整形器械学习分享无书博客http://www.xiangzhiling.com/lingzhi/有无需求,皆可联络;夏龙吴书,真心服务;整形器械,整形资讯:欢迎致电,尽管打扰 手机微信:15307325352 肋软骨采集过程——美莱集团 梁晓健院长http://www.xiangzhiling.com/lingzhi/ganoderma/1042.html<p><span style="color: #1F1F1F; font-family: XinGothic-SinaWeibo, &quot;Microsoft Yahei&quot;, Simsun; font-size: 18px; text-align: justify; background-color: #FFFFFF;">大家都知道亚洲人种鼻中隔发育不好,在这种情况下截取鼻中隔来进行鼻修复,相当于拆东墙补西墙,对鼻中隔已经采集过的患者更是雪上加霜!!!而且肋软骨全部来自自身,其在自然度、抗感染能力、相容性乃至术后心理体验上均超越异体材料,此时,肋软骨并成为鼻整形补充和加固的不二选择。</span></p><p><span style="color: #1F1F1F; font-family: XinGothic-SinaWeibo, &quot;Microsoft Yahei&quot;, Simsun; font-size: 18px; text-align: justify; background-color: #FFFFFF;"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181537_86016.jpg" alt="12cad1e2-d12e-4f14-bc9c-d01c3c0f0833.jpg"/></span></p><p><span style="color: #1F1F1F; font-family: XinGothic-SinaWeibo, &quot;Microsoft Yahei&quot;, Simsun; font-size: 18px; text-align: justify; background-color: #FFFFFF;">先来给大家分享我采集肋软骨的经验,在采集肋软骨前,我们要对肋软骨的解剖要有一个清晰的了解,大家看图一,这是一个胸廓的解剖图。我们一般在手术前会给顾客拍摄一个胸部三维CT重建。大家看图2,3,从片子上我们可以清晰看到肋软骨有没有钙化,还可以看到肋软骨间间隙和肋软骨形态。</span></p><p><span style="color: #1F1F1F; font-family: XinGothic-SinaWeibo, &quot;Microsoft Yahei&quot;, Simsun; font-size: 18px; text-align: justify; background-color: #FFFFFF;"></span></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910261572087387212858.jpg" style="" title="3.jpg"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910261572087387921789.jpg" style="" title="4.jpg"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910261572087393203021.jpg" style="" title="2.jpg"/></p><p><span style="color: #1F1F1F; font-family: XinGothic-SinaWeibo, &quot;Microsoft Yahei&quot;, Simsun; font-size: 18px; text-align: justify; background-color: #FFFFFF;"><br/></span><br/></p><p></p><p></p><p></p><p>术前拍摄CT,可以给我们最为一个参照,如果术前发现肋软骨钙化严重,我们可以及时更改手术方案,免得顾客多挨一刀;而且我们还可以根据肋软骨形态采集所需要的软骨。一般半肋我们采集第六肋,全肋隆鼻采集又直又长的第7肋。大家看图4标记部分就是采集第七肋作为全肋隆鼻。</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910261572087423374393.jpg" title="5.jpg" alt="5.jpg"/></p><p></p><p>采集软骨切口的选择,一般半肋因采集软骨相对不用太多,切口可选择0.5-1cm,全肋一般切口1-2cm,针对特别肥胖患者切口可根据情况适当延长。</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910261572087445102394.jpg" title="6.jpg" alt="6.jpg"/></p><p></p><p>我们肋软骨隆鼻手术一般采用经口气管插管,肋软骨剥离器械采用我自己设计的U型剥离子,大家看图6,三个3cm静脉拉钩,左右各一个肋软骨剥离子。</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910261572087469440519.jpg" title="7.jpg" alt="7.jpg"/></p><p></p><p>切开后,直接分离到腹直肌表面,钝性分开肌肉直达肋软骨表面,大家一定要注意,一定要顶的肋软骨,确保分离层次在软骨上。</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910261572087488449794.jpg" style="" title="9.jpg"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910261572087488178058.jpg" style="" title="10.jpg"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910261572087488526296.jpg" style="" title="8.jpg"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910261572087541904676.jpg" style="" title="12.jpg"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910261572087542123262.jpg" style="" title="11.jpg"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910261572087542581352.jpg" style="" title="13.jpg"/></p><p></p><p></p><p></p><p></p><p></p><p>然后我们会在软骨表面做H型骨膜开窗,大家看图7图8,图9,将开窗骨膜剥离下来,然后大家看,10,用Freer剥离子沿一侧软骨下层次剥离,找到突破口后用U型剥离子慢慢从突破口切入,在需要采集软骨下来回剥离,同样的方法行另外一侧剥离,看图11,图12。通过两侧的来回剥离使两侧腔隙相通。剥离过程中注意观察,不要穿透胸膜。完全使所需软骨和骨膜脱套后,用U型剥离子做衬垫提起肋软骨用15号刀片切断肋软骨一半的厚度,记住一定不要切透,剩余的肋软骨厚度用剥离子钝性分离开,以保护软骨膜。肋软骨一段离断后,继续用同样的方法离断另一头,将肋软骨完全游离后取出。