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<div id="17brdl3" class="new_left fl"> <div id="ndzv773" class="news_mian"> <div id="5j35zbx" class="tit"> <h1>膿腫切開引流——臨床醫(yī)師實踐技能基本操作歷年?？?/h1> <div id="xpnjplv" class="mark clearfix"> <div id="9rlnlx5" class="fl"> <span id="hxxdt1d" class="time">2022-05-02 13:52</span> <a href="http://thedailypurge.net" title="醫(yī)學教育網(wǎng)" class="a1">醫(yī)學教育網(wǎng)</a> </div> <a href="javascript:void(0)" onclick="window.external.AddFavorite(location.href,document.title);" target="_self" class="collection ico fr"></a>  <div id="pd5nz3f" class="fen fr">|</div> <div id="9tvflrz" 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" 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rgb(255, 255, 255); color: rgb(51, 51, 51); background-color: rgb(222, 245, 255); padding: 6px 5px;" rowspan="1" colspan="3"> <span style="color: #C00000;">——●●●聚焦熱點●●●——</span> </th> </tr> </tbody> <tbody align="center"> <tr><td style="border-style: solid; border-color: #fff;color: #333; background-color: #f1fbff;padding: 10px 5px;"> <a href="http://thedailypurge.net/yishizigekaoshi/baoming/li2412107427.shtml" target="_blank" style="color: rgb(0, 0, 255); text-decoration: underline;"><span style="color: rgb(0, 0, 255);">報名預約>></span></a> </td> <td style="border-style: solid; border-color: #fff;color: #333; background-color: #f1fbff;padding: 10px 5px;"> <a href="http://thedailypurge.net/yishizigekaoshi/kaoshijingyan/ha2412111216.shtml" target="_blank" style="color: rgb(0, 0, 255); text-decoration: underline;"><span style="color: rgb(0, 0, 255);">有問必答>></span></a> </td> <td style="border-style: solid; border-color: #fff;color: #333; background-color: #f1fbff;padding: 10px 5px;"> <a href="http://thedailypurge.net/OtherItem/baomingpingce/index2.shtml" target="_blank" style="color: rgb(0, 0, 255); text-decoration: underline;"><span style="color: rgb(0, 0, 255);">報考測評>></span></a> </td> </tr> </tbody> </table> <p></p> </span> </div>  <div id="lvxjnnf" class="news_con"> <div id="n15vdlf" class="jxbox clearfix"> <p style="text-align: left;">2022年臨床執(zhí)業(yè)醫(yī)師實踐技能考試時間：2022年6月13日-26日。實踐技能第三站基本操作是考試難點之一，為了幫助廣大醫(yī)考生學習，醫(yī)學教育網(wǎng)老師專門總結了“膿腫切開引流——臨床醫(yī)師實踐技能基本操作歷年?？肌比缦?，預祝大家都能取得優(yōu)異成績：</p><p style="text-align: left;">查看匯總：<a href="/linchuangyishi/jinengfudaopeixun/su2204211969.shtml" articlerela="5036853" target="_blank">國家臨床執(zhí)業(yè)醫(yī)師實踐技能基本操作“歷年?？碱}”匯總</a></p><p style="text-align:center"><a href="/upload/resources/image/2022/04/15/580201.gif?1649992250849" target="_blank"><img src="/upload/resources/image/2022/04/15/580201.gif?1649992250849" title="考神100x100" alt="考神100x100" suffix="gif" data-ratio="1" style="vertical-align: inherit;"/></a></p><section data-role="title" data-tools="135編輯器" data-id="110063" style="white-space: normal;"><section style="margin: 10px auto; text-align: center;"><section style="color: rgb(255, 255, 255); display: flex; justify-content: flex-start; align-items: flex-end;"><section style="background: rgb(224, 14, 13); border-radius: 0px 13px 0px 0px; padding: 8px 15px; transform: rotate(0deg);"><strong data-brushtype="text">歷年?？碱}</strong></section><section data-brushtype="text" style="padding: 3px 8px; background: rgb(255, 207, 71); border-radius: 0px 15px 0px 0px; letter-spacing: 1.5px;">基本操作</section></section><section style="background: rgb(242, 242, 242); padding: 0px 17px 25px 0px;"><section style="box-sizing: border-box; width: 0px; height: 1px; margin-bottom: 15px; border-top: 10px solid rgb(224, 14, 13); border-right: 10px solid transparent; overflow: hidden;"></section><p style="text-align: left;">題號：膿腫切開引流</p><p style="text-align: left;">解析：首先戴好帽子、口罩，無菌手套；</p><p style="text-align: left;">持無菌鑷子，夾取碘伏棉球，以膿腫為圓心，由外向內，行常規(guī)消毒皮膚3遍，消毒范圍包括膿腫周圍15cm厘米的區(qū)域；</p><p style="text-align: left;">消毒完成后，覆蓋無菌洞巾，行局部浸潤麻醉。取2%利多卡因，沿擬定的手術切口一端進針，回抽無血后打一小皮丘，然后沿切口線進針，在皮下注射局麻藥物，由遠處向膿腔附近緩慢推進，直至切口的另一端。</p><p style="text-align: left;">待局部麻醉后，在膿腫上方、波動感最明顯處，垂直向下進刀，先行引流出一部分膿液，以減輕局部皮膚的張力，然后翻轉刀片，使刀刃向上，反挑切開膿腫，將其逐步擴大成一個大切口，起到徹底排除膿液的作用。</p><p style="text-align: left;">膿液排出后，以手指伸入膿腔，探查膿腔大小、形狀；膿腔內有纖維隔膜時，可用止血鉗行鈍性分離，使之變成為單一的大膿腔，利于引流。充分暴露膿腔后，需要對膿腫進行沖洗；沖洗的方法是：先用生理鹽水做第一遍沖洗，然后再用雙氧水做第二遍沖洗，待創(chuàng)面呈現(xiàn)泡沫后，用生理鹽水做第三遍沖洗，膿液較多時，可以反復沖洗，直到創(chuàng)面膿液清洗干凈；</p><p style="text-align: left;">創(chuàng)面沖洗干凈后，填塞引流紗布，填塞紗布時不要填塞過緊，防止引流不暢，另外，盡量選用完整連續(xù)的長條形紗布，以便取出時，防止個別小紗布遺留在傷口內，最后，將傷口覆蓋紗布，清理周圍皮膚，行局部包扎即可。</p><p style="text-align: left;"><strong style="color: rgb(51, 51, 51); text-indent: 32px;"><span style="color: rgb(192, 0, 0);">提示：以上題目為考生內容，可能和還原考點練習題有所出入，僅供參考！</span></strong></p></section></section></section><section data-tools="135編輯器" data-id="110068" style="white-space: normal;"><section 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