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L棚n k ho ch v ra畉 畉
quy t  nh i u tr畉 畛 畛 畛
BS. Suthorn Bavonratanavech
BV Bumrungrad
 C叩c m c 鱈ch c a i u tr ph u thu t畛 畛 畛 畛 畉 畉
 C叩c ch  nh c a m n n k t h p x ng畛 畛 畛 畛 畉 畉 畛 動董
 C叩c bi u hi n kh叩c nhau c a g達y x ng畛 畛 畛 動董
 叩nh gi叩 sau m畛
 L棚n k ho ch tr c m畉 畉 動畛 畛
 Ti n tr狸nh ra quy t  nh i u tr畉 畉 畛 畛 畛
C叩c m c ti棚u bu i h c畛 畛 畛
G達y x ng c坦 nhi u bi u hi n動董 畛 畛 畛
kh叩c nhau
15. decision making and planning   v nese
G達y x ng m t n i動董 畛 董 ?
G達y x ng b b s坦t動董 畛 畛 ?
C叩c m c 鱈ch i u tr g達y x ng畛 畛 畛 動董
 Ph c h i ch c nng s m v hon ton畛 畛 畛 畛
 Tr c gi i ph u ph湛 h p畛 畉 畉 畛
 Li n x ng c ng ch c畛 動董 畛 畉
 Ch n l a i u tr an ton v  n gi n畛 畛 畛 畛 董 畉
 Ngn ng a c叩c bi n ch ng畛 畉 畛
C叩ch i u tr g達y x ng畛 畛 動董
Kh担ng ph u thu t畉 畉
(b o t n畉 畛 )
C坦 th ph u thu t畛 畉 畉
Ph i ph u thu t畉 畉 畉
M i c叩ch i u tr c坦 m t ch  nh ri棚ng畛 畛 畛 畛 畛 畛
Kh担ng ph u thu t畉 畉
(b o t n)畉 畛
Ph i畉
ph u畉
thu 岳畉
Ch  nh i u tr cho畛 畛 畛 畛
b nh nh但n c滴ng ph i畛 畉
nh cho ch鱈nh b n.動 畉
M c 鱈ch m n n畛 畛 畉
k t h p x ng畉 畛 動董
Ph c h i hon ton ch c nng畛 畛 畛
Li n x ng畛 動董
S m tr l i ho t  ng th ng ngy畛 畛 畉 畉 畛 動畛
Tr叩nh bi n ch ng畉 畛
 n gi n v kinh t董 畉 畉
G達y x ng動董 l
m t t n畛 畛
th ng m担動董
m m k竪m g達y畛
x ng動董
T n th ng x ng畛 動董 動董
T n th ng m担 m m畛 動董 畛
T狸nh tr ng b nh nh但n畉 畛
i u tr ph thu c畛 畛 畛 畛
T n th ng x ng畛 動董 動董
G達y ph m m t kh p畉 畉 畛
G達y th但n x ng動董
i u tr ph thu c畛 畛 畛 畛
G達y ph m m t kh p畉 畉 畛
 N n hon h o nh gi i ph u畉 畉 動 畉 畉
tr c g達y動畛
 N n ch nh tr c ti p畉 畛 畛 畉
  t  v ng tuy t  i畉 畛 畛 畛 畛
 D湛ng n p n但ng 畉 畛
 T p t m v n  ng s m畉 畉 畉 畛 畛
G達y th但n x ng動董
 N n ch nh g n ch鱈nh x叩c畉 畛 畉
 N n ch nh gi叩n ti p畉 畛 畉
 V ng t ng  i畛 動董 畛
 K thu t x但m nh p t i thi u畛 畉 畉 畛 畛
 N p b c c u, inh n i t y畉 畉 畉 畛 畛
 Ch ng ch但n ch u l c m t畛 畛 畛 畛
ph n/hon ton畉
V NG TUY T畛 畛
 I畛
V NG畛
T NG働
 I畛
Quy t  nh i u tr d a tr棚n畉 畛 畛 畛 畛
