Tìm hiểu sơ lược về kim, chỉ và nhãn mác đóng gói chỉ trong phẫu thuật

Co 59,1% bpnh nhan mie bpnh > 2 lin. Trong khi,

mpt sd nghien cuu khac cho thiy mSy day mgn tinh keo

dai tren 6 tuin, tai di tai Igi nhilu lin ehiem ti le tu 5% -

20% tru'dng hpp [4]. Rit co thi tinh trang tai di tSi Igi

nhilu lin, cP lien quan din phin Ion bpnh nhSn trong

nghien eUu khong phat hien du'pe ylu td dj Ung dupe

nghi ngo (95,6%).

Benh thu'dng gap tU thSng 4 den thSng 6 (38%),

tirong ty vdi nhQ'ng ghi nhgn trirdc day tgi Bpnh Vipn

Da Lieu Cin Tho (2006, 2007, 2008): Bpnh mSy day

thu'ang gap tu thang 4 din thSng 9.

K^T LUAN

TI le benh mSy day nam vien tgi Benh Vien Da Lieu

c i n Tho nam 2009 la 8,6%; nU ehilm tl Ip U'U the

(54%); duoi 10 tudi IS lUa tudi thu'dng gap (72,2%); tl Ip

benh nhan sdng d nong thon ehilm ti Ip uu thi (76%);e6

59,1% benh nhan mic bpnh > 2 lin.

Co 89,9% benh nhan khong phSt hipn bpnh ly dj Ung

kem theo, trong khi ehi co 10,1% benh nhan du'pe phSt

hien mpt sd bpnh ly dj Ung kem theo nhu": ChSm, hen,

viem mui dj Ung. Tu thang 4 din thSng 6 IS khoang thdi

gian benh thudng ggp (38%). Phin Ion bpnh nhan

khong phat hipn du'pe ylu td dj Ung dupc nghi n^o

(95,6%); c6 52,2% bpnh nhan dupe phSt hipn cojien

can dj Ung. Chi cd 40% benh nhan dap ung vol dilu trj

vS con lai 60% khong dSp Ung vol dilu trj khSng dj Ung

thong thu'dng. 90,2% benh nhan mSy day co tiln can dj

Ung mic bpnh > 2 lin, cao ban co y nghTa thdng ke so

voi 25% bpnh nhan khong co tiln can dj Ung. Cd 94,6%

bpnh nhan may day mie bpnh > 2 lin, khong dap ung

vol dilu trj thong thirang, cao ban eo y nghTa thdng ke

so vol 3,5% bpnh nhan mie bpnh lin dau.

TAI LIEU THAM KHAO

1. Nguyen Canh Ciu, Nguyen Khie Vien (2001).

MSy day vS phii mgch. Giio trinh benh ngoii da va hoa

liiu. NhS xuit ban quan dpi nhan dan. tr.226-229

2. Phan Quang DoSn, Nguyen Van Dinh, Le Anh

Tuin (2008). Tinh hinh mac bpnh mSy day, phii Quincke

trong cpng ddng dSn eu Ha Npi

3. Fitzpathek's (1999). Urticaria and angioma.

Dennatology In medicine, volume 1. pp. 1409-1415

4. Thomas p. Habif (1985). Urticaria. Clinical

Dermatology. Mosby. USA. pp. 86-100

TIM HIEU SO LUUC VE KIM, CHI

VA NHAN MAC DONG G6 I CHI TBONG PHA U THUAT

TRINH HONG SON, NGUYEN HAM HQI,

NGUYI N THA I MINH

DAT VAN DE

Mpt phiu thuat vien difng trUde mpt eupe phau

thuat dii md npi soi hay md md cung can phai ed

nhi/ng hieu biet co ban tdi thieu ve kim, chi, ddng gdi

kim chi ma minh s§ sir dung trong cupc phiu thuat.

BSi viet nay nham trinh bay sd lUPe ve kim, chi va

ddng gdi ehi trong phiu thuat.

VE NHAN MA C DONG GOI CHJ

De chuan bi trUde cupc md, phiu thuat vien

thudng cd ke hoach IS md phUdng phap nao, nhuTig

tang thi nao trong eupe md va mdi tang thi can SLf

dung loai ehi gi. Ngay nay, SLf dung chi ddng gdi da

dUde diing tren toan the gidi trif mpt sd nUde ngheo.

Tren ehi ddng gdi, dii hang nao san xua't cung

thudng ed eSc thdng tin ghi tren dd:

1. Ld san xuat, han diing

2. Cd chi (1-0, 2-0,3-0,4-0,... sd eSng Idn thi chi

eang nhd)

3. Ten ch? ( Vicryl, Chromic gut, Dexon plus. Pain

gut, Flexoerin, Ereedex, IVIaxon, Cat gut, Premio,

Prolene, Safil...).

4. Thanh phan cau tao (Polyglyeolie acid,

Polyglactine, Polypropylene...) ddn sdi hay da sdi (chi

ben), mau sac (xanh, tfm, trang).

5. Tinh nang chi: ehi khdng tieu, chi tieu ( tieu

nhanh, tieu cham)

6. Do dai chi: 90em, 0.75 m, 70cm, 67cm,

45cm...

7. Dae tfnh kim: thudng dUdc bieu hien bang hinh

ve kim tren vd chi vS ky hieu qudc te: cd kim, hinh

dang, cau tao dau mui kim vS thSn kim, dp dai kim.

8. Ma so chi.

9. Ky hieu chiimg chi cha't ludng, phUdng phap

tiet trung

10. Ten nha san xuat chi

Tiiy nhS san xua't, nhuTig tfnh nang mdi cua chi

mS ed nhOrng ky hieu khac.

Mdi goi ehi thudng ed 2 Idp bpc, boc thif 1 thUdng

bang nilon ed the nhin ro Idp thif 2 ben trong, bpc thif

2 v6 triing tuyet ddi.

MOT SO DAC TINH CO A KIM PHA U THUAT

Dae tinh kim phiu thuat ed 4 S la chCf cSi dau tien

cua 4 tif tieng Anh: Sharp (sac de d§ xuyen qua td

chife); Stay sharp (dp sac ben, lau eiin); Strong

(khde); Stability(chac, kim khdng bi xoay khi khSu).

Su sac ben eiia kim phu thupc vSo ty le vudt nhpn

eiia kim ( 12:1, 10:1, 8:1). Ty le vudt nhpn ciia kim

cung IS mot trong nhufng yeu to de ISm giam tdn

thUdng td chife. Ngoai ra each gan ket giiira ehi vS kim

eung cd vai tro quan trpng.

De kim chae khde, eac hang san xuS't canh tranh

nhau dua vao eSch luyen thep ISm kim, cau tao than

kim, dudng kinh cua kim.

Tuy nhien de kim dUdc ben vCfng ngoai cac yeu td

tren, sU hieu biet ve kim chi cua phiu thuat vien cd

vai tro quan trpng, vi du tiiy tifng mui khau, td chife

46 Y HOC THVC HANH (729) - SO 8/2010