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09212009
:1.2.:1.2.
:1. ( ): ,2.: ,,,,3.( ),,,
4.: ,5.: 6.:7.
1.:2.:,,
,
1.2.
1.ectomy::appendectomy,cholecystectomy,
thyroidectomy 2. stomy: feedingjejunostomy,
gastrojejunostomycolostomy
3.otomy: laparotomy,thoracotomy
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
1. laparoscopicappendectomy
laparoscopiccholecystectomy(LC )
(Appendix,appendectomy)
:
Appendectomy
1.tubes:a.JP
2.?3. ?
Appendectomy
1.:a.b.ileusc.(,,
)d.
UGIbleedingandPPU= uppergastrointestinalbleedingandperforatedpepticulcer
=
:,
UGI bleeding and PPU
Simpleclosure:
,
1.tubes:a.NGb.JPc.Foleycatheter
2.?3. ?
:a.b.ileusc.(,,
)d.e.f.
(stomach,gastrectomy)(subtotal):75%80%,(total),
:
Billroth I and II
BillrothI:Gastroduodenostomy
Billroth I and II
BillrothII:Gastrojejunostomy,
Roux-en-Y gastrojejunostomy
1.tubes:a.NGb.JPc.Foleycatheter
2.?3. ?
:a.b.ileusc.(,,
)d.e.
:liver,hepatectomy:GB(gallbladder),cholecystectomy::
:
:
:
Laparoscopic Cholecystectomy
1.tubes:a.JP
2.?3. ?
1.tubes:a.JPb.Ttubec.Foleycatheter
2.?3. ?
:a.b.ileusc.(,,
)d.e.
(pancreas)(pancreaticoduodenectomy)
(,,)
WhippleOperation
1.tubes:a.NGb.JPc.Foleycatheterd.
2.?3. ?
:a.b.ileusc.(,,
)d.e.( )
:spleen,splenectomy
:,
Splenectomy
1.tubes:a.JPb.Foleycatheter
2.?3. ?
:a.b.ileusc.(, )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.
: ( smallintestine)
:,
Enterolysis
1.tubes:a.NGb.JPc.Foleycatheter
2.?3. ?
:a.b.ileusc.(,,
)d.e.
:(hernia,herniorrhaphy)
:,
:a.b.ileusc.(,,
)d.
Thanksforyourattention!