h狸nh d ng  ng g達y畉 動畛
(N辿n 辿p) (B c c u)畉 畉X
ng
m
叩c,c
ng
tay
動董
畉
X
ng
湛i,chy
動董
i u tr ph thu c畛 畛 畛 畛
T n th ng m担 m m畛 動董 畛
K鱈n hay h畛
M c  t n th ng m担 m m畛 畛 畛 動董 畛
T n th ng th n kinh, m ch畛 動董 畉 畉
m叩u li棚n quan
T狸nh tr ng b nh nh但n畉 畛
G達y 1 x ng hay hay a th ng動董 動董
B nh nh但n  n s m hay mu n畛 畉 畛 畛
G達y c叩c x ng c湛ng b棚n hay動董
hai b棚n
Tu i, nhu c u, t狸nh tr ng n i khoa畛 畉 畉 畛
i u tr ph thu c畛 畛 畛 畛
2. C叩c ch  nh i u tr畛 畛 畛 畛
1. 叩nh gi叩
Kh叩m l但m sng 畉y 畛
X quang, CT, MRI ph湛 h畛p
C坦 th畛 l nh畛ng g狸?
Lm sao 畉t 動畛c m畛c 鱈ch?
Ra quy t  nh i u tr畉 畛 畛 畛Ra quy t  nh i u tr畉 畛 畛 畛
4. Chu n b tr c畉 畛 動畛
L棚n k ho ch tr c m畉 畉 動畛 畛
3.  nh h ng畛 動畛
Ch n o叩n ton di n畉 畛
t鱈nh c叩ch c a t ng b nh nh但n畛 畛 畛
Ch n o叩n khu tr炭畉
b n ch t c a t n th ng畉 畉 畛 畛 動董
Ra quy t  nh i u tr畉 畛 畛 畛Ra quy t  nh i u tr畉 畛 畛 畛
Ti n tr狸nh ra quy t  nh畉 畉 畛
B n mu n lo i v ng no?畉 畛 畉 畛
 ch鱈nh x叩c c a n n ch nh?畛 畛 畉 畛
Tuy t  i hay T ng  i畛 畛 動董 畛
N n hon ch nh hay g n ch鱈nh x叩c畉 畛 畉
Ph ng ph叩p n n ch nh?動董 畉 畛
H狸nh th畛c k畉t h畛p x動董ng ?
Tr畛c ti畉p hay Gi叩n ti畉p
N p, inh n i t y hay畉 畛 畛
khung c  nh ngoi畛 畛
Ti n tr狸nh ra quy t  nh畉 畉 畛
TR働畛C M畛I CU畛C M畛:TR働畛C M畛I CU畛C M畛:
TI PH I?畉
TI C L ?畉
TI C TH ?畛
N u kh担ng r探畉
H i ch n,畛 畉
K鱈nh chuy n!畛
Ch炭ng ta  t  c c叩c m c 鱈ch畉 動畛 畛
b ng c叩ch no畉 ?
 Ch畉n o叩n 炭ng
 Ch畛n ch畛 畛nh ph湛 h畛p
 p d畛ng 炭ng nguy棚n l箪 sinh c董 h畛c
 Nh畉 nhng v畛i c叩c m担 m畛m
 L棚n k畉 ho畉ch tr動畛c cu畛c m畛
T i sao c n k ho ch畉 畉 畉 畉
tr c m ?動畛 畛
V狸 b n mu n k t qu c担ng vi c t t畉 畛 畉 畉 畛 畛
V狸 b n mu n cu c s ng d dng畉 畛 畛 畛 畛
V狸 b n mu n n但ng cao c叩c k nng畉 畛 畛
V狸 b n mu n tr叩nh bi n ch ng畉 畛 畉 畛
Ho ch  nh tr c m畉 畛 動畛 畛Ho ch  nh tr c m畉 畛 動畛 畛
TH C Hi N CU C PH U THU T畛 畛 畛 畉 畉
TR C KHI働畛 PH U THU T畉 畉
Trong suy ngh挑
Tr棚n gi y畉
Tr棚n x ng nh a動董 畛
X ng g達y動董
cng ph c畛
t p, cng畉
ph i l棚n k畉 畉
ho ch t m畉 畛 畛
tr c m動畛 畛
Ho ch  nh tr c m畉 畛 動畛 畛Ho ch  nh tr c m畉 畛 動畛 畛
Khi no m畛?
