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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(jié)了“實踐技能基本操作：脂肪瘤切除后兩天換藥（臨床執(zhí)業(yè)醫(yī)師歷年?？迹比缦拢A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">歷年模考題</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：脂肪瘤切除后兩天換藥</p><p style="text-align: left;">解析：</p><p style="text-align: left;">1.物品準備</p><p style="text-align: left;">（1）換藥包內(nèi)有治療碗2只，鑷子2把（或血管銀2把)。拆線包還包括手術(shù)剪1把。</p><p style="text-align: left;">（2）碘伏或70%酒精棉球，生理鹽水棉球、紗布、膠布、棉簽等。</p><p style="text-align: left;">2.患者準備 </p><p style="text-align: left;">告知患者換藥的目的，患者應采取最舒服且傷口暴露最好的體位。應避免著涼，如傷口較復雜或疼痛較重，可適當給予鎮(zhèn)痛或鎮(zhèn)靜藥物以解除患者的恐懼及不安。</p><p style="text-align: left;">【操作步驟】換藥前操作者應洗手，并戴好帽子和口罩。</p><p style="text-align: left;">閉合傷口（縫合傷口）換藥</p><p style="text-align: left;">（1）一般在術(shù)后第2天或第3天更換第一次敷料。</p><p style="text-align: left;">（2）用手移去外層敷料，放在盛污物的治療碗或彎盤內(nèi)。。</p><p style="text-align: left;">（3）兩把鑷子法：一把鑷子直接用于接觸傷口，另一把鑷子專用于傳遞換藥碗中清潔物品。</p><p style="text-align: left;">（4）觀察傷口：觀察傷口處有無滲出物或皮膚紅腫。若有問題，考慮傷口出現(xiàn)并發(fā)癥，做相應處理。</p><p style="text-align: left;">（5）擦拭傷口：70%酒精棉球由內(nèi)向外消毒傷口及周圍皮膚，沿切口方向，范圍大約距切口 3～5cm,擦拭2～3遍。</p><p style="text-align: left;">（6）敷料固定：用無菌紗布遮蓋傷口，距離切口邊緣3cm以上，下層紗布光滑面向下，上層紗布光滑面向上，一般8～12層紗布。貼膠布固定敷料，貼膠布方向應與該處軀體運動方向垂直。</p><p style="text-align: left;">（7）告知患者換藥結(jié)束，予以適當衣物整理，遮擋住暴露軀體部分。</p><p style="text-align: left;">（8）丟棄敷料：將敷料按指定醫(yī)療廢棄物區(qū)域丟棄。</p><p style="text-align: left;"><strong style="color: rgb(51, 51, 51); text-indent: 32px;"><span style="color: rgb(192, 0, 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