20xx年醫(yī)學(xué)專題—神經(jīng)外科的手術(shù)原則-展示頁
2024-11-19 05:24本頁面
【正文】 血。s wellbeing is your duty. It requires your full mitment without distraction. 概括之，患者的良好預(yù)后是你的職責(zé)，你必需全力以赴，不分心。22. The success of surgery is inextricably intertwined with flawless administration of anesthesia. Team up. 手術(shù)的成功與平穩(wěn)的麻醉息息相關(guān)，應(yīng)與麻醉科醫(yī)生結(jié)成良好團(tuán)隊(duì)。21. Intraoperative monitoring is invaluable. Use it. 術(shù)中監(jiān)護(hù)很重要。20. Eliminate intraoperative surprises。18. The little details, to the tail of the last skin suture, are what make the difference. 預(yù)后的差別可能只存在于細(xì)小的區(qū)別，甚至是皮膚的縫合。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(duì)“它曾經(jīng)在這兒”一次要好。14. Repair defects with vascularized tissue. 修復(fù)缺損要用帶血管蒂組織。12. Maintain normal cerebral perfusion pressure by avoiding hypotension and cerebral retraction. 既要維持正常腦灌注壓，又要避免低血壓和腦血管收縮。10. Veins are more vital than they are usually believed to be. Preserve them.,靜脈比你想象中更重要，盡可能保留靜脈。多多練習(xí)。第一時(shí)機(jī)是最佳時(shí)機(jī)。7. Seek total removal with zeal during the first operation. It is the patient39。5. Never pull or force anything. Gentle, brother, gentle.盡量減少擠壓或牽拉腦組織的任何部位，“溫柔、溫柔、再溫柔”。3. Microsurgical technique is indispensable in the surgery of meningiomas. Master it. 顯微外科技術(shù)對(duì)于腦膜瘤手術(shù)是不可缺少的，掌握它。神經(jīng)外科的手術(shù)原則Ossama AlMefty 著，徐桂興 譯1. Remove the bone, leave the brain alone. 為盡可能保護(hù)腦組織，需要盡可能多的切除顱骨。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，要盡力在蛛網(wǎng)膜間隙分離。4. Sharp dissection is the safest dissection. 銳性分離是最安全的分離方式。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)室學(xué)習(xí)很重要。s best chance for cure. The best time is the first time. 第一次手術(shù)中應(yīng)積極地追求全切，因?yàn)榈谝淮问中g(shù)是患者獲得治愈的最佳時(shí)機(jī)。8. The use of the power drill is indispensable. Practice it. 磨鉆的使用是神經(jīng)外科手術(shù)中是必不可少的。. 9. Be a vascular surgeon: preserve, repair, or reconstruct vessels. Life and function run through them. 做一名血管外科醫(yī)生：,保護(hù)、修復(fù)或重建血管，因?yàn)楣δ芎蜕加诖恕?1. Preserving perforators is the greatest technical challenge and is crucial for preserving function.功能區(qū)的保護(hù)是神經(jīng)外科醫(yī)生最大的技術(shù)挑戰(zhàn)，對(duì)功能的保護(hù)至關(guān)重要。13. Plan the closure before the opening. 手術(shù)前就要計(jì)劃好結(jié)果。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(huì)破壞正常解剖關(guān)系，要始終注意移位的結(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，它與良好的手術(shù)技術(shù)同等重要。 extensively extrac
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