T th b nh nh但n khi m動 畉 畛 畛?
B n d湛ng  ng m no畉 動畛 畛 ?
C叩c b c c a n i dung ph u thu t動畛 畛 畛 畉 畉 ?
Ho ch  nh tr c m畉 畛 動畛 畛Ho ch  nh tr c m畉 畛 動畛 畛
 B n mu n lo i v ng no畉 畛 畉 畛 ?
 N n theo ph ng ph叩p no畉 動董 ?
 Ch n tr c no  n n畛 畛 畛 畛 畉 ?
 Ch n lo i d ng c k t h p x ng no畛 畉 畛 畛 畉 畛 動董 ?
M n n m kh担ng chu n b畛 畉 畉 畛
Ch  i, Suy ngh挑,畛 畛
V , L p k ho ch,畉 畉 畉 畉
Vi t, Th担ng b叩o,畉
Ph u thu t l n l t畉 畉 畉 動畛
theo t ng b c畛 動畛
C叩c ph ng ph叩p ho ch  nh動董 畉 畛
 D a vo chi b棚n lnh畛
 K thu t so s叩nh tr c ti p l棚n x ng畛 畉 畛 畉 動董
b棚n g達y
 S d ng c叩c khu担n m u畛 畛 畉
 D a gi叩 tr b狸nh th ng c a tr c sinh l箪畛 畛 動畛 畛 畛
ch l i c a vi c l棚n k ho ch畛 畛 畛 畉 畉
tr c m動畛 畛
 L ng tr c s kh坦 khn動畛 動畛 畛
 H狸nh dung cu c m trong  u畛 畛 畉
 Th担ng tin cho c叩c thnh vi棚n k鱈p m畛
 Chu n b c叩c tr c , trang thi t b v畉 畛 畛 畛 畉 畛
d ng c ph湛 h p畛 畛 畛
 Gi m th i gian ph u thu t畉 畛 畉 畉
 Gi m t l nhi m tr湛ng畉 畛 畛 畛
 Gi m bi n ch ng trong m畉 畉 畛 畛
  t  c k t h p x ng t i u畉 動畛 畉 畛 動董 畛 動
  t  c k t qu mong mu n畉 動畛 畉 畉 畛
ch l i c a vi c l棚n k ho ch畛 畛 畛 畉 畉
tr c m動畛 畛
Ph u thu t vi棚n n棚n b叩o畉 畉
k ho ch ph u thu t畉 畉 畉 畉 s m畛
cho y t叩 ph嘆ng m  c坦畛 畛
th i gian chu n b d ng c畛 畉 畛 畛 畛
v tr c畛 畛
 ng gi k ho ch畛 畛 畉 畉
cho ri棚ng m狸nh
H達y n坦i cho ng i動畛
kh叩c c湛ng bi t畉
(K鱈p m )畛
15. decision making and planning   v nese
Ch n o叩n tr c m畉 動畛 畛
G達y k鱈n  u d i x ng 湛i ph i, kh担ng畉 動畛 動董 畉
ph m m t kh p, lo i畉 畉 畛 畉 33A1 v 32A3
T th動 畉
N m ng a, g i g p 70  , t炭i c叩t k棚 m担ng畉 畛 畛 畉 畛
Gar担 Kh担ng
L i vo畛  ng m m t ngoi v i k thu t動畛 畛 畉 畛 畛 畉
x但m nh p t担i thi u畉 畛
Ch n d ng c畛 畛 畛
1) N p vis  ng l i c u 16, 18畉 畛 畛 畉 l畛
2) N p l i c u 16, 18畉 畛 畉 l畛
Tr c  c bi t畛 畛 畉 畛
1) N p r ng 18 l d湛ng  t o畉 畛 畛 畛 畉
 ng h m動畛 畉
2) C-arm
 R ch da ng v i  u d i x ng 湛i畉 畛 畛 畉 動畛 動董
 N n x ng v gi b ng v嘆ng ch th辿p畉 動董 畛 畉 畛
