Qhov taw qhia ntawm kev nyab xeeb
Ib qho kev tshawb fawb luam tawm nyob rau hauv phau ntawv Journal Infection Control and Hospital Epidemiology (tinyurl.com/pdjoesh) qhia 99% ntawm cov kws phais neeg kuaj mob tau txais tsawg kawg yog 1 rab koob hauv lawv txoj haujlwm.Qhov teeb meem, nco ntsoov cov kws tshawb fawb, yog tias cov hnab looj tes phais feem ntau mus tsis tau pom thaum lub sijhawm kis mob, txhais tau tias cov kws phais yuav raug rau cov ntshav thiab cuam tshuam txog kev pheej hmoo kis mob yam tsis paub txog.
SURGEON SENSATION
Nws tsuas siv 2 lub lis piam kom tau txais kev xav rau ob-Gloving
Ypeb cov kws phais yuav xav tias ob lub hnab looj tes txo qis tes rhiab thiab dexterity."Txawm hais tias lub cev loj ntawm cov ntaub ntawv txhawb nqa ob lub hnab looj tes, qhov teeb meem loj ntawm qhov kev cuam tshuam no yog qhov tsis muaj cov kws phais neeg pom zoo," sau cov kws tshawb fawb Ramon Berguer, MD, thiab Paul Heller, MD, hauv phau ntawv Journal of the American College of Surgeons ( tinyurl.com/cd85fvl ib).Cov xov xwm zoo, cov kws tshawb fawb hais tias, yog tias nws tsis siv sijhawm ntev rau cov kws phais mob kom pib hnov zoo rau qhov txo qis ntawm tes rhiab heev cuam tshuam nrog ob-gloving.
"Cov qauv hauv hnab looj tes tam sim no ua rau ob lub hnab looj tes zoo dua thiab tau ua rau kev txhim kho 2-point kev ntxub ntxaug - lub peev xwm ntawm tus kws phais kom hnov 2 ntsiab lus kov nws daim tawv nqaij," hais tias Dr. 2 lub lis piam sim nws thawj zaug.
- Daniel Cook
Cov kws tshawb fawb hais tias cov hnab looj tes puncture sib txawv, txawm hais tias muaj kev pheej hmoo nce mus txog 70% thaum cov txheej txheem ntev dua thiab thaum lub sijhawm phais yuav tsum tau siv zog ntau tshaj plaws hauv cov kab noj hniav thiab ib puag ncig.
pob txha.Lawv tau sau tseg ntxiv tias kev tshawb fawb pom tias qhov kev pheej hmoo ntawm ntshav sib kis tau txo qis los ntawm 70% nrog rau ib lub hnab looj tes kom qis li 2% nrog ob lub hnab looj tes, zoo li cov hnab looj tes sab hauv tau pom tias nyob twj ywm nyob rau hauv txog li 82% ntawm cov neeg mob.
Txhawm rau txiav txim siab ntau npaum li cas cov ntshav hloov mus los ntawm ib thiab ob txheej ntawm cov hnab looj tes ntawm qhov chaw ntawm kev raug mob percutaneous, cov kws tshawb fawb tau daig nqaij npuas tawv nrog cov lancets tsis siv neeg, uas simulated suture needlesticks.Raws li cov kev tshawb pom, qhov nruab nrab ntim ntawm 0.064 L ntawm cov ntshav yog pauv mus rau hauv qhov tob ntawm 2.4mm los ntawm 1 hnab looj tes txheej, piv nrog tsuas yog 0.011 L ntawm cov ntshav los ntawm
ob-glove khaubncaws sab nraud povtseg, uas txhais tau hais tias lub ntim tau txo los ntawm ib tug tseem ceeb ntawm 5.8.
Tshwj xeeb tshaj yog, ob lub hnab looj tes siv hauv txoj kev tshawb fawb suav nrog qhov ntsuas qhov ntsuas: lub hnab looj tes ntsuab sab hauv hnav nrog cov hnab looj tes-xim xim.Raws li cov kws tshawb fawb, tag nrho cov punctures ntawm hnab looj tes txheej txheej tau pom meej meej pom los ntawm cov xim ntsuab ntawm cov hnab looj tes uas pom ntawm qhov chaw puncture.Cov xim sib txawv txo qhov kev pheej hmoo ntawm cov ntshav los ntawm kev ceeb toom cov kws phais thiab cov neeg ua haujlwm rau kev ua txhaum cai uas tej zaum yuav tsis muaj neeg pom.
