神外基本操作經(jīng)驗(yàn)與技巧-展示頁
2024-09-16 15:17本頁面
【正文】 Eliminate intraoperative surprises。 18. The little details, to the tail of the last skin suture, are what make the difference. 治療結(jié)果的差別可能只存在于最細(xì)小的區(qū)別，甚至是皮膚縫合。盡可能保留每一個(gè)結(jié)構(gòu)。說錯(cuò)“它在這兒”一百次也比說對“它曾經(jīng)在這兒”一次要好。 14. Repair defects with vascularized tissue. 修復(fù)缺損要用帶血管蒂的組織。 12. Maintain normal cerebral perfusion pressure by avoiding hypotension and cerebral retraction. 維持正常腦灌注壓。 10. Veins are more vital than they are usually believed to be. Preserve 留靜脈 ,靜脈比想象的還重要。 8. The use of the power drill is indispensable. Practice it. 磨鉆的使用在神經(jīng)外科手術(shù)中是必不可少的。 7. Seek total removal with zeal during the first operation. It is the patient39。 5. Never pull or force anything. Gentle, brother, 任何部位。 3. Microsurgical technique is indispensable in the surgery of meningiomas. Master it. 顯微外科技術(shù)對于神經(jīng)外科手術(shù)是不可缺少的。神外基本操作經(jīng)驗(yàn)與技巧 第 1 頁 共 11 頁 Ossama AlMefty 著，清風(fēng) 譯 1. Remove the bone, leave the brain alone. 盡可能保護(hù)腦組織，可能需要更多切除顱骨。 2. An arachnoid membrane is your best ally. Always do your dissection within the arachnoidal planes. 蛛網(wǎng)膜是你的朋友，要在蛛網(wǎng)膜間隙分離。 4. Sharp dissection is the safest dissection. 銳性分離是最安全的分離。 6. The anatomy of the skull base is plex. Learn it in the laboratory before going to the operating room. 顱底解剖很復(fù)雜，實(shí)驗(yàn)室的學(xué)習(xí)很重要。s best chance for cure. The best time is the first time. 在第一次手術(shù)中積極尋找完全切除的可能，第一次手術(shù)是患者獲得治愈的最佳時(shí)機(jī)。多進(jìn)行實(shí)踐 . 9. Be a vascular surgeon: preserve, repair, or reconstruct vessels. Life and function run through them. 做一個(gè)血管外科醫(yī)師 ,在需要時(shí)保護(hù)，修復(fù)或重建血管。 11. Preserving perforators is the greatest technical challenge and is crucial for preserving function. 保護(hù)功能區(qū)對神經(jīng)外科醫(yī)生是最大的技術(shù)挑戰(zhàn)。 13. Plan the closure before the opening. 手術(shù)前要計(jì)劃好如何結(jié)束。 15. A tumor destroys the normal anatomy. Always be on the lookout for displaced structures. It is better to say there it is and be wrong a hundred times than to say there it was and be right once. 腫瘤會破壞正常解剖關(guān)系，要始終留意移位的結(jié)構(gòu)。 16. Preservation is the best means of reconstruction. Save every structure. 保留是重建的最好方法。 17. Learn from others. It saves you a lot of grief. 多向他人學(xué)習(xí)，可以使你少走彎路。 19. Postoperative care is part of the operation and is equal to fine surgical technique. 術(shù)后監(jiān)護(hù) 是手術(shù)的一部分，它和良好的手術(shù)技術(shù)同樣重要。 extensively extract all the information from the preoperative studies. 手術(shù)前極力搜尋病人的所有信息，減少術(shù)中的猝不及防而缺少準(zhǔn)備。 22. The success of surgery is inextricably interwinded with flawless administractin of anesthesia. Team up. 手術(shù)的成功與平穩(wěn)麻醉息息相關(guān) ,與麻醉科醫(yī)生結(jié)成良好團(tuán)隊(duì)。s wellbeing is your duty. It requires your full mitment without distraction. 你必需全力以赴以求病人的安全，不容分心。它的功能包括吸除手術(shù)野的血液，保持清潔的手術(shù)野，尋找出血點(diǎn)，切開腦組織，清除血腫，清除失活的碎化腦組織，協(xié)助探查顱底腦表面，吸干壓在明膠海綿上的棉片協(xié)助止血。一般在切開頭皮時(shí)可用較粗的吸引管，吸引力也可強(qiáng)一些，有利于頭皮的止血。清除硬腦膜外血腫時(shí)吸引力可大一些，但不宜用強(qiáng)吸引力去 吸除緊密粘連在硬腦膜上的小血塊；吸除棉片中的水分時(shí)，吸引力也可
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