 Chu n b t o r達nh cho n p m u l i c u畉 畛 畉 畉 畉 畛 畉
 R ch da  u tr棚n g達y畉 畛 畉 畛
Tr狸nh t ph u thu t畛 畉 畉
 D湛ng n p m u 18 l t o  ng h m畉 畉 畛 畉 動畛 畉
 Lu n n p l i c u, xoay m t d p ra ngoi畛 畉 畛 畉 畉 畉
 Xoay n p 180    a b d p vo畉 畛 畛 動 畛 畉
r達nh
 B t v鱈t  u xa畉 畉
Tr狸nh t ph u thu t畛 畉 畉
 N n ch nh o n g達y g n畉 畛 畉 畉
 B t v鱈t m t v  u g n畉 畛 畛 畉 畉
 Ki m tra s n n ch nh d i C-arm畛 畛 畉 畛 動畛
 B t c叩c v鱈t c嘆n l i畉 畉
 坦ng da
Tr狸nh t ph u thu t畛 畉 畉
15. decision making and planning   v nese
15. decision making and planning   v nese
叩nh gi叩 sau ph u thu t畉 畉
 叩nh gi叩 cu c m 達 di n ra trong畛 畛 畛
th c t , x辿t t ng b c ph u thu t畛 畉 畛 動畛 畉 畉
 So s叩nh X quang sau m v i h狸nh v畛 畛 畉
tr c m動畛 畛
 Xem x辿t c叩c sai s坦t trong cu c m畛 畛
v c叩ch ph嘆ng ng a sai s坦t t ng t畛 動董 畛
叩nh gi叩 sau ph u thu t畉 畉
  ng m 達 b c l  th y  m動畛 畛 畛 畛 畛 畉 畛 畛?
 達 d湛ng 炭ng c叩c tr c  c m n m畛 畛 畛 畉 畉
nh nhng c叩c m担 m m畉 畛 ?
 C坦 th c i ti n g狸 cho ca m kh叩c畛 畉 畉 畛 ?
T h i ch鱈nh b n lm th畛 畛 畉 畉
no  n但ng cao tay ngh畛 畛
h ng ngy c a m狸nh畉 畛 ?
T h i ch鱈nh b n lm th畛 畛 畉 畉
no  n但ng cao tay ngh畛 畛
h ng ngy c a m狸nh畉 畛 ?
Cu c m thnh c担ng l畛 畛
 nh cao c a畛 畛
s thnh th o chuy棚n m担n畛 畉
v s r竪n luy n k lu t c a畛 畛 畛 畉 畛
t t c c叩c thnh vi棚n畉 畉
trong k鱈p m畛

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15. decision making and planning v nese

  • 1. L棚n k ho ch v ra畉 畉 quy t nh i u tr畉 畛 畛 畛 BS. Suthorn Bavonratanavech BV Bumrungrad
  • 2. C叩c m c 鱈ch c a i u tr ph u thu t畛 畛 畛 畛 畉 畉 C叩c ch nh c a m n n k t h p x ng畛 畛 畛 畛 畉 畉 畛 動董 C叩c bi u hi n kh叩c nhau c a g達y x ng畛 畛 畛 動董 叩nh gi叩 sau m畛 L棚n k ho ch tr c m畉 畉 動畛 畛 Ti n tr狸nh ra quy t nh i u tr畉 畉 畛 畛 畛 C叩c m c ti棚u bu i h c畛 畛 畛
  • 3. G達y x ng c坦 nhi u bi u hi n動董 畛 畛 畛 kh叩c nhau
  • 5. G達y x ng m t n i動董 畛 董 ?
