[红外热学在乳房重建和整形手术和四肢重建中的应用]
Haohao Jian1, Lan Mu1,2,3,4, Junbo Pan2
1Department of Breast and Thyroid Surgery, Second Affiliated Hospital of Hainan Medical University, Haikou Hainan, 570100, P. R. China.
概括
红外热学通过监测血液流动来帮助乳房和四肢的重建. 这种非侵入性工具有助于外科医生做出决策并减少并发症,尽管错误的结果是可能的.
科学领域:
- 整形外科 整形外科 整形外科
- 重建性手术是一种重建性手术.
- 医疗成像医学成像
背景情况:
- 乳房重建和四肢重建是复杂的程序,需要仔细监测组织活力.
- 评估血管输液对于这些手术的成功结果至关重要.
- 监测血液供应的传统方法可能具有侵入性或提供有限的实时数据.
研究的目的:
- 评估红外热学 (IRT) 在乳房和四肢重建中的临床实用性.
- 评估IRT在监测板和远端肢体温度和血管输液方面的有效性.
- 确定IRT在手术内和术后决策中的作用.
主要方法:
- 对97名接受乳房 (n=67) 和四肢 (n=30) 重建的患者的回顾性分析.
- 红外热学在手术期间和手术后48小时内使用.
- 监测板和远端肢体温度和血管输液.
主要成果:
- IRT发现了2个阳性病例 (2.1%) 与1个假阳性病例和95个阴性病例 (97.9%) 与1个假阴性病例.
- 乳房重建中局部血管损害的一个案例最初被IRT遗漏.
- 一个斜背显示过渡性低温,但最终幸存下来,证明IRT能够跟踪输液变化.
结论:
- 红外热学是一种有价值的,非侵入性的补充工具,用于评估乳房和四肢重建中的血液供应.
- IRT可以帮助手术决策,并可能减少术后并发症.
- 在解释IRT发现时,临床医生必须保持意识到假阳性和假阴性的可能性.
相关概念视频
01:13Equipments Used to Measure Body Temperature
Body temperature can be assessed using various devices and measured in Celsius or Fahrenheit.
Glass-bulb Thermometer:
Glass-bulb thermometers are hollow glass tubes with a bulb tip containing liquid such as ethanol or mercury. Historically, glass bulb mercury thermometers were the standard device to measure body temperature. Today, mercury thermometers are prohibited in many countries due to the hazardous effects of mercury and the risk of exposure if the glass bulb breaks. In general,...
Glass-bulb Thermometer:
Glass-bulb thermometers are hollow glass tubes with a bulb tip containing liquid such as ethanol or mercury. Historically, glass bulb mercury thermometers were the standard device to measure body temperature. Today, mercury thermometers are prohibited in many countries due to the hazardous effects of mercury and the risk of exposure if the glass bulb breaks. In general,...
01:14Temperature Measurement Sites
A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
01:14Assessing Body Temperature - Oral
Here are the steps to accurately measure oral temperature using an electronic thermometer:
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
01:27Assessing Body Temperature - Rectal
Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
01:14Assessing Body Temperature - Axilla
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
01:19Assessing Body Temperature - Temporal Artery
Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's forehead...
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's forehead...