顱腦外科手術(shù)環(huán)境及手術(shù)配合課件

顱腦外科手術(shù)環(huán)境及手術(shù)配合天津市泰達醫(yī)院麻醉科李恒林Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL呻經(jīng)外科手術(shù)室環(huán)境、布局呻經(jīng)外科手術(shù)室在建筑上要成為獨立的單元系統(tǒng)。門應(yīng)寬大,為自動門,避免使用擺動的彈簧門。電源應(yīng)有雙相供電設(shè)施,以保證安全運轉(zhuǎn)。地面有導(dǎo)電設(shè)備,以防引起火花。中央吸引及氧氣管道裝置應(yīng)設(shè)在墻內(nèi)。手術(shù)室設(shè)有空氣生物凈化設(shè)施電視錄象系統(tǒng)及各種自動報警監(jiān)護儀。手術(shù)室的空調(diào)為中央空調(diào)以保證適宜的溫度及相對的濕度。Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL神經(jīng)外科手術(shù)室環(huán)境、布局層流手術(shù)室是比較先進的手術(shù)室,已經(jīng)逐步應(yīng)用于臨床。適用于顱腦外科的手術(shù)隨著神經(jīng)外科的發(fā)展對神經(jīng)外科手術(shù)室的要求越來越高。顱腦手術(shù)無菌要求嚴(yán)格,手術(shù)室的等級為Ⅰ級特別潔凈手術(shù)室。Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL神經(jīng)外科手術(shù)室環(huán)境、布局科手術(shù)手部消Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL神經(jīng)外科手術(shù)室環(huán)境、布局室內(nèi)分區(qū)絕對無菌區(qū),手術(shù)臺的遠門側(cè)為總器械臺,應(yīng)置于術(shù)間最少人員流動的區(qū)域,并盡量避免在空氣流通B手術(shù)操作區(qū),切口區(qū),手術(shù)醫(yī)師臺上器械、護士工作區(qū),這個區(qū)域在術(shù)野無菌時屬于絕對無菌區(qū)亞區(qū)術(shù)野有菌時在臺上器械區(qū)再劃分出■C.相對無菌區(qū),近門側(cè)為麻醉師麻醉機、吸引器、雙極點凝和超聲吸引器等所放的位置,該區(qū)人員流動較大,參觀手術(shù)和見習(xí)醫(yī)師以及指導(dǎo)醫(yī)師逗留區(qū)。Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL術(shù)間內(nèi)分區(qū):A區(qū),總器械臺Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL術(shù)間內(nèi)分區(qū):B區(qū),切口、術(shù)者、器械護士Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL術(shù)間內(nèi)分區(qū):A區(qū)B區(qū)C區(qū)的關(guān)系C區(qū)Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL術(shù)間內(nèi)分區(qū):C區(qū),麻醉區(qū)、設(shè)備、逗留患者頭部患者腳部Evaluauononr.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2004-2017AsposePtyL神經(jīng)外科手術(shù)體位■神經(jīng)外科手術(shù)特點:1手術(shù)時間長;2術(shù)中需調(diào)整病人體位,故病人身體各受力點應(yīng)墊好防止褥瘡,肢體與肢體間、肢體與軀干間也應(yīng)墊好。同時還應(yīng)用床擋、固定帶或膠布妥善固定。■手術(shù)體位擺放的總體要求是:患者舒適、安全、無并發(fā)癥;充分顯露術(shù)野、便于醫(yī)生操作;固定牢固、不易移動;不影響呼吸循環(huán)功能。Evaluauononr.chAsposeslidesforNET