  • 6. G達y x ng b b s坦t動董 畛 畛 ?
  • 7. C叩c m c 鱈ch i u tr g達y x ng畛 畛 畛 動董 Ph c h i ch c nng s m v hon ton畛 畛 畛 畛 Tr c gi i ph u ph湛 h p畛 畉 畉 畛 Li n x ng c ng ch c畛 動董 畛 畉 Ch n l a i u tr an ton v n gi n畛 畛 畛 畛 董 畉 Ngn ng a c叩c bi n ch ng畛 畉 畛
  • 8. C叩ch i u tr g達y x ng畛 畛 動董 Kh担ng ph u thu t畉 畉 (b o t n畉 畛 ) C坦 th ph u thu t畛 畉 畉 Ph i ph u thu t畉 畉 畉 M i c叩ch i u tr c坦 m t ch nh ri棚ng畛 畛 畛 畛 畛 畛
  • 9. Kh担ng ph u thu t畉 畉 (b o t n)畉 畛
  • 11. Ch nh i u tr cho畛 畛 畛 畛 b nh nh但n c滴ng ph i畛 畉 nh cho ch鱈nh b n.動 畉
  • 12. M c 鱈ch m n n畛 畛 畉 k t h p x ng畉 畛 動董 Ph c h i hon ton ch c nng畛 畛 畛 Li n x ng畛 動董 S m tr l i ho t ng th ng ngy畛 畛 畉 畉 畛 動畛 Tr叩nh bi n ch ng畉 畛 n gi n v kinh t董 畉 畉
  • 13. G達y x ng動董 l m t t n畛 畛 th ng m担動董 m m k竪m g達y畛 x ng動董
  • 14. T n th ng x ng畛 動董 動董 T n th ng m担 m m畛 動董 畛 T狸nh tr ng b nh nh但n畉 畛 i u tr ph thu c畛 畛 畛 畛
  • 15. T n th ng x ng畛 動董 動董 G達y ph m m t kh p畉 畉 畛 G達y th但n x ng動董 i u tr ph thu c畛 畛 畛 畛
  • 16. G達y ph m m t kh p畉 畉 畛 N n hon h o nh gi i ph u畉 畉 動 畉 畉 tr c g達y動畛 N n ch nh tr c ti p畉 畛 畛 畉 t v ng tuy t i畉 畛 畛 畛 畛 D湛ng n p n但ng 畉 畛 T p t m v n ng s m畉 畉 畉 畛 畛
  • 17. G達y th但n x ng動董 N n ch nh g n ch鱈nh x叩c畉 畛 畉 N n ch nh gi叩n ti p畉 畛 畉 V ng t ng i畛 動董 畛 K thu t x但m nh p t i thi u畛 畉 畉 畛 畛 N p b c c u, inh n i t y畉 畉 畉 畛 畛 Ch ng ch但n ch u l c m t畛 畛 畛 畛 ph n/hon ton畉
  • 18. V NG TUY T畛 畛 I畛 V NG畛 T NG働 I畛 Quy t nh i u tr d a tr棚n畉 畛 畛 畛 畛 h狸nh d ng ng g達y畉 動畛 (N辿n 辿p) (B c c u)畉 畉X ng m 叩c,c ng tay 動董 畉 X ng 湛i,chy 動董
  • 19. i u tr ph thu c畛 畛 畛 畛 T n th ng m担 m m畛 動董 畛 K鱈n hay h畛 M c t n th ng m担 m m畛 畛 畛 動董 畛 T n th ng th n kinh, m ch畛 動董 畉 畉 m叩u li棚n quan