</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910261572087577503994.jpg" title="14.jpg" alt="14.jpg"/></p><p></p><p></p><p></p><p></p><p>取出肋软骨后,注入无菌生理盐水,请麻醉医生人工鼓肺,观察有无气泡漏出以发现潜在气胸。分层缝合关闭切口,关闭肌肉,筋膜,皮下组织。气胸的处理:1绝对卧床休息,充分吸氧,尽量少说话,使肺活动减少,有利于气体吸收和肺的复张;2胸腔闭式引流3注入OB胶(外科封堵瘘口用的氰基烯酸酯胶)使脏层和壁层黏连,从而消灭胸膜腔间隙,使空气无处积存,</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910261572087616546175.jpg" style="" title="17.jpg"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910261572087617458378.jpg" style="" title="16.jpg"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910261572087618339997.jpg" style="" title="15.jpg"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910261572087620677021.jpg" style="" title="18.jpg"/></p><p></p><p>肋软骨切取后一定要在生理盐水中水浴半小时以上,尤其是作为鼻尖的SEG,STRUT等让软骨充分浸泡变形,再切片,再水浴选取变形最小的应用</p><p><span style="color: #1F1F1F; font-family: XinGothic-SinaWeibo, &quot;Microsoft Yahei&quot;, Simsun; font-size: 18px; text-align: justify; background-color: #FFFFFF;"><br/></span><br/></p><div style="margin: 0px; padding: 0px; color: rgb(31, 31, 31); font-family: XinGothic-SinaWeibo, &quot;Microsoft Yahei&quot;, Simsun; font-size: 18px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255);"><mip-img popup="" src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191026184325_99742.jpg" title="肋软骨.jpg" alt="肋软骨.jpg" style="box-sizing: border-box; margin: 0px; padding: 0px; outline: 0px; cursor: pointer;"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910241571914583574919.jpg" title="肋软骨.jpg" alt="肋软骨.jpg" style="box-sizing: border-box; max-width: 100%; height: auto; border: 0px; margin: 0px; padding: 0px; outline: 0px;"/><p style="box-sizing: border-box; margin-top: 0.6em; margin-bottom: 0.6em; padding: 0px; outline: 0px; color: rgb(78, 78, 78); font-family: &quot;Microsoft YaHei&quot;, Verdana, sans-serif; font-size: 14.7px; white-space: normal; background-color: rgb(255, 255, 255);"><strong style="box-sizing: border-box; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体;"><strong style="box-sizing: border-box;">视频操作示范联系作者</strong><span style="box-sizing: border-box; margin: 0px; padding: 0px; outline: 0px;">。。。</span></strong></p><p><br/></p></mip-img></div>Sat, 26 Oct 2019 18:38:00 +0800 肋软骨采集经验的分享 (流程 图解 说明)深圳美莱版本http://www.xiangzhiling.com/lingzhi/ganoderma/1041.html<p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">肋软骨采集经验的分享</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">深圳美莱医疗美容医院 刘攀&nbsp;</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181534_17731.jpg" alt="肋软骨采集经验的分享" width="550" height="335" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><h2 style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">一,肋软骨解剖</h2><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181537_86016.jpg" alt="12cad1e2-d12e-4f14-bc9c-d01c3c0f0833.jpg" width="550" height="599" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181538_66163.jpg" alt="5c99bc8e-df91-4297-bf0c-25219e4bd8e0.jpg" width="550" height="600" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><h2 style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">CT三维影像体表定位</h2><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><br style="margin: 0px; padding: 0px; list-style-type: none;"/>? 术前拍摄CT,可以给我们最为一个参照, 而且我们还可以根据肋软骨形态采集所需要的软骨。</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><br style="margin: 0px; padding: 0px; list-style-type: none;"/>? 术前拍摄CT,可以给我们最为一个参照,如果术前发现肋软骨钙化严重,我们可以及时更改手术方案,免得顾客多挨一刀;而且我们还可以根据肋软骨形态采集所需要的软骨。