"Ob lub hnab looj tes yuav tsum raug pom zoo rau txhua txoj kev phais thiab yuav tsum tau ua rau cov txheej txheem ua rau cov neeg mob paub tias muaj kab mob lossis cov neeg mob uas tseem tsis tau kuaj mob," cov kws tshawb fawb hais.Lawv kuj tau taw qhia tias thaum qhov kev tiv thaiv ntawm ob lub hnab looj tes yog qhov tseeb, nws tseem tsis tau ua raws li qhov kev iab liam txo qis hauv dexterity thiab kev nkag siab ntawm kev kov (rau cov pov thawj rau qhov tsis sib xws, saib sidebar hauv qab).
Kev phais 's riskiest specialty
Ib tsab ntawv ceeb toom hauv Acta Orthopædica Belgica (tinyurl.com/qammhpz), cov ntawv xov xwm tshaj tawm ntawm Belgian Society of Orthopedics thiab Traumatology, hais tias hnab looj tes perforation muaj li ntawm 10% hauv ophthalmology mus rau 50% hauv kev phais dav dav.Tab sis qhov kev ntxhov siab thiab kev ua haujlwm ntawm kev siv cov oscillating saws, cov cuab yeej hlau thiab cov khoom cog thaum lub sij hawm orthopedic cov txheej txheem ua rau cov hnab looj tes rau qhov hnyav shear quab yuam, muab cov orthopods ntawm qhov kev pheej hmoo loj tshaj plaws ntawm cov kws phais mob tshwj xeeb, hais cov kws tshawb fawb.
Hauv txoj kev tshawb no, cov kws tshawb fawb tau soj ntsuam cov hnab looj tes perforations thaum lub sij hawm loj tag nrho lub duav thiab lub hauv caug hloov thiab ntau lub hauv caug arthroscopies.Lawv kuj tau tshuaj xyuas seb ob lub hnab looj tes cuam tshuam li cas rau qhov perforation thiab seb tus nqi sib txawv ntawm cov kws phais, lawv cov pab thiab LOSSIS tus kws saib xyuas neeg mob.
Tag nrho cov hnab looj tes perforation yog 15.8%, nrog rau 3.6% tus nqi thaum lub sij hawm arthroscopies thiab 21.6% tus nqi thaum hloov pauv.Ntau tshaj 72% ntawm kev ua txhaum cai mus tsis tau pom txog thaum tom qab cov txheej txheem muaj
xaus.Tsuas yog 3% ntawm cov hnab looj tes sab hauv tau raug mob - tsis muaj nyob rau hauv arthroscopies - piv nrog 22.7% ntawm cov hnab looj tes sab nraud.
Qhov tseem ceeb, tsuas yog 4% ntawm perforations tau sau tseg thaum cov txheej txheem tseem ceeb cuam tshuam ob lub hnab looj tes.Ib lub hlis twg ntawm 668 tus kws phais neeg koom nrog hauv txoj kev tshawb fawb tau raug cov hnab looj tes perforated, uas yog siab dua li 8% ntawm 348 tus pab thiab 512 tus kws saib xyuas neeg mob uas raug kev txom nyem tib yam.
Cov kws tshawb fawb tau sau tseg tias ob lub hnab looj tes hauv cov txheej txheem orthopedic txo qis qhov tshwm sim ntawm perforation ntawm cov hnab looj tes sab hauv.
Txawm hais tias cov neeg ua haujlwm phais uas txhuam hniav kom zoo txo lawv txoj kev pheej hmoo ntawm kev kis kab mob hauv cov hlab ntshav thaum cov hnab looj tes perforated, lawv ntxiv, cov kev tshawb fawb yav dhau los tau pom cov kab mob coj mus rau hauv qhov chaw perforation tau zoo txog 10% ntawm lub sijhawm.
Post lub sij hawm: Jan-19-2024