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
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
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 ?
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
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.
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.
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.
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.
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.
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.
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.