  • 20. T狸nh tr ng b nh nh但n畉 畛 G達y 1 x ng hay hay a th ng動董 動董 B nh nh但n n s m hay mu n畛 畉 畛 畛 G達y c叩c x ng c湛ng b棚n hay動董 hai b棚n Tu i, nhu c u, t狸nh tr ng n i khoa畛 畉 畉 畛 i u tr ph thu c畛 畛 畛 畛
  • 21. 2. C叩c ch nh i u tr畛 畛 畛 畛 1. 叩nh gi叩 Kh叩m l但m sng 畉y 畛 X quang, CT, MRI ph湛 h畛p C坦 th畛 l nh畛ng g狸? Lm sao 畉t 動畛c m畛c 鱈ch? Ra quy t nh i u tr畉 畛 畛 畛Ra quy t nh i u tr畉 畛 畛 畛
  • 22. 4. Chu n b tr c畉 畛 動畛 L棚n k ho ch tr c m畉 畉 動畛 畛 3. nh h ng畛 動畛 Ch n o叩n ton di n畉 畛 t鱈nh c叩ch c a t ng b nh nh但n畛 畛 畛 Ch n o叩n khu tr炭畉 b n ch t c a t n th ng畉 畉 畛 畛 動董 Ra quy t nh i u tr畉 畛 畛 畛Ra quy t nh i u tr畉 畛 畛 畛
  • 23. Ti n tr狸nh ra quy t nh畉 畉 畛 B n mu n lo i v ng no?畉 畛 畉 畛 ch鱈nh x叩c c a n n ch nh?畛 畛 畉 畛 Tuy t i hay T ng i畛 畛 動董 畛 N n hon ch nh hay g n ch鱈nh x叩c畉 畛 畉
  • 24. Ph ng ph叩p n n ch nh?動董 畉 畛 H狸nh th畛c k畉t h畛p x動董ng ? Tr畛c ti畉p hay Gi叩n ti畉p N p, inh n i t y hay畉 畛 畛 khung c nh ngoi畛 畛 Ti n tr狸nh ra quy t nh畉 畉 畛
  • 25. TR働畛C M畛I CU畛C M畛:TR働畛C M畛I CU畛C M畛: TI PH I?畉 TI C L ?畉 TI C TH ?畛 N u kh担ng r探畉 H i ch n,畛 畉 K鱈nh chuy n!畛
  • 26. Ch炭ng ta t c c叩c m c 鱈ch畉 動畛 畛 b ng c叩ch no畉 ? Ch畉n o叩n 炭ng Ch畛n ch畛 畛nh ph湛 h畛p p d畛ng 炭ng nguy棚n l箪 sinh c董 h畛c Nh畉 nhng v畛i c叩c m担 m畛m L棚n k畉 ho畉ch tr動畛c cu畛c m畛
  • 27. T i sao c n k ho ch畉 畉 畉 畉 tr c m ?動畛 畛 V狸 b n mu n k t qu c担ng vi c t t畉 畛 畉 畉 畛 畛 V狸 b n mu n cu c s ng d dng畉 畛 畛 畛 畛 V狸 b n mu n n但ng cao c叩c k nng畉 畛 畛 V狸 b n mu n tr叩nh bi n ch ng畉 畛 畉 畛
  • 28. Ho ch nh tr c m畉 畛 動畛 畛Ho ch nh tr c m畉 畛 動畛 畛 TH C Hi N CU C PH U THU T畛 畛 畛 畉 畉 TR C KHI働畛 PH U THU T畉 畉 Trong suy ngh挑 Tr棚n gi y畉 Tr棚n x ng nh a動董 畛
  • 29. X ng g達y動董 cng ph c畛 t p, cng畉 ph i l棚n k畉 畉 ho ch t m畉 畛 畛 tr c m動畛 畛
  • 30. Ho ch nh tr c m畉 畛 動畛 畛Ho ch nh tr c m畉 畛 動畛 畛 Khi no m畛? T th b nh nh但n khi m動 畉 畛 畛? B n d湛ng ng m no畉 動畛 畛 ? C叩c b c c a n i dung ph u thu t動畛 畛 畛 畉 畉 ?
