腹腔镜手术中电外科的原理与安全措施。
Principles and safety measures of electrosurgery in laparoscopy.
作者信息
Alkatout Ibrahim, Schollmeyer Thoralf, Hawaldar Nusrat A, Sharma Nidhi, Mettler Liselotte
机构信息
Department of Obstetrics and Gynaecology, University Hospitals Schleswig-Holstein, Campus Kiel, Germany.
出版信息
JSLS. 2012 Jan-Mar;16(1):130-9. doi: 10.4293/108680812X13291597716348.
BACKGROUND
Electrosurgical units are the most common type of electrical equipment in the operating room. A basic understanding of electricity is needed to safely apply electrosurgical technology for patient care.
METHODS
We reviewed the literature concerning the essential biophysics, the incidence of electrosurgical injuries, and the possible mechanisms for injury. Various safety guidelines pertaining to avoidance of injuries were also reviewed.
RESULTS
Electrothermal injury may result from direct application, insulation failure, direct coupling, capacitive coupling, and so forth.
CONCLUSION
A thorough knowledge of the fundamentals of electrosurgery by the entire team in the operating room is essential for patient safety and for recognizing potential complications. Newer hemostatic technologies can be used to decrease the incidence of complications.
背景
电外科设备是手术室中最常见的电气设备类型。为了安全地将电外科技术应用于患者护理，需要对电学有基本的了解。
方法
我们回顾了有关基本生物物理学、电外科损伤发生率以及可能的损伤机制的文献。还回顾了各种与避免损伤相关的安全指南。
结果
电热损伤可能由直接应用、绝缘故障、直接耦合、电容耦合等引起。
结论
手术室全体人员全面了解电外科的基本原理对于患者安全和识别潜在并发症至关重要。可使用更新的止血技术来降低并发症的发生率。
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