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胸外科手术;重要考量因素及实际步骤。

Thoracic surgery; important considerations and practical steps.

作者信息

Tillson D Michael

机构信息

Department of Clinical Sciences, Bailey Small Animal Teaching Hospital, College of Veterinary Medicine, Auburn University, 1220 Wire Road, Auburn, AL 36849, USA.

出版信息

Vet Clin North Am Small Anim Pract. 2015 May;45(3):489-506. doi: 10.1016/j.cvsm.2015.01.007.

DOI:10.1016/j.cvsm.2015.01.007
PMID:25869853
Abstract

Thoracic surgery is a challenge for any veterinary surgeon. A review of several important articles on topics relative to thoracotomy procedures is presented. Discussion also includes an evaluation of availability of appropriate surgical facilities, necessary equipment before undertaking thoracic surgical procedures, and the essentials and pitfalls to making an approach and effectively closing the thoracic cavity of a dog or cat. This article reviews the 3 primary types of thoracotomy: lateral (intercostal) thoracotomy, median sternotomy, and transdiaphragmatic thoracotomy. Essential anatomy, surgical approach, and various techniques to ensure effective and durable thoracotomy closure are presented.

摘要

胸外科手术对任何兽医来说都是一项挑战。本文综述了几篇关于开胸手术相关主题的重要文章。讨论内容还包括评估合适的手术设施的可用性、进行胸外科手术前所需的设备,以及对犬猫胸腔进行切开和有效闭合的要点与陷阱。本文回顾了三种主要的开胸手术类型:侧方(肋间)开胸术、正中胸骨切开术和经膈开胸术。介绍了关键解剖结构、手术入路以及确保开胸手术有效且持久闭合的各种技术。

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Thoracic surgery; important considerations and practical steps.胸外科手术;重要考量因素及实际步骤。
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Analgesia for small animal thoracic surgery.小动物胸外科手术的镇痛
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Intercostal thoracotomy closure: transcostal sutures as a less painful alternative to circumcostal suture placement.肋间开胸术闭合:经肋缝合作为一种比环肋缝合置线疼痛较轻的替代方法。
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Evaluation of pulmonary function and analgesia in dogs after intercostal thoracotomy and use of morphine administered intramuscularly or intrapleurally and bupivacaine administered intrapleurally.肋间胸廓切开术后犬的肺功能及镇痛评估,以及肌肉注射或胸膜内注射吗啡和胸膜内注射布比卡因的应用。
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