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<div class=bt><h1>å‰ä¾§è…¹è†œå¤–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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<img border="0" src="../../Files/Shoushu/200812715102825077801.jpg" > 1-1　å³è‚上å‰é—´éš™è„“肿切开引æµæœ? <img border="0" src="../../Files/Shoushu/200812715102828177802.jpg" > 1-2　左è‚上间隙左è‚下å‰é—´éš™è„“肿切开引æµæœ? å›?　å‰ä¾§è…¹è†œå¤–膈下脓肿切开引æµæœ? <p>[适应è¯]</p><p>适用于å³ä¸Šå‰é—´éš™ã€å³è‚下ã€å·¦è‚上åŠå·¦è‚下å‰é—´éš™çš„è„“è‚¿ã€?/p><p>[麻醉]</p><p>一般多用局麻ã€?/p><p>[手术æ¥éª¤]</p><p>1.体ä½ã€€å¹³å§ä½ï¼Œå£è‚‹éƒ¨åž«é«˜ã€?/p><p>2.切å£ã€€é‡‡å–肋缘ä¸?cm斜切å£ï¼Œå¦‚脓肿在左侧å–左肋缘下斜切å£ï¼Œè„“肿在å³ä¾§åˆ™å–å³è‚‹ç¼˜ä¸‹æ–œåˆ‡å£ã€‚é€å±‚切开皮肤ã€çš®ä¸‹ç»„织ã€è…¹ç›´è‚Œå‰éž˜ã€è…¹ç›´è‚Œã€è…¹æ¨ªè‚ŒåŠè…¹æ¨ªç‹è†œã€‚若脓肿é 近外侧，则ä¸å¿…切开腹直肌å‰éž˜åŠè…¹ç›´è‚Œï¼Œè€Œæ˜¯åˆ‡å¼€è…¹å¤–斜肌ã€è…¹å†…斜肌ã€è…¹æ¨ªè‚ŒåŠè…¹æ¨ªç‹è†œã€‚显露腹膜但ä¸åˆ‡å¼€ã€?/p><p>3.引æµã€€æ ¹æ®è„“肿所在部ä½ï¼Œç”¨ç¤ºæŒ‡åœ¨è…¹è†œå’Œè†ˆè‚Œä¹‹é—´å‘å³ä¸Šæˆ–左上分离[å›?-1ï½?]，触åŠè„“è‚¿å£ï¼Œç”¨é’ˆè¯•éªŒç©¿åˆºï¼ŒæŠ½å¾—脓液åŽï¼Œæ²¿ç©¿åˆºé’ˆåˆ‡å¼€è„“肿至脓腔底部，放出脓液é€åŸ¹å…»ï¼Œä½œè¯æ•æµ‹å®šã€‚å†ç”¨ç¤ºæŒ‡ä¼¸å…¥è„“è…”å‘å„个方å‘探摸，估计脓腔深度åŠå¤§å°ï¼Œå¹¶åˆ†å¼€çº¤ç»´éš”，通畅引æµã€‚然åŽï¼ŒäºŽè„“腔底部放置引æµæ¡ï¼Œä»¥åŠä¸€é•¿ä¸€çŸå¤šå”软塑料管，引出体外，并妥善固定ã€?/p> <p>[术åŽå¤„ç†]</p><p>1.全身治疗　继ç»åº”ç”¨æŠ—ç”Ÿç´ ï¼Œæ ¹æ®åŸ¹å…»åŠè¯æ•æµ‹å®šé€‰æ‹©æ•æ„ŸæŠ—ç”Ÿç´ ã€‚ä½“å¼±ç—…äººåº”å¤šæ¬¡å°‘é‡è¾“血，以增强身体的抗病能力ã€?/p><p>2.鼓励病人起床活动　å¯å…ˆåœ¨åºŠä¸Šå¤šè¡Œæ·±å‘¼å¸è¿åŠ¨ï¼Œä½¿è†ˆè‚Œæ—©æœŸæ¢å¤åŠŸèƒ½ï¼Œä¿ƒè¿›è„“æ¶²æŽ’å‡ºï¼ŒåŠ é€Ÿè„“è…”é—åˆã€?/p><p>3.引æµç‰©çš„处ç†ã€€ç½®é¦™çƒŸå¼•æµè€…，术åŽåŠæ—¶æ›´æ¢è¢«è„“液浸é€çš„æ•·æ–™ï¼Œæ ¹æ®æŽ’出脓液的多少åŠå…¨èº«æƒ…况，é€æ¥æ‹”出引æµæ¡ã€‚如所置的是软胶管引æµè€…，æ¢è¯æ—¶å¯ç”¨æŠ—ç”Ÿç´ ç”Ÿç†ç›æ°´å†²æ´—。观察引æµè„“液的多少，估计脓腔大å°ï¼Œæˆ–è¡Œè„“è…”é€ å½±ï¼Œæˆ–æ ¹æ®èƒ½çŒå…¥çš„液体é‡ã€‚当脓腔缩å°è‡?0ml以下时，å¯æ‹”除引æµç®¡ï¼Œè¿›è¡Œä¸€èˆ¬æ¢è¯ã€?/p>
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