NGUYN TC V K THUT

M X
Ts L Vn Sn
Trng i hc RNG HM MT

CC NGUYN TC L:

PHU THUT KHNG AU

V KHUN
GY SANG CHN TI THIU
NG VO THCH HP
LM SCH
DN LU
NG VT THNG
KIM SOT V NGN NGA NHIM TRNG
VT M
H TR BNH NHN.

NGUYN TC PHU THUT

KHNG AU

CH NH GY M KHI:
+ KHI C NHIM TRNG CP
HOC BN CP M KHNG GY
T TI CH C.
+ PHU THUT NHIU VNG
CA MING, KO DI, KH.
+ TR EM V NGI LN TUI
KHNG HP TC.

GY T TI CH THCH HP CHO NHIU

PHU THUT NH MING, CH NH
CHO BNH NHN N RI, KHNG
MUN CH I LU, C BNH L TON
THN (HEN PH QUN).
PHI HP GY T TI CH VI GIM AU
TNH MCH BENZODIAZEPINE RT TT
CHO BNH NHN D XC NG, LO LNG
NHNG C I NG C HUN LUYN
TT V CHUN B BNH NHN NH GY
M.

NGUYN TC V KHUN
V KHUN L LOI VI KHUN KHI
VNG M NGN NGA VI KHUN
XM NHP VO VNG M.
CHNG NHIM KHUN: NGN NGA
VI KHUN GY BNH XM NHP V
LY LAN BNH NHIM TRUNG T
BNH NHN SANG NGI KHC

TiT TRNG DNG C:

-SY KH
-HP M
-HA CHT
-ETHYLENE OXIDE

CHUN B BNH NHN

V SINH RNG MING,

LY CAO RNG TT
TRC KHI LM TH
THUT

CHUN B THY THUC

NGUYN TC GY SANG
CHN TI THIU

THIU CN THN, THIU NHN XA

TRNG RNG S LM SANG CHN,
HU HOI NHIU T CHC XUNG
QUANH.

NGUYN NHN HAY GP NHT CA

SANG CHN NHIU TRONG PHU THUT
L DO K HOCH M KM, THIT K
VT KHNG TT, NG VO LY
XNG V RNG KHNG CN THN,
PHU THUT VIN V TR TH S
DNG LC QU MNH KHI S DNG
KO, BANH MING, KO VT, BY, MI
KHOAN V C

NGUYN TC CHN
NG VO THCH HP
NG RCH :

NGN TAY PHI C IM TA

RCH VUNG GC VI MT DA
RCH C NIM MC V MNG XNG
NG RCH NG VI NG THIT
K
RCH BT U PHA NIM MC DI
NG V KT THC 1/3 NH LI
NG RCH BN KHUYN PHI CCH
RNH LI < 0,5 cm

TO VT :
-CHIU RNG CA VT PHI
THAO TC
-Y VT PHI LN HN PHA T DO

KCH THC CA VT PHI LN

HN KHUYT XNG
NIM MC V MNG XNG
KHNG C TCH NHAU
BNH NHN C CI RNG V C
H LI PHI THT THN TRNG
TRNH LM TN THNG N
VT DO CO KO,GP VT..

TO VT V RCH CN TRNH TN
THNG: B MCH THN KINH
CM, KHU CI LN, RNG
CA,THN KINH DI MT,THN
KINH LI,
NG DN TUYN DI HM V
MANG TAI,M RI TM DI LI,
NG MCH MT,THN KINH MT

CC KIU VT :
VT HNH THANG :

U IM :
- TRNG M RNG
-PHU THUT THC HIN TRN 1-2
RNG
-NG VT D
-LIN THNG NHANH
NHC IM :
TO SO LM LI DNH

VT TAM GIC :
CT CUNG RNG,CT NANG,LY
CHP RNG

U IM:
-M BO CUNG CP MU
-TRNG M RNG.
-D M RNG VT
NHC IM:
-HN CH CHIU DI DC CHN RNG
-VT D B CNG
-TO SO LM LI DNH

VT PHONG B
PHU THUT VIN LI MT NGOI
V MT TRONG,CT CUNG RNG PHA
VM MING,LY RNG NGM,NANG...

