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1.
严格清点制度杜绝遗留异物安徽省蚌埠市第二医院(233000)吴凤珍,秦晓玲手术时切口或体腔内遗留纱布、器械等是医疗事故,后果常很严重,不仅增加病人痛苦,还会造成危害,甚至影响生命。现就10年来蚌埠地区发生术中遗留异物12例报告如下:临床资料一、一般资...  相似文献   

2.
杨微薇  邓大琼 《全科护理》2008,6(33):3080-3080
如何有效预防手术中异物遗留体内,一直是所有医院外科医生和手术室护理人员共同重视的问题。手术中异物遗留体内不仅影响手术效果,异物在体内被增生的结缔组织包裹形成包块,还可能影响病人的日常生活和生理机能,对病人的生理、心理造成极大痛苦。对于危重、衰竭的病人如果再次行异物取出手术将很可能危及生命。现将我院手术室对如何防止术中异物遗留体内采取的措施总结如下。  相似文献   

3.
防止术中异物遗留体腔的全程管理   总被引:1,自引:0,他引:1  
手术中异物遗留体腔不仅影响手术效果,也给患者带来极大痛苦,甚至危及生命。一般情况下,必须再次手术,将异物取出,才能达到缓解的目的。少数未经取出的异物,在体内被增生的结缔组织包裹形成团块,将可能影响患者的机能,不仅对患者造成痛苦,对责任者也是一个严重的教训。对如何防止异物遗留,一直是各医院手术医护人员共同重视的问题。现将我院手术室防止异物遗留措施报道如下。  相似文献   

4.
赖英桃 《齐鲁护理杂志》2005,11(8):1006-1007
目的:探讨防止术中异物遗留的有效措施。方法:加强手术人员专业培训,手术全程实行制度化管理,找出手术室工作中薄弱环节。结果:杜绝了术中异物遗留,为手术患者提供了安全保障。结论:防止术中异物遗留的关键在于建立各项规章制度,培养手术室护士严谨的工作态度和一丝不苟的工作作风,严格遵循各种操作规章制度。  相似文献   

5.
目的:探讨防止术中异物遗留的有效措施。方法:加强手术人员专业培训,手术全程实行制度化管理,找出手术室工作中薄弱环节。结果:杜绝了术中异物遗留,为手术患者提供了安全保障。结论:防止术中异物遗留的关键在于建立各项规章制度,培养手术室护士严谨的工作态度和一丝不苟的工作作风,严格遵循各种操作规章制度。  相似文献   

6.
防止术中异物遗留的体会   总被引:3,自引:2,他引:1  
赖英桃 《齐鲁护理杂志》2005,11(15):1006-1007
目的探讨防止术中异物遗留的有效措施.方法加强手术人员专业培训,手术全程实行制度化管理,找出手术室工作中薄弱环节.结果杜绝了术中异物遗留,为手术患者提供了安全保障.结论防止术中异物遗留的关键在于建立各项规章制度,培养手术室护士严谨的工作态度和一丝不苟的工作作风,严格遵循各种操作规章制度.  相似文献   

7.
如何有效预防手术中异物遗留体内,一直是所有医院外科医生和手术室护理人员共同重视的问题.手术中异物遗留体内不仅影响手术效果,异物在体内被增生的结缔组织包裹形成包块,还可能影响病人的日常生活和生理机能,对病人的生理、心理造成极大痛苦.对于危重、衰竭的病人如果再次行异物取出手术将很可能危及生命.现将我院手术室对如何防止术中异物遗留体内采取的措施总结如下.  相似文献   

8.
袁世明  朱燕梅 《全科护理》2013,(24):2273-2274
研究手术室防异物遗留病人体内的护理管理方法。通过分析手术室可能存在异物遗留病人体内的隐患因素,探讨手术室护理的细节管理方法。加强手术室护理细节管理,能保证手术病人安全。手术室的细节管理在手术室管理中十分重要,注意手术室护理中的细节能有较防止异物遗留手术病人体内。  相似文献   

9.
1983年5月~2002年11月,我们先后收治了5例因四肢开放性骨折内固定的遗留异物.引起感染性骨髓炎的患者,并采用取出内固定物及遗留的异物,行骨髓炎处开窗,术后连续灌洗引流等方法,取得了满意的疗效,报告如下。  相似文献   

10.
为了寻求外科病人手术后遗留手术器械和海绵这类医疗差错的危险因素 ,研究人员进行了一项病例对照性研究 ,回顾分析了一家覆盖马萨诸塞州三分之一医师的重大医疗差错保险公司在 1 985~ 2 0 0 1年 1 6年间归档在册的有关遗留手术器械或海绵的所有索赔和事故报告的病历记录。其中共有 6 1件手术后遗留异物 ,涉及 54例病人。研究人员为每1例病人随机选择了约 4例在手术期半年内接受相同类型手术的病人作为对照组 ,对遗留手术器械和海绵的危险因素进行了分析研究。纳入该项研究的病例组为 54例手术后遗留异物病人和对照组为 2 35例。 54例病例…  相似文献   

