Operatii Pe Git

8/15/2019 Operatii Pe Git

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OPERAȚ

INCIZII TIPICE ÎN FLEGA TOALETA CHIRURGICALĂPLĂGILOR.BLOCAJUL TRU

NERVOASE.TRAHSUPERIOARĂ ȘI IN

ELENA PRO



GENERALITAȚI:• În !"#$%&&'" !" (&))#"*+&" ," '+$) -n

n/&,"#$%&" #1$ &n,& &,+$'$ $ (-)+'+& ,"1 *&'&)$)"$ #($n"' # ," !"#& '+' '"45#&&

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!+/5 &n)"# "n%&"& 6&#+#(& $'".



TOALETA CHIRURGICALĂ PRIMAPLĂGILOR GÎTULUI

• P'5(&'" (-)+'+& /" $#$ )"#&4"$45 !#&n ; /"1n" !#&n &!<= $n$'+' !'$(&& "/)" /&n+ / ,&n $+4$ !'$/5#&& #((-)+'+& 7& /!$%&&' # $/ & "'+'$#".<2 '"4&+n&'" ' $n"& "#)"*#$'" 7& $'" 1$,+ "& /!&n

/+n) -n/ %&)" 7& ," '"4$#"$ %"/+)+#&' # 1 & $'" (-)+'+&!"#& +' / !'5(&'" &n !'$n /$(&)$' 7& !$#$/$(&)$'?<3 '"4$#"$ $#)"#"' # $# )&,"<; !'5(&'" (-)+'+& /" $#$ )"#&4"$45 !#&n (#$,+' ," &n "



• S+n) )#"& 4 n" ," '"4$#" $ (-)+'+& :@= ," '$ 1$#(&n"$ &n "#& $#5 $

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+(+'$#5 $ /)"#n+'+&.

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1$/& " 7& $ "/+' ,&8 &' /!#" ' +' '"45#&&.



• L$ ) $'")$ !#&1$#5 $ !'5(&& /" '5#("/ $n$'"'" !'5(&&#"/!+n45) # ) ! (#$8"& $ "'"& #"(&+n& -n $#" /" "

!#"'+ #$#"$ !'5(&&. Ț"/+)+#&'" 1 & n" &$*&'" /" "9 &4"$45 /" -n'5)+#5/)#5&n& 6"1$) $1"'" &n)"# $/ &$'" /" '$#("/ /!$)&&'&n)"# $/ &$'" $ " )$)".P'$(&'" )#"*+&" *&n" ,#"n$)".

$ $ /+n) !#"4"n)" "/ 6&'" /&)+$)" !# +n, &n )"/+)+!# $ $ 1!'& $)&& $)+n & "$ n+ /" $)&n(" 8&n, $ &n $!/+'"$4$ /& #$1&n" &n )"/+)+#&. $ $ "/ 6&'$ &n,"!'$/"$4$ $!# !&&n,+ /" ," $/"'" 1$#& ," /&n(" $)+n &)#"*+&" &n'$)+#$)$ .



INCIZII ÎN FLEGMOANE ȘI ABCESE• P#"4&n)5 !"#& ' !"n)#+ #"(&+n&'"

" &n".P#&n &!&+' ," *$45 -n )#$)$1"n)+'

!# "/"' # !+#+'"n)" -n #"(&+n"$ (-)+'+&"/)" ,"/ 6&,"#"$ '$ )&1! $ $#+'+& 7&

'" %&&' # !+#+'"n)". C$'"$ $ "/+'+&)#"*+&" /5 8" -) 1$& / +#)5. E " )+$#"$&n &4&&' # /" $ " /)#& ) /)#$) + /)#$). S"

' /"/ &n/)#+1"n)" + -# * n)."/ 6&,"#"$ '$#(5 /" 8n&/"$45 +

,#"n$#"$ $ &)$%&& '+&. #"n$ +' /" $!'& 5-) 1$& ,"!$#)" ," ' +' ,&/' 5#&&$/"' # 1$#& -n +n(6&+' &n "#& # $' !'5(&&.