  • 31. Ho ch nh tr c m畉 畛 動畛 畛Ho ch nh tr c m畉 畛 動畛 畛 B n mu n lo i v ng no畉 畛 畉 畛 ? N n theo ph ng ph叩p no畉 動董 ? Ch n tr c no n n畛 畛 畛 畛 畉 ? Ch n lo i d ng c k t h p x ng no畛 畉 畛 畛 畉 畛 動董 ?
  • 32. M n n m kh担ng chu n b畛 畉 畉 畛
  • 33. Ch i, Suy ngh挑,畛 畛 V , L p k ho ch,畉 畉 畉 畉 Vi t, Th担ng b叩o,畉 Ph u thu t l n l t畉 畉 畉 動畛 theo t ng b c畛 動畛
  • 34. C叩c ph ng ph叩p ho ch nh動董 畉 畛 D a vo chi b棚n lnh畛 K thu t so s叩nh tr c ti p l棚n x ng畛 畉 畛 畉 動董 b棚n g達y S d ng c叩c khu担n m u畛 畛 畉 D a gi叩 tr b狸nh th ng c a tr c sinh l箪畛 畛 動畛 畛 畛
  • 35. ch l i c a vi c l棚n k ho ch畛 畛 畛 畉 畉 tr c m動畛 畛 L ng tr c s kh坦 khn動畛 動畛 畛 H狸nh dung cu c m trong u畛 畛 畉 Th担ng tin cho c叩c thnh vi棚n k鱈p m畛 Chu n b c叩c tr c , trang thi t b v畉 畛 畛 畛 畉 畛 d ng c ph湛 h p畛 畛 畛
  • 36. Gi m th i gian ph u thu t畉 畛 畉 畉 Gi m t l nhi m tr湛ng畉 畛 畛 畛 Gi m bi n ch ng trong m畉 畉 畛 畛 t c k t h p x ng t i u畉 動畛 畉 畛 動董 畛 動 t c k t qu mong mu n畉 動畛 畉 畉 畛 ch l i c a vi c l棚n k ho ch畛 畛 畛 畉 畉 tr c m動畛 畛
  • 37. Ph u thu t vi棚n n棚n b叩o畉 畉 k ho ch ph u thu t畉 畉 畉 畉 s m畛 cho y t叩 ph嘆ng m c坦畛 畛 th i gian chu n b d ng c畛 畉 畛 畛 畛 v tr c畛 畛
  • 38. ng gi k ho ch畛 畛 畉 畉 cho ri棚ng m狸nh H達y n坦i cho ng i動畛 kh叩c c湛ng bi t畉 (K鱈p m )畛
  • 40. Ch n o叩n tr c m畉 動畛 畛 G達y k鱈n u d i x ng 湛i ph i, kh担ng畉 動畛 動董 畉 ph m m t kh p, lo i畉 畉 畛 畉 33A1 v 32A3 T th動 畉 N m ng a, g i g p 70 , t炭i c叩t k棚 m担ng畉 畛 畛 畉 畛 Gar担 Kh担ng L i vo畛 ng m m t ngoi v i k thu t動畛 畛 畉 畛 畛 畉 x但m nh p t担i thi u畉 畛
  • 41. Ch n d ng c畛 畛 畛 1) N p vis ng l i c u 16, 18畉 畛 畛 畉 l畛 2) N p l i c u 16, 18畉 畛 畉 l畛 Tr c c bi t畛 畛 畉 畛 1) N p r ng 18 l d湛ng t o畉 畛 畛 畛 畉 ng h m動畛 畉 2) C-arm
  • 42. R ch da ng v i u d i x ng 湛i畉 畛 畛 畉 動畛 動董 N n x ng v gi b ng v嘆ng ch th辿p畉 動董 畛 畉 畛 Chu n b t o r達nh cho n p m u l i c u畉 畛 畉 畉 畉 畛 畉 R ch da u tr棚n g達y畉 畛 畉 畛 Tr狸nh t ph u thu t畛 畉 畉
  • 43. D湛ng n p m u 18 l t o ng h m畉 畉 畛 畉 動畛 畉 Lu n n p l i c u, xoay m t d p ra ngoi畛 畉 畛 畉 畉 畉 Xoay n p 180 a b d p vo畉 畛 畛 動 畛 畉 r達nh B t v鱈t u xa畉 畉 Tr狸nh t ph u thu t畛 畉 畉
  • 44. N n ch nh o n g達y g n畉 畛 畉 畉 B t v鱈t m t v u g n畉 畛 畛 畉 畉 Ki m tra s n n ch nh d i C-arm畛 畛 畉 畛 動畛 B t c叩c v鱈t c嘆n l i畉 畉 坦ng da Tr狸nh t ph u thu t畛 畉 畉
  • 47. 叩nh gi叩 sau ph u thu t畉 畉 叩nh gi叩 cu c m 達 di n ra trong畛 畛 畛 th c t , x辿t t ng b c ph u thu t畛 畉 畛 動畛 畉 畉 So s叩nh X quang sau m v i h狸nh v畛 畛 畉 tr c m動畛 畛 Xem x辿t c叩c sai s坦t trong cu c m畛 畛 v c叩ch ph嘆ng ng a sai s坦t t ng t畛 動董 畛
  • 48. 叩nh gi叩 sau ph u thu t畉 畉 ng m 達 b c l th y m動畛 畛 畛 畛 畛 畉 畛 畛? 達 d湛ng 炭ng c叩c tr c c m n m畛 畛 畛 畉 畉 nh nhng c叩c m担 m m畉 畛 ? C坦 th c i ti n g狸 cho ca m kh叩c畛 畉 畉 畛 ?
