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頁籤選單縮合
題名 | Photography by the Operator's Own Hands during Cardiac Surgery=心臟手術中自行攝影:潛水盒的另一個用處 |
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作者姓名(中文) | 高炯倫; 呂明憲; 張仁平; | 書刊名 | 臺灣外科醫學會雜誌 |
卷期 | 42:4 2009.07-08[民98.07-08] |
頁次 | 頁209-213 |
分類號 | 416. |
關鍵詞 | 心臟手術; 攝影; 潛水盒; Photography; Operative procedure; Camera; |
語文 | 英文(English) |
中文摘要 | 對外科手術而言,手術中攝影在臨床及實務上有其重要性。數位相機已被醫師廣泛使用,並取代傳統底片相機,用來病歷記錄、與病患溝通、及用於教學。實務上,外科醫師在手術室中使用數位相機來攝影並不十分方便,有時爲了等專業攝影的人員到來,甚至是耗時間的。通常,外科醫師藉由穿戴兩副手套來照相。但是一次手術中,可能要脫換手套很多次,如此一來又增加手術中感染的危險。有時幫忙執行照相的人並不清楚手術者有興趣的部位,而錯失拍照的時機。因爲這些手術中的影像是稍縱既逝,無法復得。在此,我們提倡目前本院使用的簡便方式,以數位相機放置於消毒滅菌過的潛水盒中,來達到自行攝影的目的,使手術中的影像無所漏失。我們使用三星Digimax i5數位相機,和SPH-A3潛水盒(Samsung, Kyunggido, Korea)來達成此設計,潛水盒在使用前先經由滅菌消毒手續。手術時,流動護士將滅菌後的潛水盒,由滅菌包裝的紙袋中依無菌技術拆給刷手護士。流動護士將數位相機依無菌技術置入潛水盒,接著刷手護士將潛水盒的搭扣鎖閉合。潛水盒中的數位相機,便可依功能在手術中執行照相或錄影。刷手護士也可以幫忙近距離攝影。這方法適用於手術室中的各個專科,即使手術部位很深、像骨盆腔、腹腔、胸腔、心臟內部構造都可輕易攝影。在兩年當中,我們將手術中的照片和錄影傳至電腦硬碟中,總共有1962張照片,172個錄影短片。這期間並沒有任何病人因手術中攝影的裝置而發生感染,這些影像被用來存於手術記錄或病歷、用於教學活動中、以及用於論文發表。使用潛水盒加上數位相機,外科醫師可以輕易的得到高品質的手術中影像,而不需要其他助手幫忙,更可避免因爲不知道術中攝影目標所在,而錯失拍攝的時機。使用者可依經濟狀況、及需求選擇不同廠牌相機,只要有原廠製作的潛水盒,加上術前滅菌消毒便可輕易使用本方法,隨時隨地都可記錄攝影。 |
英文摘要 | Objective: Current fashions for obtaining intraoperative images are usually troublesome, time-consuming, and may require a photographer to stand by. The use of digital cameras has revolutionized the way for recording photographs and video images during the operation. We present our unique experiences in the past two years regarding a simple technique for surgeons in the operating room for creating photographic records without assistance. Methods: A digital camera was placed into a sterilized protective housing on the table, then the surgeons or scrub nurses took pictures with confidence. We have prepared one camera and three protective housings pre-sterilized in the operating room, which are ready to use anytime during the operation. Results: During the past two years, one hundred and fifty open heart procedures and 85 peripheral vascular surgeries were included in this observation and no procedure-related infections occurred during this period. Conclusion: By using this modification, we can take high-quality intraoperative images without assistance, or losing any valuable intraoperative information through misdirected or inaccurate shots. In our experience, the small video clips are practical, and quite useful for communication between physicians and patients. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。