S+)+#&'" !" !&"'" /" $!'& 5 !-n$ '$ ,#"n$ .



= /!$)&+' )"1! #$'

/+!"#8 &$' /& !# +n,/+*1$/")"#&$n$#&n( 1$n,&*+'$#2 /+*1$n,&*+'$# /+*1"n)$'

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#")# $#&n("$n ; $#&n(&$n '$)"#$'#")# $#&n("$n $#)&'$ +' #& &,



P# "/" !+#+'"n)" &n #"(&+n"$ /+*1$n,&*+'$#$ &n &4&" !$#$'"' 1$#(&n&& 1$n,&*+'"& = = D 1 1$& / ," "$.

/" )& n$#"$ + *&/)+#&+' $ !&"'&& $ )"/+)+'+& "'+'$# /+* +)$n$)$'" * $n)$ &n !# +n4&1" /)#$,+&n,+ n" /$ n+ '"4$1 $#)"#$ /& "n$

F'"(1 $n"'" /& $* "/"'" !'$n/"+'+& *+ $'&n &4&" ' n(&)+,&n$'$ !" '&n&$ 1",&$n$ 1$& / ," *$#*&". C+ $&n/)#+1"n)+'+& $/ +)&) $ +n("1 !&n$ '$ 1+/ 6&+' 1&' 6& &,&$n $* $n)$ )#" "1 !#&n /+)+#$ 1+/ 6&+'+& ,"/ 6&4&n, '$#( $#+' !+#F'"(1 $n"'" )" && $/ &$'" $'" !$ 6")+'+& $/ +' n"# /&n/)#+1"n)" $ +)&)" /)#$) + /)#$) /" )& n&n, )"$ $ '+& ," $ '+n(

$n)"#& $#" $ 1+/ 6&+'+& SCM.C+ &n/)#+1"n) * n) /" !$)#+n," /!#" !$$/ +' n"# /. In )"/+)+' "'+'$# $#" &n n $#$ $/"'" /" &n)# ,+F'"(1 $n"'" /!$)&+'+& ," )"/+) "'+'$# !#" &/ "#$'

&n &4&" )#$n/ "#/$'$ ,&/" &n, !&"'"$ /)#$)+' ," )"/+) "'+'$# /+* +$/ &&'" /+!"#8 &$'$ !# !#&" /& 1 '$ & +'$#$ $'" (&)+'+& 1+/

$ !"#$ '$#&n("'" /& )#$6""$ &)$ !$#&")$'$ $ $/ &"& "n, "# &; 1 1$& /+/ ," &n &4+#$ +(+'$#$. S!$)&+' /" ,#"n"$4$.



BLOCAJUL TRUNCHIURILOR NERVOASE• Blocajul vagosimpatic dupa A.V. Visnevski :

Indicatii - '"4&+n& )#$+1$)& " $'" ) #$ "'+& + !n"+1 ) #$9 &n 6&/ /& ,"/ 6&/ !'$(& $/ &$)" $'" #($n"' # $ &)$)&' # ) #$ & $ /& $*, 1"n$'$ &n)#"#+!"#"$ &1!+'/+#&' # ,+#"# $/" ,&n #"(&+n&'" '"4$)"Pozitia bolnavului - C+' $) !" /!$)" + + /+' /+* 1 !'$)&. C$!+' "/)" #")# !+'/$) /& &n) #/ &n !$#)"$ $!+/$ &n)"# "n)&"& 6&#+#(& $'".Tehnica – punct de epe +n(6&+' &n)"#/" )&"& "n"& +(+'$#" "9)"#n" + 1$#(&n"$ ! /)"#& $#$ $ 11. SCM 11. SCM &1!#"+n$ + !$ 6")+' $/ +' n"# / /"