一般半肋我们采集第六肋,全肋隆鼻采集又直又长的第7肋。</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><br style="margin: 0px; padding: 0px; list-style-type: none;"/>? VR,容积重建,显示骨骼的病变。</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><br style="margin: 0px; padding: 0px; list-style-type: none;"/>? VRT,容积漫游技术;三维成像功能很强大,形态色彩逼真,可以对动静脉血管,软组织及骨结构进行立体塑形成像。</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><br style="margin: 0px; padding: 0px; list-style-type: none;"/>? MIP,最大密度投影;最大密度投影是将一定厚度中最大CT值的体素投影到背景平面上,以显示所有或者部分的强化密度高的血管或器官。</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181539_11028.jpg" alt="1f577d3b-76a7-4ca4-ba73-56bab1b91496.jpg" width="550" height="446" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181540_54910.jpg" alt="肋软骨采集经验分享" width="519" height="664" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">钙化的肋软骨</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181541_95185.jpg" alt="a0503317-a05e-4bbf-99ff-dc43ad232993.jpg" width="501" height="524" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181541_53498.jpg" alt="8de5d688-f5cb-4b5f-8650-f3aeb12a3c44.jpg" width="474" height="518" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181542_11647.jpg" alt="119ce113-c60d-49f9-8964-594911ff5d84.jpg" width="496" height="680" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181543_25738.jpg" alt="198ccc56-b818-44d0-baec-3527c095f5a4.jpg" width="483" height="641" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">采集右侧第七肋的优点</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><br style="margin: 0px; padding: 0px; list-style-type: none;"/>? 1在所有的肋软骨中右侧第七肋长度宽度厚度最大,组织量大适合鼻背柳叶形移植物的雕刻;</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><br style="margin: 0px; padding: 0px; list-style-type: none;"/>? 2第7肋所能利用的直线距离最长,能以最小的皮肤切口就能采集到足够的软骨;</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><br style="margin: 0px; padding: 0px; list-style-type: none;"/>? 3第七肋与上下软骨融合,切取不足时不用追加切口就可以补充采集软骨;</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><br style="margin: 0px; padding: 0px; list-style-type: none;"/>? 4手术部位位于软骨体表,操作简单,手术时间短,创伤小,恢复快;</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><br style="margin: 0px; padding: 0px; list-style-type: none;"/>? 5避开心脏及乳腺组织覆盖区域。</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><br style="margin: 0px; padding: 0px; list-style-type: none;"/>一般半肋因采集软骨相对不用太多,切口可选择0.5-1cm,全肋一般切口1-2cm,针对特别肥胖患者切口可根据情况适当延长。</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181543_61966.jpg" alt="ff2063b6-529c-452b-bd29-1982b0fc4bf0.jpg" width="550" height="446" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181544_48206.jpg" alt="3e62955d-2d26-4f3b-b679-97b274ef3296.jpg" width="544" height="421" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181544_44426.jpg" alt="0814aa48-cd91-4bbf-a675-05eb947cb417.jpg" width="550" height="354" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><a href="http://weidian.com/item.html?itemID=2542732219&wfr=c&ifr=shopdetail&spider_token=237b&spider=seller.zx-shopdetail.5.7" style="margin: 0px; padding: 0px; list-style-type: none; color: rgb(7, 81, 154); text-decoration-line: none; border: 0px;"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181545_41349.jpg" width="550" height="550" alt="" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></a></p><h2 style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><strong style="font-size: 14px; margin: 0px; padding: 0px; list-style-type: none;"><span class="fontstyle0" style="margin: 0px; padding: 0px; list-style-type: none;">软骨采集套装器械</span>&nbsp;</strong></h2><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><strong>视频操作示范联系作者</strong>。。。