11.
Patients commonly present to the emergency department with a suspected retained foreign body, following penetrating injury. While plain radiography is often the first line in identifying radio-opaque foreign bodies, radiolucent foreign bodies such as wood and plastic can easily be missed. Furthermore, real-time visualization of such a foreign body can assist in its removal. This article evaluates the use of point-of-care ultrasound by emergency physicians in the identification and removal of soft-tissue foreign bodies along with describing the appropriate technique and highlighting the potential pitfalls. An illustrated case example is presented that highlights the benefits of point-of-care ultrasound foreign body detection and guided removal.  相似文献   

12.
A retained urethral foreign body is an uncommon presentation in the Emergency Department. The diagnosis and treatment of retained urethral foreign bodies are determined by their size, location, shape, and mobility and often require specialty consultation and operative intervention. In this case of a 74‐year‐old man with a self‐inserted, retained urethral foreign body, we present the utility of a bedside ultrasound to detect the depth, size, and distance from the meatus of the object to guide the approach to extraction of the object at the bedside in the Emergency Department. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 46 :296–298, 2018  相似文献   

13.
Management of corneal foreign bodies   总被引:1,自引:0,他引:1  
Optimal management of corneal foreign-body injuries includes an accurate history, thorough examination of both eyes, atraumatic removal of the foreign body, elimination of the rust ring, appropriate antibiotic prophylaxis and protective patching. Pitfalls to be avoided include using topical steroids, which may promote ulceration from fungal contaminants, and prescribing topical anesthetics, which can mask the pain of a retained tarsal foreign body or a developing corneal ulcer. Careful records of care and follow-up are essential.  相似文献   

14.
Open wounds and lacerations are the most commonly encountered problems in emergency medicine. Detection and removal of a foreign body is essential to avoid the many complications of a retained foreign body, which may include infection, inflammation, allergic reaction, and disability. Currently, there are several imaging modalities that the emergency medicine provider may use to aid in foreign body detection and wound management. Techniques and appropriate use of these imaging modalities for foreign bodies and soft tissue infections are discussed in this article.  相似文献   

15.
Prolonged airway entrapment of a foreign body is a rare occurrence. We report a case of a chicken bone retained in the right main bronchus for 14 years and highlight the importance of a foreign body in the airway in the differential diagnosis of chronic and intractable cough.  相似文献   

16.
A retained enema tube sheath was encountered in 4 outpatients who underwent preparation for barium enema. This object can be detected on a plain abdominal roentgenogram, but is more readily apparent as an intraluminal foreign body during barium enema examination. We suggest that a prominent warning to remove the sheath before taking a cleansing enema be attached to the enema tip.  相似文献   

17.
目的:总结腹腔纱布异物的CT表现特征,分析误诊原因。方法回顾性分析3例经手术病理学检查证实的腹腔纱布异物患者的CT检查结果及临床资料。结果腹腔纱布异物在CT平扫时早期因气体较多而表现为蜂窝状肿块,后期表现为软组织密度肿块,中心密度低于边缘,增强扫描均表现为包膜明显强化而内部无强化。结论腹腔纱布异物在CT增强检查中有一定的特征性表现,综合分析患者CT检查特征表现和临床手术史,能减少误诊的发生。  相似文献   

18.
The ultrasonic images obtained in 2 patients with retained gauze in the abdomen are presented. Identification of a cystic mass with highly irregular internal echoes in patients with previous laparotomy should alert the radiologist to the possibility of foreign body retention.  相似文献   

19.
体内异物的超声检查与定位诊断   总被引:3,自引:0,他引:3  
本文报告4例体内异物的超声图像表现及特征,其中2例为术中遗留纱布里弧形和带状强回声,后方伴声影。1例腹后壁自制猎枪子弹,1例胸腔玻璃碎片分别呈圆点状和带状强回声,后方伴随多次反射。常规经体表超产检查、术前超声引导下穿刺活检、术中超声检查具有人法简便、灵敏度高、直观效果等优点为体内异物的定位诊断.提供了又一重要的影像学检查手段。  相似文献   

20.

Background

Soft tissue injury with a retained foreign body (FB) is a common emergency department (ED) complaint. Detection and precise localization of these foreign bodies is often difficult with traditional plain radiographic imaging or computed tomography (CT).

Case Report

We present three cases in which bedside ultrasound was used to identify and guide management of retained soft tissue foreign bodies. Comparison of ultrasound vs. plain radiography and CT, as well as techniques for FB identification and removal, are discussed.

Why should an emergency physician be aware of this?

Bedside ultrasound is an invaluable tool in the localization of foreign bodies in relation to other anatomic structures, and aids in the decision to remove them in the ED.  相似文献   

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