分析案例讲稿大课basic requirement of operative surgery.pptxVIP

Basic Requirement of Operative Surgery;The History of Operative Surgery;The history of surgery;Cannes of France;The category of surgery;;Injury and infection;Tumor in the neck;;The category of surgery;Acutely operation;Emergency operation;Generally operation;The influence of the operation;What should the surgeon do before he perform the operation;Full of confidence;;Keep stable as you have to face the …;Psychologic preparation;;Nutrition;The patient will be given an operation, the chest abdomen will be open and the aorta should be replaced by artificial graft, nutrition is so important for her before operation ;Prevention of infection ;AAA resection and graft replacement;Hypertention: above 160/100mmHg Heart diseases: Cardiac risk factors: 70-yr; myocardial infarction previous 6 months; abnormal of the liver function and renal function; abnormal of blood gases severe abnormal of electrocardiogram ;Pulmonary insufficiency Pay much attention to chronic lung disease: nonobstructive and obstructive pulmonary emphysema; Cessation of smoking ( addictive) Chest physiotherapy; Education; Occasionally antibiotics. ;Renal function: With appropriate perioperative hydration, renal complications of major surgical endeavors have become relatively uncommon; Severe renal disease could be treated via dialysis; If the renal function is not good, the use of heparin should be careful. The laboratory test is a must: Bun Scr;;Liver function: The laboratory test of the liver function is a must for most of the patients before operation; To the cirrhotic patients, a substantial preoperative period is very important, According to the Child’s classification, you can make a decision that if the patient can be given an operation ;B-C syndrome : ascites;Diabetes and Neurologic Before the operation, the patient’s blood sugar should be well controlled to be: 5.6-11.3 mm