Gregory M. Anderson, DVM, Dipl. ACVS 格雷格 PDF
Preview Gregory M. Anderson, DVM, Dipl. ACVS 格雷格
Gregory M. Anderson, DVM, Dipl. ACVS 格雷格 安德森 · 美国兽医学博士，美国兽医外科学院认证医师 University of Minnesota 明尼苏达大学 目标 Objectives When to close a wound 何时闭合伤口 Review simple techniques to close a wound 复习闭合伤口的简单方法 Discuss advanced reconstructive techniques 讨论高级的重建技巧 Discuss complications 讨论并发症 Reconstructive Surgery 重建手术 目标 Goals : 恢复功能 Return to Function 美容效果 Cosmetic result Reconstructive Surgery 重建手术 伤口 Wounds 外伤 ○ Traumatic 手术 ○ Surgical 核实关闭？ When to Close? 尽量尽早闭合伤口以 Tendency to close a wound as soon as 安抚饲主 possible to appease owners 伤口恢复健康前别会 Closing a wound 导致开裂和化脓 before it is healthy will result in dehiscence, abscessation, or both. Complications are a 并发症会造成饲主失 source of owner 望 frustration 何时关闭 When to Close So…. ask yourself these questions before if “yes”如果回答“是”: closing a wound: ○ continue open wound 闭合伤口前问自己这些问 mgmt. 题： 继续保持伤口开放 is nonviable tissue present? if “no”如果回答“不是” 是否有不能存活的组织？ ○ consider closure is contamination high? 考虑关闭 污染程度严重吗？ is severe inflammation expected? 会发生严重炎症吗？ Simple Closure Methods 简单的关闭方法 Undermine and appose wound margins 分离伤口周边皮肤并将伤口边缘并列 Simple Closure Methods 简单的关闭方法 萨曼莎 “Samantha ” 10 year-spayed female DLH 岁 绝育母本土短毛 10 - Dental performed 10 days prior 天前进行牙科治疗 10 Simple Closure Methods 简单的关闭方法 萨曼莎 “Samantha ” Simple Closure Methods 简单的关闭方法 萨曼莎 “Samantha ” Wounds monitored, minor debridement performed 监控伤口，小范围清创 Surgery scheduled once necrosis non- progressive (2-3 weeks post-injury) 坏死不继续发展后进行 手术（受伤后 周） 2-3
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