新闻 资讯

  • 使用电刀的相对禁忌和注意事项
  • 本站编辑:杭州欣浩医疗科技有限公司发布日期:2018-08-08 11:11 浏览次数:

、美容整形外科对电刀的使用是谨慎的,皮肤的切开是电刀的禁区(但是MOHA电凝刀可以在美容整形中使用)。另外一些特殊的外科手术,如肠梗阻手术。由于肠内存在由细菌产生的可燃气体,使用电刀切开肠管减压时,有可能引起爆炸导致严重后果。

1. Aesthetic plastic surgery is cautious about the use of electric knife, skin incision is forbidden area of electric knife (but MOHA electrocoagulation knife can be used in cosmetic plastic surgery). Other special surgical procedures, such as intestinal obstruction surgery. Because of the existence of flammable gas produced by bacteria in the intestine, the use of electric knife to incise the intestine for decompression may lead to explosion and serious consequences.

2、由于电刀起作用点是接触电阻最大的地方,所以,地线连接皮肤的线路要避免接触不良,要可靠接触且接触面积尽量大,以避免灼伤!(使用MOHA电凝刀可以避免这一点)

2, because the electric knife action point is the place where the contact resistance is the most, so the line connecting the ground to the skin should avoid bad contact and contact and contact the area as large as possible to avoid the burn! (using a MOHA electrocoagulator to avoid this)

2-140H3155I7.jpg

3、取内固定物时电刀不要接触到内固定物,特别是脊柱的内固定物,因为带电的电刀可能会损伤硬膜囊、神经根或脊髓,导致神经脊髓损伤严重可致截瘫。

3. When the internal fixator is taken, the electric knife does not touch the internal fixator, especially the internal fixator of the spine, because the charged electric knife may damage the dural sac, nerve root or spinal cord, causing the nerve spinal cord injury to be seriously paraplegic.

4、深部组织如果用电刀,尽量用长柄、仅露出刀尖的,防止裸露的金属刀头损伤血管、神经等邻近结构。

4. If the deep tissue uses the electric knife, try to use the long handle, only exposes the knife point, prevents the exposed metal knife head from damaging the blood vessels, nerves and other adjacent structures.

5、注意不要让电刀误伤表皮,皮下组织尽量不用电刀切,用手术刀切开皮下,再用电凝点烫止血。在一些出血不多的部位,也不用电刀切(太慢)。比如关节置换手术中,可用手术刀一直切到关节囊。

5. Be careful not to let the electric knife injure the epidermis by mistake. The subcutaneous tissues should be incised subcutaneously with the surgical knife without the electric knife as far as possible, and then scalded with the electric coagulation point to stop bleeding. In some places where there is not much bleeding, no electric knife is needed (Tai Man). For example, joint replacement surgery can be cut through the scalpel to the joint capsule.

6、一般是放开止血带、电凝止血后,再冲洗,擦干、再止血,观察无活动出血点才可放心。引流固然重要,耐心细致的止血更重要。

6. Generally speaking, after releasing tourniquet, coagulating hemostasis, rinsing, drying and stopping bleeding can be relieved if there is no active bleeding point. Drainage is important. Patience and meticulous hemostasis are more important.