,"!'$/"$4$ + ,"(")+' $#$)$) # &n$&n)" /& 1",&$' /& ,+!$ $n"/)"4&$ !&"'&& &n8("1 +n $ '+n( !&n$ '$ /+!#$ $)$ $n)"#& $#$ $ "#)"*#"' # "# & $'" /"#")#$(" + 0 D 1 /& &n)# ,+ "1 30 ;0 1' / '. ," 0 2D ," n $&n$. L$ $n"/)"4&"#"$ #" )$ $!$#" 6&!"#"1&$ * '&& ")"& /& $ / '"#"' # !" !$#)"$ *' $ +'+&. A!$# /&n,# 1+' C'$+," B"#n$#, H #n"#: &n(+/)$#"$ !+!&'"&

$n)"& !$'!"*#$'" "n )$'1&$.



BLOCAJUL GANGCERVICOTORACIC

• Indicatiile – ,+#"#"$ &n)"n/$ &n 1"1*#$n&) $#" n+ /" /+!+n" )#$)$1"n)+'+& !# 8'$9&$ ($n(#"n"& '&($)+#$#"$

$/"' # 1$#&.Pozitia bolnavului- +' $) !" /)$)" +1"#& $!+' "/)" &n) #/ &n !$#)"$

6&#+#(& $'".Tehnica- L$ 1$#(&n"$ ! /)"#& $#$

1 1$& /+/ ," '$ & +'$ !"#!"n!+n )"$4$ + +n $ '+n( &n) # &n$! 84$ )#$n/ "#/$ $ "#)"*#"& C;. A$ +' &n$! & /& $!'& &n,+ ' &n &n)# ,+ "1 =0 1' / '. ," n $&n)#"!)$) /" #$/!&n,"/)" &n / /& /" *'($n('& n+' /)"'$). L$ * 'n$ $!$#" )#/&n,# 1+' C'$+," B"#n$#, H #n"#.



BLOCAJUL PLE ULUIBRAHIALIndicatiile – n" #$'(&&'" #"*"'"

)#$)$1"n)+'+&n" #&)$

$n"/)"4&$ )# n +'$#$ &n $4,"&n)"# "n)&& 6&#+#(& $'" !"

$#)& +'$)&$ +1$#+'+& /& $ 1"1*#+'+&/+!"#& #.Pozitia bolnavului. Tehnica- * 'n$ +'7"," .

M"1*#+' /+!"#& # ,&n !$#)"$*' $ +'+& /" )#$(" &n /.L$ 1& ' +'

'$ & +'"& 1$& /+/ ," "$ + 2 D 3 1/)#& ) !"#!"n,& +'$# !&"'&& '$ $,&n &1" ," 3 1 &n)# ,+ "1 $ +' /&&n " )$1 20 1'



TRAHEOSTOMIA SUPERIOARA SI INFERIOARA

•

In ,"!"n,"n)$ ," n& "'+' '$ #" ,"/ 6&,"1 )#$6""$ ,")"#1&n$1)#$6" /) 1&$ /+!"#& $#$ >/" ,"/ 6&," &n"'+' )#$6"&& 1$& /+/ ," &/('$n,"& )&# ,".? /& &n "#& $#$ >)#$6""$ /" ,"/ 6&," 1$& / ," &/))&# &,"? Indicatiile – $/89&$ &n +#1$ '$#&n( /!$/1+'+&

","1+' $#,"' # $'")+1 #& /& '"4&+n& $'" '$#&n("'+&

#!& /)#$&n&& &n '$#&n(" /& )#$6"" &n &n)+*$)#$6" /) 1$ &n &n)+*$)&$ '$ !&& ""$ "$ #&4"$4$ "n)&'$#"$ 1$& "8 $ " $ !'$1&n&' #.

Pozitia bolnavului- !" /!$)" + +n /+' /+* 1 !'$)& /& $!+' #")# !+' T#$6" ) 1&$ /" "9" +)$

,&#" ) !" '&n&$ 1",&$n$ $ (&)+'+&.

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