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id="ynv61y8" class="new_left fl"> <div id="jtkvmik" class="news_mian"> <div id="92tlu79" class="tit"> <h1>【下頜第一磨牙拔除術】2023口腔助理醫(yī)師實踐技能?？季?/h1> <div id="coldnp7" class="mark clearfix"> <div id="bkyyw85" class="fl"> <span id="fbgs2q7" class="time">2023-05-20 17:15</span> <a href="http://thedailypurge.net" title="醫(yī)學教育網" class="a1">醫(yī)學教育網</a> </div> <a href="javascript:void(0)" onclick="window.external.AddFavorite(location.href,document.title);" target="_self" class="collection ico fr"></a>  <div id="u0abmy9" class="fen fr">|</div> <div id="z4q0rlg" class="font_size fr ico"><a href="javascript:void(0);" target="_self" class="big lan ico">大</a><a href="javascript:void(0);" target="_self" class="small ico">小</a></div> </div> </div> </div>  <div style="width: 800px;text-align: left;margin: 0 auto;margin-bottom: 20px;"> <div style="width:800px; height:90px;">  <a href="http://thedailypurge.net/yishizigekaoshi/baoming/li2412107427.shtml" target="_blank"> <img title="報名預約" src="http://thedailypurge.net/upload/resources/image/2024/12/12/826396.png" width="800" height="90" style="border:0px;"></a> </div> </div>  <p></p>  <div id="kyau3wa" class="news_con"> <div id="gqe2z9f" class="jxbox clearfix"> <p style="white-space: normal;">面對<a href="http://thedailypurge.net/shijianjineng/" target="_blank" title="口腔助理醫(yī)師實踐技能考試" class="hotLink">口腔助理醫(yī)師實踐技能考試</a>，很多考生在備考過程中會有些迷茫，但只要打牢基礎，穩(wěn)步積累，多去思考和總結，一定能收獲理想的結果！正保醫(yī)學教育網小編幫考生整理了2023<a href="http://thedailypurge.net/kouqiangzhuliyishi/" target="_blank" title="口腔助理醫(yī)師" class="hotLink">口腔助理醫(yī)師</a>實踐技能?？季怼跋骂M第一<a href="http://thedailypurge.net/jibing/moya/" target="_blank" title="磨牙" class="hotLink">磨牙</a>拔除術”，快來看看自己是否掌握吧！</p><p><section draggable="true" data-tools="135編輯器" data-id="109677" style="white-space: normal;"><section style="margin: 10px auto;"><section style="display: inline-block;"><section style="display: flex; justify-content: center;"><section style="border: 1px solid rgb(140, 183, 246); padding: 5px 19px 5px 7px; background-color: rgb(255, 255, 255); box-sizing: border-box;"><section style="display: flex; justify-content: center; align-items: center;"><section style="letter-spacing: 0.5px; color: rgb(140, 183, 246); background: linear-gradient(rgba(254, 254, 254, 0) 0%, rgba(254, 254, 254, 0) 80%, rgb(255, 240, 158) 80%, rgb(255, 240, 158) 100%);"><span style="letter-spacing: 1.5px; font-weight: bold; background-color: initial;">下頜第一<a href="http://thedailypurge.net/jibing/moya/" target="_blank" title="磨牙" class="hotLink">磨牙</a>拔除術</span></section></section></section><section style="display: flex; margin: 3px 0px -3px;"><section style="width: 3px; height: 37px; border-top: 1px solid rgb(140, 183, 246); border-right: 1px solid rgb(140, 183, 246); background-color: rgb(255, 189, 74); overflow: hidden; box-sizing: border-box; transform: skewY(50deg);"></section></section></section><section style="margin: 0px 2.5px;"><section data-width="100%" style="width: 201px; height: 6px; background-color: rgb(140, 183, 246); overflow: hidden; box-sizing: border-box; transform: skew(40deg); max-width: 100%;"></section></section></section><section