedantibioticsincludepovidoneiodineandchloridizeglucoseDependentonthetypeandcomplexityofthedominanteconomy,AnesthesiacanrangefromlocalAnesthesiatogeneralAnesthesiaTheanesthesiologistwillassessthepatient'sconditionandchoosethemostappropriatemethodInfectionAnesthesiaSelectionofdiscoveryandasesthesiamethodsThelocationandsizeofthedecisiondependonthesurgicalprocedurebeingperformedCommonadmissionsincludemidlineadmissions,parametricadmissions,andsummaryadmissionsDecisionselectionRetractorsandothermajorinstrumentsareusedtoexposethemajorsiteandprovidethemajorwithaclearviewofthedomesticorganizationsExposuremethodsDiscussiononinvestmentselectionandexposuremethodsOrganizationInvolvestheremovalofdamagedordiseasedorganismssuchastheappendix,gallbladder,orpartoftheintentionRepairorreconstructionTechniquessuchassuing,stacking,ortheuseofmeshareemployedtorepairdamagedissuesorreconstructionofanatomicalstructuresOrganization,repair,orreconstructiontechniquesHemistasis01ControlofbleedingiscriticalduringabnormalsurgeryTechniquessuchaslighting,computerization,andtheuseofhomeostaticagentsareusedtoachievehomeostasisSuturing02Closureoftheinvestmentisachievedthroughsuturing,whichinvolvestheuseofsurgicalthreadtoapproximatetheedgesofthekingdomDrainagetreatment03PlacementofdrainsintheabdominalcavitytoremovefluidsorbloodthatmayaccumulatepostoperationallyThishelpstopreventcomplicationssuchasservantormathematicsHemostasis,suturing,anddrainagetreatment04PeriodicmanagementandnumberingmeasuresFastingandbowelpreparationPatientsshouldfastforacertainperiodoftimebeforesurgerytoreducetheriskofaspirationBowelpreparationmayalsobenecessarydependingonthetypeofsurgeryPreoperationalevaluationAcomprehensivepreoperationalevaluationshouldbeperformedtoassessthepatient'sgeneralhealthstatus,financialrisk,andaestheticriskPsychologicalcounselingPatientsofexperienceanxietyandfearbeforesurgeryPsychologicalcounselingcanhelpallocatetheseemotionsandimprovethepatient'scooperationduringtheoperationPreoperativepreparationandprecautionsVisualsignsmonitoringDuringtheoperation,thepatient'svitalsignssuchasheartrate,bloodpressure,respiratoryrate,andbodytemperatureshouldbecloselymonitoredandadjustedasneededFluidandelectrolytebalanceThepatient'sfluidandelectrolytebalanceshouldbemaintainedtoensurenormalorganicfunctionandreducetheriskofcomplicationsBloodlosscontrolDuringtheoperation,bloodlossshouldbecontrolledtominimizetheneedforbloodtransferandreducetheriskofoccupationalinfectionIntraoperativemonitoringindicatoradjustmentstrategyPostoperativepayassessmentandreliefmethodsNonpharmacologicalmethodssuchasrelaxationtechniques,mass,andassurancecanalsobeusedtorelievepostnatalpainNonpharmacologicalreliefAftersurgery,thepatient'spaintshouldberegularlyassessedusingstandardpaintassessmenttoolstoensuretimelyandeffectivepaintreliefPaintassessmentAnalgesicmedicinesuchasopioids,nonsteroidalantiinflammatorydrugs(NSAIDs),andlocalanestheticscanbeusedtoreviewpostnatalpainPharmacologicalreviewEarlymobilityAftersurgery,patientsshouldbesurroundedtostartearlymobilitytopromotebloodcirculation,preventdeepveinthrombosis,andacceleraterecoveryRehabilitationexerciseguidanceDependenceonthetypeofsurgeryandthepatient'scondition,appropriaterehabilitationexercisesshouldbesubscribedtoimprovemusclestrength,flexibility,andbalanceFollowuparrangementsAfterdischargefromthehospital,patientsshouldbeprovidedwithdetailedfollowuparrangementsincludingregularoutpatientvisits,necessaryexaminations,andmedicaladjustmentsRehabilitationexerciseguidanceandfollow-uparrangements05CompressionidentificationandmanagementstrategiesBleedingBleedingisacommonapplicationafterabnormalsurgery,whichmaybecausedbysurgicaltrauma,coagulationdysfunction,orinfectionItisnecessarytocloselymonitorthepatient'svitalsignsandtaketimelymeasurestostopthebleeding0102InfectionInfectionisanothercommoncomplicationafterdomesticsurgery,whichmaybecausedbybacterialcontaminationduringtheoperationorpositivecareItisimportanttostrictlyfollowbasictechniquesduringtheoperationandprovideappropriateantimicrobialtherapyasneededIntroductiontocommonapplicationssuchasblendingandinfectionOrgandysfunctionriskassessmentBeforearbitrarysurgery,itisnecessarytoassessthepatient'sriskoforganicdysfunction,includingevaluatingthefunctionoftheheart,lungs,kidneys,andothervitalorganizationsThisassessmenthelpstoidentifypatientswhomaybeathigherriskofcompli
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