生命相關(guān)---不變的手工業(yè)-ncku,成功大學(xué)-醫(yī)學(xué)院

1、生命相關(guān)---不變的手工業(yè),沈延盛 醫(yī)師外科部 副教授,The Flexner Report and Reforms 1910,Nobel prize surgeon,外科學(xué)科進(jìn)展,?？苹?(獨(dú)立化)次專科化兩極化不變與變之間: 現(xiàn)代化，機(jī)器化 , 多專業(yè)結(jié)合,專科化 (獨(dú)立化),早期外科包含: 骨, 泌尿, 耳鼻喉科, 眼科, 婦產(chǎn)科, 麻醉科及現(xiàn)今各外科進(jìn)步的結(jié)果: 各科逐漸獨(dú)立 獨(dú)立的結(jié)果:,次?？苹?

2、醫(yī)學(xué)進(jìn)步無法單科執(zhí)行照護(hù)失去全面觀,兩極化,小科 vs 大科開業(yè)醫(yī)vs 被聘用第一名 vs 能站就好生活品質(zhì)好 vs 服務(wù)品質(zhì)好,不變與變之間,現(xiàn)代化，機(jī)器化 , 多科專業(yè)結(jié)合研究 教學(xué) 服務(wù) 三合一,醫(yī)院?jiǎn)⒂脮r(shí)外科部及骨科部醫(yī)師合照,成大第一臺(tái)Bypass 機(jī)器,雲(yún)嘉南第一臺(tái)開心手術(shù),印加(Inca)時(shí)期開腦手術(shù),現(xiàn)代開腦方式,神經(jīng)外科賴以為生的顯微鏡及雙極電燒,一般外科主要器械: 執(zhí)行庖丁工作,腹腔鏡手術(shù)進(jìn)展; V

3、eress needle decompression for acute cholecystitis,Simple bag for removal of specimen,Evolution of surgical techniques,Crush method (finger fracture) v.s. control method Extrahepatic vascular control methods: hypo

4、tensive anesthesia, Pringle’s inflow occlusion, and total vascular exclusion. Intrahepatic vascular control (mixed with crush method): Lin’s clamp, Chang’s needle, the harmonic scalpel, various stappling devices, t

5、he cavitron ultrasonic dissector (CUSA), various microwave antennas, the Habib 4X and the ILRFA, among others, with the latter two using radiofrequency.Transplantation,Chang’s needle: intra-prenchymal vessel control,Blo

6、odless liver resection using needle arrays by AMF in pigs. Shan YS et al,Induction coilDiameter: 7.5cm,Max Power =2.2 kWFrequency =62.1 kHz,整型外科最擅使用之器械: 顯微鏡及小尖剪,整型外科李經(jīng)維主任結(jié)合工學(xué)院製作顏面骨頭執(zhí)行顱顏整型手術(shù),,Shieh et al. Plast Reconstr