style="background-color: rgb(239, 245, 254); padding: 35px 15px 20px; border-radius: 10px; margin: -18px 0px 0px 5px; box-sizing: border-box;"><section style="background-color: rgb(255, 255, 255); padding: 10px 10px 15px; box-sizing: border-box;"><section data-autoskip="1" style="text-align: justify; line-height: 1.75em; letter-spacing: 1.5px; color: rgb(82, 82, 82); background: transparent;"><p>基本操作</p><p>下頜第一<a href="http://thedailypurge.net/jibing/moya/" target="_blank" title="磨牙" class="hotLink">磨牙</a>拔除術</p><p>（本題滿分20分）</p><p>【隱藏答案】</p><p>參考要點：</p><p>1.愛傷觀念。</p><p>2.病人下頜咬合平面與地面平行，其高度應在醫(yī)生肘關節(jié)以下。</p><p>3.醫(yī)生一般應站在患者的右前方，平穩(wěn)站立，全身放松。</p><p>4.認真檢查病人或根據(jù)病歷核對患牙，判斷該牙拔除的必要性和適應癥。</p><p>5.仔細詢問病人全身病史，排除拔牙禁忌癥。</p><p>6.物品準備：麻醉藥物、口腔檢查器械、口腔黏膜消毒劑、棉簽、口腔注射器、牙齦分離器、口腔外科專用刮匙、下頜<a href="http://thedailypurge.net/jibing/moya/" target="_blank" title="磨牙" class="hotLink">磨牙</a>拔牙鉗、棉球、棉卷等敷料。</p><p>7.一般選用下牙槽神經、舌神經和頰長神經阻滯麻醉。</p><p>8.病人大張口，下頜咬合平面與地面平行，以左手手指或口鏡提拉口角，用干棉球擦干，消毒注射區(qū)黏膜，牽引注射處的黏膜，使之繃緊，以減少穿刺時的疼痛。</p><p>9.先告知病人注射之初可有微痛，將注射器放在對側口角，即第一、第二前<a href="http://thedailypurge.net/jibing/moya/" target="_blank" title="磨牙" class="hotLink">磨牙</a>之間，與中線呈45°，注射針應高于下頜咬合平面1cm，并與之平行。進針點在翼下頜皺襞中點稍外側，一般推進2.5cm左右可觸及骨面，回抽無血，注入麻藥1——1.5ml，再將注射器退出1cm，注射麻藥1ml，即可麻醉舌神經，可在退針時，邊退邊注射麻藥，直至黏膜下為止，或可在患牙頰側前庭溝注射局部浸潤麻醉以麻醉頰長神經。</p><p>10.檢查麻醉效果。</p><p>11.在拔牙之前應仔細與病歷和患者核對牙位。</p><p>12.消毒術區(qū)，清除大塊牙石。</p><p>13.使用牙齦分離器，正確使用分離器的工作面，應該有支點。</p><p>14.放置牙鉗時，鉗喙長軸應與所拔除牙之長軸平行，鉗喙應充分向根方伸展，夾緊患牙。</p><p>15.拔牙動作主要為頰舌向搖動，松動后向上、頰側方向牽引拔牙，也可向舌側上方牽引拔除，拔出時應注意對牙齦和對頜牙進行適當保護。</p><p>16.檢查牙根完整性。</p><p>17.使用刮匙探查取出拔牙窩內殘片、牙石、肉芽組織等，但不做劇烈的搔刮動作。</p><p>18.令血液充滿拔牙窩，使用棉卷和紗布行牙槽窩復位，最后使用棉卷令病人咬緊，壓迫止血。</p><p>19.壓迫止血為20——30分鐘，術后24小時不能劇烈漱口，盡量減少對拔牙創(chuàng)的刺激，不要吸吮拔牙窩，進食溫涼，術后24——48小時唾液中少量血液為正?，F(xiàn)象。</p><p>20.如果出血不止，應該用紗布咬緊后，迅速來醫(yī)院就診。</p><p>21.說明拔除牙后修復的時間或復查的時間。</p><p>【該題針對“牙拔除術”知識點進行考核】</p></section></section></section></section></section><section data-role="paragraph" style="white-space: normal; height: 0px; overflow: hidden;"></section><section data-role="paragraph" style="white-space: normal;"><p style="text-align: right;"><span style="color: rgb(127, 127, 127);">聲明：本文為正保醫(yī)學教育網原創(chuàng)整理，轉載請注明來源正保醫(yī)學教育網。</span></p></section><section data-role="paragraph" style="white-space: normal;"><p><strong>溫馨提示：</strong>本次免費醫(yī)師實踐技能模考題共計3套，每套內含醫(yī)師實踐技能全部站點考題?？蓭椭蠹沂煜ぜ寄芨髡敬慰荚囶}型及分值占比。</p><p><strong>友情提示：</strong></p><p>凡購買課程含技能特色班，可解鎖實踐技能題庫，立即購課做題吧！</p><p style="text-align: center;"><a href="http://thedailypurge.net/kouqiangyishi/project-jntsb/index.shtml" target="_blank" style="text-decoration-line: none; color: rgb(0, 0, 255); outline: none;"><img src="/upload/resources/image/2023/04/14/709329_1000x2000.png" title="ysjndt" alt="ysjndt" suffix="png" style="border-width: 0px; margin-left: -2em; max-width: 100%;"/></a></p><p><strong>相關推薦：</strong></p><p><a href="/kouqiangzhuliyishi/fudaopeixun/wa2305162407.shtml" articlerela="5335468" target="_blank">“口腔組織病理學”與“口腔解剖生理學”如何復習？考點練習不可缺席！</a></p><p><a href="/kouqiangzhuliyishi/fudaopeixun/wa2304215226.shtml" articlerela="5324620" target="_blank">【口外及影像】2023口腔助理醫(yī)師專題知識點匯總</a></p><p><a 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