&nbsp;</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">肌肉钝性剥离<br style="margin: 0px; padding: 0px; list-style-type: none;"/>拉钩钝性分离皮下脂肪层,形成口小底大的漏斗状<br style="margin: 0px; padding: 0px; list-style-type: none;"/>钝性分离肌肉纤维,暴露软骨表面, 一定要顶着肋软骨,确保分离层次是在软骨上<br style="margin: 0px; padding: 0px; list-style-type: none;"/>不要锐性剥离,否则术后疼痛感明显 ..</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181553_63890.jpg" alt="75f7ebe1-ecb6-4daf-9f03-ec041323d9f9.jpg" width="550" height="211" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181553_17457.jpg" alt="7f7411c1-3c5e-4f75-9241-40a69bd212b5.jpg" width="374" height="250" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">锐性剪开肌筋膜,暴露肌肉,<br style="margin: 0px; padding: 0px; list-style-type: none;"/>剪开筋膜前先将肌肉与筋膜用剪刀撑开分离</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181554_92276.jpg" alt="f14b3c8e-0108-4ee1-b4a5-67d411565780.jpg" width="475" height="336" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181555_77215.jpg" alt="11dfbc7b-36d8-4c6e-b5e5-8aada66cd9a4.jpg" width="447" height="371" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><h2 style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">骨膜开窗</h2><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">在骨膜表面行H型切开开窗</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181555_35929.jpg" alt="54b7b82e-a6f8-4dd5-8804-15a3c72b03ca.jpg" width="550" height="373" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181555_11970.jpg" alt="7bf428e1-ffde-4e83-b8d1-77cf26d41629.jpg" width="550" height="362" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181555_21546.jpg" alt="50fef797-3532-4860-a5d0-18dcd2ec8e39.jpg" width="550" height="384" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181556_42764.jpg" alt="c47b009a-14ae-4abc-bc2b-be749c531696.jpg" width="550" height="452" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><h2 style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">骨膜脱套</h2><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">Freer剥离子从软骨边缘剥离突破口后,肋<br style="margin: 0px; padding: 0px; list-style-type: none;"/>软骨剥离子从突破口分离软骨与骨膜</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181556_28272.jpg" alt="71e63c21-e1a5-424c-82ac-f7ae0f80a28b.jpg" width="550" height="457" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181556_52978.jpg" alt="37ca6470-f284-4529-a1f9-fe2d541e2976.jpg" width="550" height="408" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">用肋软骨剥离子沿软骨边缘突破口骨膜下剥离<br style="margin: 0px; padding: 0px; list-style-type: none;"/>软骨两侧剥离腔隙相同后表明软骨与骨膜已脱套</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181557_83793.jpg" alt="49425ad8-b37d-4d2d-aa63-ddbf8328a612.jpg" width="550" height="229" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181557_64570.jpg" alt="9318e353-5eb0-4cf2-a64b-cd9ffe2c2b8b.jpg" width="550" height="249" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><strong>断骨</strong><br style="margin: 0px; padding: 0px; list-style-type: none;"/>用肋软骨剥离子在软骨腹侧托住软骨,作为衬垫,用刀切<br style="margin: 0px; padding: 0px; list-style-type: none;"/>软骨一半厚度,切忌不能切透,以保护深面的骨膜剩余<br style="margin: 0px; padding: 0px; list-style-type: none;"/>肋软骨厚度用剥离子钝性离断<br style="margin: 0px; padding: 0px; list-style-type: none;"/>&nbsp;</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181558_18882.jpg" alt="b093c512-8a6c-4eb4-bf3a-ce09e1f8cf53.jpg" width="550" height="440" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181558_30604.jpg" alt="c4e3c18a-ddbe-4d50-b146-ff044c147b31.jpg" width="550" height="438" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181558_62161.jpg" alt="ba5ef9dd-7cb2-4e01-9343-eb70ead21e16.jpg" width="550" height="438" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181559_54769.jpg" alt="b38851f5-7b5c-42f3-87d9-0a0e95b57078.jpg" width="550" height="465" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">采集腹直肌筋膜<br style="margin: 0px; padding: 0px; list-style-type: none;"/>&nbsp;</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181559_68476.jpg" alt="77aa6323-dbcf-4d38-a2e5-90c7c7e094ca.jpg" width="537" height="405" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">在筋膜和肌肉之间用剥离子采用‘推’的方式行钝性分离,采集所需<br style="margin: 0px; padding: 0px; list-style-type: none;"/>大小肌筋膜</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181600_88068.jpg" alt="c25c3fba-7ed3-4054-a716-463bf5ac4c13.jpg" width="550" height="366" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181601_62500.jpg" alt="47472457-7677-4f68-81b7-dbe4c4e576d5.jpg" width="550" height="364" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181601_54493.jpg" alt="肋软骨采集出来了" width="551" height="618" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">取出肋软骨后,注入无菌生理盐水,请麻醉医生 人工鼓肺,观察有无气泡漏出以发现潜在气胸.</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181601_54232.jpg" alt="fd81d258-ca05-40e1-9aaa-c1ead30cef30.jpg" width="550" height="375" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181602_63529.jpg" alt="2333bf30-6431-4764-b47d-5de60d007ca4.jpg" width="522" height="345" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></p><h2 style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">造成气胸的原因</h2><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 肋软骨切取造成的气胸一般就是开放性气胸</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 1. 层次问题,未在肋软骨膜内操作,在肋软骨膜内操作是安全取肋的不二法门。</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 2. 动作粗暴,撕扯导致肋软骨膜和壁层胸膜破裂。</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 3分离肋软骨膜不完全,尤其在小切口的情况下,导致肋软骨断端撕扯破裂。</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 4. 操作不熟悉解剖意外破裂。</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 5. 器械在肋软骨表面滑脱,收势不及刺破胸膜。</div><p>&nbsp;</p><h2 style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">气胸的征象 处理流程</h2><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 术中征象:</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 1. 出现持续的气体通过小孔音。</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 2. 取肋软骨完毕后,倒入生理盐水,盐水渗漏。</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 3. 取肋软骨完毕后,倒入生理盐水,鼓肺出现气泡。</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 术后征象:</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 1. 胸痛、继而胸闷或呼吸困难,并可有刺激性干咳。</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 2. 气体量多时患侧胸部饱满,呼吸运动减弱,触觉语颤减弱或消失,叩诊鼓音,听诊呼吸音减弱或消失。</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 术中</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 1胸腔闭式引流, 确定创口封闭后,再逐层严密关闭浅层的各层组织</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 2注入OB胶(外科封堵瘘口用的氰基烯酸酯胶)使脏层和壁层黏连,从而消灭胸膜腔间隙,使空气无处积存</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 3明胶海绵填塞</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 术后</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 1术后绝对卧床休息,充分吸氧,尽量</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">少说话,使肺活动减少,有利于气体吸收和肺的复张;</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 2术后严密观察,心电血氧监护二十四小时,术后胸片复查。