1、College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*第一章第一章 外科手术概述外科手术概述College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,
2、MA WM PhD9/16/2019*前前 言言有人说，外科医生必须有一双鹰眼，一个狮子心和一双有人说，外科医生必须有一双鹰眼，一个狮子心和一双女人的手女人的手(eyes of an eagle,heart of a lion,hands(eyes of an eagle,heart of a lion,hands of a woman)of a woman)。这意味着外科医生需要有良好的观察力、。这意味着外科医生需要有良好的观察力、大的胆量和灵巧的外科技艺。外科是医学的一个分支，大的胆量和灵巧的外科技艺。外科是医学的一个分支，疾病需要全面医治，通过手法或手术治疗仅是一小部分。疾病需要全面医治
3、，通过手法或手术治疗仅是一小部分。尽管外科包括技艺，但外科技艺是科学的，外科和内科尽管外科包括技艺，但外科技艺是科学的，外科和内科不再有严格的界限。现代兽医外科已包括病畜的代谢反不再有严格的界限。现代兽医外科已包括病畜的代谢反应，术前、术后护理。外科医师首先是一名诊断医师，应，术前、术后护理。外科医师首先是一名诊断医师，然后才是在外科方面有特殊技能的临床医师。然后才是在外科方面有特殊技能的临床医师。College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medi
4、cine,SDAUCopyright All reserved,MA WM PhD9/16/2019*生命是一连续的、复杂的生理生化的绝对生命是一连续的、复杂的生理生化的绝对平衡。成功的外科医生更依靠于这种平衡的保平衡。成功的外科医生更依靠于这种平衡的保持与再建，而不是仅依靠那高超的技术。为此，持与再建，而不是仅依靠那高超的技术。为此，人们越来越重视术前、术后的护理。在这一方人们越来越重视术前、术后的护理。在这一方面，外科医生应与操作员区别开来。面，外科医生应与操作员区别开来。College of Animal Science and Veterinary Medicine,SDAUColle
5、ge of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*l外科医生不能碰运气，病畜才是碰运气。医生需外科医生不能碰运气，病畜才是碰运气。医生需要知道什么时候不能切，然后才知道什么时间、要知道什么时候不能切，然后才知道什么时间、在哪里切，继而才知道何时停止切。负责任的外在哪里切，继而才知道何时停止切。负责任的外科判断力的全部产品，是决定（科判断力的全部产品，是决定（decisiondecision），而），而不是操作（不是操作（operationoperation）。良好
6、的决定和判断是）。良好的决定和判断是优良外科的关键，技艺则是外科医生拥有的高度优良外科的关键，技艺则是外科医生拥有的高度发达的武器。发达的武器。College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Scienc
7、e and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Scienc
8、e and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*对炎症及其理解是外科病的基础理论，degeneration，exudation，hyperplasia，etc.College of Animal Scie
9、nce and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*College of Animal Scie
10、nce and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*外科医生的基本素养 无菌素养正确对待组织的素
11、养正确对待和使用器械的素养。健康的体格、精湛的医疗技术、高尚的医德。College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyrigh
12、t All reserved,MA WM PhD9/16/2019*。不惜一切代价地保证动物的生命是没有理由的。(特殊动物除外）College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Ve
13、terinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*无菌术实施的范围 手术场所、直接和间接与手术创接触的条件手术场所、直接和间接与手术创接触的条件（器械、物品、人员等）、施术动物。（器械、物品、人员等）、施术动物。无菌技术的内容 College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/20
14、19*College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/20
15、19*College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/20
16、19*College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/20
17、19*College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*College of Animal Science and Veterinary Medicine,SDAUCollege of Animal Science and Veterinary Medicine,SDAUCopyright All reserved,MA WM PhD9/16/2019*六、手术的临床分类六、手术的临床分类 Thank you
