1340《护理学理论与手术护理应用》
第一章 常用护理内容规范 ·······································································1
第一节 护理程序的概念 ··········································································1
第二节 护理评估 ···················································································3
第三节 护理诊断 ···················································································10
第四节 护理计划 ···················································································14
第五节 护理实施 ···················································································18
第六节 护理评价 ···················································································21
第二章 护理文书书写规范 ·······································································23
第一节 护理文书书写的意义和原则 ···························································23
第二节 护理文书书写的内容 ····································································25
第三章 护理职业防护规范 ·······································································42
第一节 隔离技术 ···················································································42
第二节 医疗锐器伤 ················································································53
第三节 艾滋病的职业防护 ·······································································58
第四章 生命体征的评估与护理 ···································································73
第一节 体温的评估与护理 ·········································································73
第二节 脉搏的评估与护理 ·········································································86
第三节 呼吸的评估与护理 ·········································································92
第四节 血压的评估与护理 ·········································································111
第五章 标本采集 ···················································································121
第一节 标本采集的原则 ············································································121
第二节 常用标本采集技术 ·········································································123
第六章 手术室基本操作技术 ····································································145
第一节 手术人员着装规范 ·······································································145
第二节 手卫生及外科手消毒 ····································································147
第三节 穿、脱无菌手术衣 ·······································································152
第四节 无接触式戴无菌手套 ····································································154
第五节 手术区皮肤消毒 ··········································································155
第六节 铺置无菌手术单 ··········································································159
第七节 铺置无菌器械台 ··········································································161
第八节 手术器械、数料传递 ····································································162
第九节 手术物品消毒及灭菌技术 ······························································164
第十节 隔离技术 ···················································································170
第十一节 机械缝合技术 ··········································································177
第十二节 患者约束技术 ··········································································180
第十三节 患者制动操作技术 ····································································182
第七章 手术中急危重症护理技术 ······························································185
第一节 成人基础生命支持 ·······································································185
第二节 胸外心脏非同步电复律（电除颤） ··················································188
第三节 术中心电监护 ·············································································189
第四节 术中有创动脉血压监测 ·································································191
第五节 术中中心静脉压监测 ····································································192
第六节 术中微量注射泵的使用 ·································································194
第七节 术中颅内压监测 ··········································································195
第八节 术中有创呼吸机的使用 ·································································196
第九节 人工气道固定和气囊压力监测 ························································197
第八章 手术室患者安全管理规范 ······························································199
第一节 全麻患者管理及注意事项 ······························································199
第二节 局麻患者管理及注意事项 ······························································207
第三节 术前宣教及注意事项 ····································································211
第四节 手术体位安全摆放 ·······································································214
第五节 术中压疮预防规范 ·······································································222
第六节 术中深静脉血栓预防 ····································································228
第七节 术中低体温预防 ··········································································231
第八节 腹腔镜中转开腹应急预案及处理规范 ···············································233
第九节 手术中缺失物品查找流程及应急预案 ···············································235
第十节 手术室医用气体安全使用 ······························································236
第十一节 手术室应对火灾的应急预案 ························································242
第十二节 手术患者坠床与跌倒的预防 ························································245
第九章 手术室常见仪器操作流程 ······························································247