U IM :
TRNH NG RCH DC,D T LI
VT NG V TR

NHC IM:
KH TCH VT,CNG,HN CH
TRNG M,D TN THNG MCH V
THN KINH

VT BN KHUYN : NH CA CUNG
PHI CCH VIN LI T NHT 0.5 CM, MI
BN CU NG RCH CCH MP VNG
XNG LY I T NHT L MT RNG .

U IM :
NG RCH NH V D BC
TCH VT,KHNG NH HNG VNG
QUANH RNG , D V SINH HN SO
VI CC VT KHC .

NHC IM :
NG RCH D I QUA TN

VT CH Y V X
THNG S DNG CT B LI XNG
VM MING .NG RCH CH Y LY
LI XNG C KCH THC NH , NG
RCH CH X LY LI XNG KHU CI
C KCH THC LN

VT C CUNG

- BC TCH (PHU TCH): DNG CY

TCH BC (ELEVATOR) TCH VT
NIM MC MNG XNG.
VI VT DA, DNG KO U T BC
TCH VT, CNG C V TR C TH S
DNG DAO CT, IU QUAN TRNG
L GI C CUNG CP MU TT CHO
VT.
T CHC LIN KT, CN, C, XNG
C XC NH V PHU TCH THEO
LP, TT C CU TRC GII PHU QUAN
TRNG PHI C GI NGUYN VN.

CT XNG: TRONG PHU THUT

MING M NG VO TN
THNG QUA XNG THNG S
DNG MI KHOAN SC. TUY NHIN C
TH DNG C, GOUGES, RONGEUR V
DA.

MI KHOAN TUNGSTEN CARBIDE U

HOA HNG (ASH7-16) HOC RNH CAO
(ASH7-12). NN DNG KHOAN HIGH
SPEED VI P SUT TI THIU. TRONG
QU TRNH KHOAN PHI TI NC
BNG HUYT THANH MN NG
TRNG V TRNG.
C V MI KHOAN: DNG

LM SCH TRNG M: NGI

PH PHI THNG XUYN BM
RA LM SCH VNG M, LY B
CC CN TRONG KHI KHOAN, C,
HT SCH VNG M. THNH
THONG HT NC TRNH
LM TC NG HT.

NGUYN TC CM MU:
KHU CM MU, BUC CM MU
T MCHE: C TH L TM THI
TNG LC MT TRONG LC M HOC
CM MU 2448 GI.
-IN NG: DNG T IN N CC
HOC LNG CC
-CHY MU T XNG: DNG GC
TM NNG, SP XNG (CN LY I
SAU KHI CM MU TRNH PHN
NG D VT). DNG C C MNH
XNG P MCH CM MU.

NGUYN TC RA VT THNG:
KHI PHU THUT KT THC, VT
M TRC KHI NG PHI LY B
TON B CN RA, TI RNG BNH
L, MNH XNG RI, MNH RNG
GY... HC XNG CN BM RA
SCH BNG HUYT THANH MN
NG TRNG. VT PHI CT B
T CHC B DP NT, HOI T.

NGUYN TC DN LU:
VT THNG CN DN LU KHI NHIM
BN V NHIM TRNG, APXE, VT
THNG C KHONG CHT.
- DN LU NNG NH: DNG LAM CAO SU
GNG TAY 48 GI.
- DN LU NNG RNG: DN LU
APXE.
- DN LU SU: NG C L NH.DN LU
HT LIN TC: 3 7 NGY

NGUYN TC NG VT M:
TRC KHI NG VT M PHU THUT
VIN PHI CHC CHN RNG CUC M
HON TT, KHNG CN CHY MU,
KHNG C D VT...

CC KiU KHU NG;

-KHU MI RI

-KHU LIN TC

-KHU LIN TC C KHA

.

KHU M NGANG

KHU M DC