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<div class=bt><h1>膈下脓肿切开引æµæœ?/h1></div>
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<div class=time>08-03-07 17:05:02　　　www.39.net　　　39</div>
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<div class=key>关键è¯ï¼š<a href='/List.aspx?chid=18&Keyword=%e6%89%8b%e6%9c%af&FieldName=tagnamestr' target='_blank'>手术</a></div>
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<div class=geyan><label><span>å¥åº·è°šè¯</span></label></div>
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<div class=concent fang=08-03-07 17:05:02>
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<p>[膈下间隙的应用解剖]</p> <img border="0" src="../../Files/Shoushu/200812715101231277801.jpg" > ⑴矢状切é? <img border="0" src="../../Files/Shoushu/200812715101235977802.jpg" > ⑵é¢é¢åˆ‡é? <img border="0" src="../../Files/Shoushu/200812715101235977802.jpg" > â‘¶æ¨ªåˆ‡é¢ å›?　膈下间隙 <img border="0" src="../../Files/Shoushu/200812715101239077803.jpg" > å›?　è¡? <img border="0" src="../../Files/Shoushu/200812715101242177804.jpg" > å›?　膈下脓肿切开引æµé€”径 <p>è†ˆä¸‹é—´éš™ä¸ºæ¨ªè†ˆè†œä»¥ä¸‹ï¼Œæ¨ªç»“è‚ åŠå…¶ç³»è†œä»¥ä¸Šå’Œä¸¤ä¾§å£å±‚腹膜之间的间隙。膈下间隙被è‚è„分为è‚上åŠè‚下间隙；åˆè¿›ä¸€æ¥è¢«é•°çŠ¶éŸ§å¸¦ã€å† 状韧带ã€ä¸‰è§’韧带ç‰åˆ†éš”为å³è‚上å‰ã€å³è‚上åŽã€å³è‚下间隙（åˆç§°morison囊）åŠå·¦è‚上ã€å·¦è‚下å‰ã€å·¦è‚下åŽç‰é—´éš™ï¼›ä½äºŽå† 状韧带两层之间为腹膜外间隙，在å³è‚åŽè£¸åŒºä¸Žè†ˆä¹‹é—´ã€‚å› æ¤ï¼Œéš”下间隙共有7个，6个在腹膜内，1个在腹膜外；4个在è‚上ï¼?个在è‚下（图1）ã€?/p><p>膈下间隙感染åŽå‘生脓肿，称为膈下脓肿。脓肿多è§äºŽå³è‚上åŽé—´éš™åŠå³è‚上å‰é—´éš™ï¼Œä½†å…¶ä»–区也å¯å‘生。å„个间隙的手术途径ä¸å®Œå…¨ç›¸åŒï¼Œä½†æ‰‹æœ¯åº”éµå¾ªçš„å…±åŒåŽŸåˆ™æ˜¯å°½é‡é¿å…污染浆膜腔。通常采用的途径有：胸膜外腹膜外途径（åŽä¾§è…¹è†œå¤–ã€å‰ä¾§è…¹è†œå¤–途径），ç»èƒ¸è…”途径和ç»è…¹è…”途径（图2）ã€?/p>
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