第一节 电外科设备操作流程及注意事项 ·····················································247
第二节 手术内窥镜系统操作流程及注意事项 ···············································254
第三节 加温设备操作流程及注意事项 ························································259
第四节 术中超声诊断设备操作流程及注意事项 ············································264
第五节 动力系统操作流程及注意事项 ························································266
第六节 手术中显微设备操作流程及注意事项 ···············································269
第十章 胸腔镜手术护理配合过程 ······························································272
第一节 胸腔镜辅助下食管癌根治术 ···························································272
第二节 胸腔镜肺大疱切除术 ····································································276
第三节 胸腔镜肺癌根治术 ·······································································278
第四节 胸腔镜交感神经链切断术 ······························································280
第五节 胸腔镜纵隔肿物切除术 ·································································281
第十一章 普外科腹腔镜手术护理配合过程 ··················································284
第一节 腹腔镜肝肿块切除术 ····································································284
第二节 腹腔镜胆囊切除术 ·······································································286
第三节 腹腔镜辅助下胃大部分切除术 ························································287
第四节 腹腔镜辅助下胃癌根治术 ················································289
第五节 腹腔镜阑尾切除术 ···························································291
第六节 腹腔镜空肠造口术 ···························································292
第七节 腹腔镜直肠癌根治术 ························································294
第八节 腹腔镜肠粘连松解术 ························································296
第九节 经乳房途径行腔镜甲状腺手术 ········································297
第十二章 困难肝内胆管超选护理配合 ···············································299
第一节 良性胆管梗阻导丝超选护理配合 ····································299
第二节 恶性胆管梗阻导丝超选护理配合 ····································303
第三节 困难胰管插管护理配合 ····················································305
第四节 胆囊插管造影及引流术护理配合 ····································310
第十三章 泌尿外科腹腔镜手术护理配合过程 ···································314
第一节 腹腔镜肾上腺肿物切除术 ················································314
第二节 腹腔镜肾囊肿去顶术 ························································316
第三节 腹腔镜肾癌根治术 ···························································318
第四节 腹腔镜肾蒂淋巴管剥脱术 ················································320
第五节 腹腔镜输尿管切开取石术 ················································323
第六节 腹腔镜前列腺癌根治术 ····················································325
第七节 经皮肾镜弹道超声碎石取石术 ········································327
第八节 经尿道前列腺等离子切除术 ············································330
第十四章 腔镜手术全期护理 ·······························································332
第一节 术前访视和术前准备 ························································332
第二节 术中患者护理 ···································································335
第三节 术后患者护理 ···································································342
第十五章 妇科腹腔镜手术护理配合过程 ···········································347
第一节 腹腔镜子宫次全切除术 ····················································347
第二节 腹腔镜子宫全切术 ···························································349
第三节 腹腔镜子宫肌瘤剜除术 ····················································350
第四节 腹腔镜卵巢囊肿剥除术 ····················································352
第五节 腹腔镜双侧输卵管离断术 ················································353
第六节 腹腔镜宫外孕腹腔探查术 ················································354
第七节 腹腔镜子宫内膜异位灶清除术 ········································356
第八节 宫腔镜探查子宫纵隔电灼术 ············································357
第九节 宫腔镜下宫颈、子宫息肉刮除术 ····································358
第十节 宫腔镜下黏膜层肌瘤挖除（电切）术 ····························359
第十一节 宫腹腔镜下（不孕）腹腔探查＋通液术 ····················360
第十二节 宫腹腔镜下双侧输卵管伞端粘连松解成形术 ············362
第十六章 神经外科手术护理配合 ·······················································364
第一节 神经外科手术常规配合 ····················································364
第二节 颅脑损伤手术配合 ···························································368
第三节 脑血管疾病手术配合 ························································371
第四节 脑肿瘤疾病手术配合 ························································374
第五节 椎管与脊髓疾病手术配合 ················································378
第六节 神经外科复合手术的配合 ················································380
第七节 微血管减压手术护理配合 ················································386
第八节 颞浅动脉-大脑中动脉吻合手术护理配合 ·····················393
第九节 脑室-腹腔分流手术护理配合 ·········································400
第十节 内镜下垂体瘤手术护理配合 ············································406
第十七章 口腔外科手术护理配合 ·······················································413
第一节 唇裂手术护理常规 ···························································413
第二节 腭裂手术护理常规 ···························································418
第三节 咽成形手术护理常规 ························································423
第四节 牙槽骨植骨及髂骨取骨手术护理常规 ····························427
第五节 舌下腺囊肿手术护理配合 ················································433
第六节 腮腺囊肿手术护理配合 ····················································439
第七节 颌骨囊肿手术护理配合 ····················································445
第八节 颊癌及颈淋巴结清扫手术护理配合 ································451
第九节 舌癌扩大切除及颈淋巴结清扫手术护理配合 ················457
参考文献 ···································································································464