  • 49. T h i ch鱈nh b n lm th畛 畛 畉 畉 no n但ng cao tay ngh畛 畛 h ng ngy c a m狸nh畉 畛 ? T h i ch鱈nh b n lm th畛 畛 畉 畉 no n但ng cao tay ngh畛 畛 h ng ngy c a m狸nh畉 畛 ?
  • 50. Cu c m thnh c担ng l畛 畛 nh cao c a畛 畛 s thnh th o chuy棚n m担n畛 畉 v s r竪n luy n k lu t c a畛 畛 畛 畉 畛 t t c c叩c thnh vi棚n畉 畉 trong k鱈p m畛

Editor's Notes

  1. Procedure for practical s differs throughout the world. This outline should be adapted to fit the local situation. If local instructors are used to terms such as set/dialogue and closure they may be used, or left out if not. A handout accompanies this lecture as a checklist for the practical director.
  2. Procedure for practical s differs throughout the world. This outline should be adapted to fit the local situation. If local instructors are used to terms such as set/dialogue and closure they may be used, or left out if not. A handout accompanies this lecture as a checklist for the practical director.
  3. Procedure for practical s differs throughout the world. This outline should be adapted to fit the local situation. If local instructors are used to terms such as set/dialogue and closure they may be used, or left out if not. A handout accompanies this lecture as a checklist for the practical director.
  4. Procedure for practical s differs throughout the world. This outline should be adapted to fit the local situation. If local instructors are used to terms such as set/dialogue and closure they may be used, or left out if not. A handout accompanies this lecture as a checklist for the practical director.
  5. Procedure for practical s differs throughout the world. This outline should be adapted to fit the local situation. If local instructors are used to terms such as set/dialogue and closure they may be used, or left out if not. A handout accompanies this lecture as a checklist for the practical director.
  6. Procedure for practical s differs throughout the world. This outline should be adapted to fit the local situation. If local instructors are used to terms such as set/dialogue and closure they may be used, or left out if not. A handout accompanies this lecture as a checklist for the practical director.
  7. Procedure for practical s differs throughout the world. This outline should be adapted to fit the local situation. If local instructors are used to terms such as set/dialogue and closure they may be used, or left out if not. A handout accompanies this lecture as a checklist for the practical director.