{"id":26893,"date":"2024-11-25T11:21:55","date_gmt":"2024-11-25T03:21:55","guid":{"rendered":"https:\/\/web.csh.org.tw\/web\/csh\/?p=26893"},"modified":"2024-11-25T11:23:04","modified_gmt":"2024-11-25T03:23:04","slug":"reduction-of-blood-loss-by-means-of-the-cavitron-ultrasonic-surgical-aspirator-for-thoracoscopic-salvage-anatomic-lung-resections","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/csh\/?p=26893","title":{"rendered":"Reduction of Blood Loss by Means of the Cavitron Ultrasonic Surgical Aspirator for Thoracoscopic Salvage Anatomic Lung Resections"},"content":{"rendered":"<p>\u80ba\u764c\u5728\u7d93\u904e\u78ba\u5b9a\u6027\u5316\u5b78\u653e\u5c04\u6cbb\u7642\u5f8c\uff0c\u904e\u5f80\u7d93\u9a57\u9810\u5f8c\u666e\u904d\u4e0d\u4f73\uff0c\u4f46\u5728\u8a31\u591a\u6a19\u9776\u85e5\u7269\u9032\u5c55\u5f8c\uff0c\u8a31\u591a\u75c5\u60a3\u5728\u80f8\u8154\u93e1\u88dc\u6551\u5f0f\u624b\u8853\u5f8c\u6709\u76f8\u7576\u7684\u7642\u6548\uff0c\u4f46\u662f\u88dc\u6551\u5f0f\u624b\u8853\u8981\u9762\u5c0d\u7684\u98a8\u96aa\u6975\u9ad8\uff0c\u5305\u62ec\u56b4\u91cd\u7684\u6cbe\u7c98\u4ee5\u53ca\u8106\u5f31\u7684\u80ba\u90e8\u7d44\u7e54\uff0c\u56e0\u6b64\u5229\u7528\u6709\u6548\u7684\u80fd\u91cf\u5de5\u5177 (Energy device) \u6e1b\u5c11\u624b\u8853\u4f75\u767c\u75c7\uff0c\u4fbf\u662f\u4e00\u500b\u91cd\u8981\u7684\u8b70\u984c\u3002\u8d85\u8072\u6ce2\u5916\u79d1\u5200 (CUSA) \u672c\u8eab\u539f\u7406\u70ba\u5229\u7528\u8d85\u8072\u6ce2\u4f7f\u4e2d\u7a7a\u7684\u9226\u5408\u91d1\u7ba1\u7e31\u5411\u9ad8\u983b\u632f\u52d5\uff0c\u5229\u7528\u8d85\u8072\u6ce2\u7684\u7a7a\u7a74\u6548\u61c9\uff08Cavitation\uff09\u9054\u5230\u7d44\u7e54\u9707\u788e\u4e73\u5316\uff0c\u4f46\u5805\u786c\u7684\u8840\u7ba1\u7d44\u8077\u56e0\u7d44\u7e54\u7279\u6027\u7121\u6cd5\u9707\u788e\u4e73\u5316\uff0c\u53ef\u518d\u5229\u7528\u96fb\u71d2\u6216\u5176\u4ed6\u80fd\u91cf\u5de5\u5177\u8f14\u52a9\u5207\u9664\uff0c\u4e73\u5316\u5f8c\u7684\u7d44\u7e54\u5728\u7d93\u904e\u6ef4\u6c34\u51b7\u537b\uff0c\u518d\u4ee5\u8ca0\u58d3\u5c07\u624b\u8853\u6b98\u6e23\u6216\u6a19\u672c\u5438\u9664\u3002\u76f8\u8f03\u65bc\u96fb\u71d2\u8207\u5176\u4ed6\u80fd\u91cf\u5de5\u5177\uff0c\u8d85\u8072\u6ce2\u5916\u79d1\u5200 (CUSA) \u4fdd\u8b77\u4e86\u8840\u7ba1\u8ddf\u90e8\u4efd\u7684\u80ba\u90e8\u7d44\u7e54\uff0c\u4e26\u4e14\u5c0d\u5468\u906d\u8edf\u7d44\u7e54\u53ea\u9020\u6210\u6975\u5c0f\u7684\u640d\u50b7\u3002\u904e\u53bb\u8d85\u8072\u6ce2\u5916\u79d1\u5200 (CUSA) \u6700\u5e38\u88ab\u61c9\u7528\u5728\u809d\u81df\u624b\u8853\uff0c\u5c0d\u65bc\u809d\u5167\u8840\u7ba1\u3001\u81bd\u7ba1\u4e88\u4ee5\u6700\u5c0f\u7684\u640d\u50b7\uff0c\u4ee5\u6e1b\u5c11\u51fa\u8840\u91cf\u8207\u624b\u8853\u5f8c\u81bd\u7ba1\u6ef2\u6f0f (Bile leak)\u3002\u5728\u80f8\u8154\u624b\u8853\u4e0a\uff0c\u6211\u5011\u671f\u671b\u5728\u7d93\u904e\u80ba\u764c\u78ba\u5b9a\u6027\u5316\u5b78\u653e\u5c04\u6cbb\u7642\u5f8c\u4e4b\u75c5\u60a3\uff0c\u5728\u9032\u884c\u88dc\u6551\u5f0f\u80ba\u8449\u5207\u9664\u624b\u8853\u6642\uff0c\u80fd\u6e1b\u5c11\u80ba\u90e8\u5be6\u8cea\u640d\u50b7 (Parenchymal injury) \u4e26\u5354\u52a9\u6e05\u9664\u80ba\u90e8\u6cbe\u9ecf 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