可预防性应用抗生素。</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181602_99404.jpg" alt="40a07758-e79e-465f-9bbf-b3c04a72ded5.jpg" width="550" height="222" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/20191024181603_49418.jpg" alt="dd2551b3-f3fe-4510-b583-a44a248c80d1.jpg" width="550" height="610" style="margin: 0px; padding: 0px; list-style-type: none; border: 0px; max-width: 576px; height: auto; cursor: pointer;"/></div><h2 style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">总结</h2><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 术前常规CT重建检查</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 触摸合适软骨在其正上方做切口</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 钝性分离肌肉减少术后疼痛</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 肋软骨骨膜内操作</div><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 取肋后人工鼓肺</div><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">&nbsp;</p><div style="margin: 8px 0px; padding: 0px; list-style-type: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); font-family: Helvetica, &quot;Hiragino Sans GB&quot;, 微软雅黑, &quot;Microsoft YaHei UI&quot;, SimSun, SimHei, arial, sans-serif; font-size: 16px; line-height: 27.2px; widows: 1;">? 术后加压包扎</div><p><strong style="color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal;"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910241571914583574919.jpg" title="肋软骨.jpg" alt="肋软骨.jpg"/></strong></p><p><strong style="color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal;"><strong style="color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal;">视频操作示范联系作者</strong><span style="color: #333333; font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; background-color: #FFFFFF;">。。。</span></strong></p>Thu, 24 Oct 2019 18:13:16 +0800 下眼袋去脂专用拉钩(内路)特制结膜拉钩 眼袋拉钩 http://www.xiangzhiling.com/lingzhi/ganoderma/1040.html<p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">下眼袋去脂专用拉钩(内路)&nbsp; 扫二维码有演示视频</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><strong style="margin: 0px; padding: 0px; list-style-type: none;">由于微店等平台禁止,被删除,所以视频加业务代表后微信发送</strong></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">皮肤切开外路!</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">结膜入路内路!</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">皮肤无切口,美观&nbsp;</p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">年轻眼袋病人首选术式&nbsp;&nbsp;</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910121570856757296223.jpg" title="内路眼袋拉钩.jpg" alt="内路眼袋拉钩.jpg"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910121570857392890107.jpg" style="" title="结膜拉钩 内路眼袋拉钩.jpg"/></p><p>结膜拉开,拉钩的两个小齿两边挂住组织</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910121570857392413864.jpg" style="" title="结膜拉钩 内路眼袋拉钩2.jpg"/></p><p>结膜拉开,拉钩的两个小齿两边挂住组织</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910121570857392541215.jpg" style="" title="结膜拉钩 内路眼袋拉钩3.jpg"/></p><p>挂住组织后,将拉钩向眼睛上部 眉毛方向翻转,则很好的档住了眼睛部位</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910121570857392147559.jpg" style="" title="结膜拉钩 内路眼袋拉钩34.jpg"/></p><p>挂住组织后,将拉钩向眼睛上部 眉毛方向翻转,则很好的档住了眼睛部位,就方便在眼袋位置进行操作了</p>Sat, 12 Oct 2019 13:02:45 +0800 中国著名实战派整形咨询师张明伦70条成交秘笈完整版http://www.xiangzhiling.com/lingzhi/ganoderma/1039.html<p>1、我做了18年的美容咨询师,我让5500多人获得了美丽,有超过66位顾客跟了我10年以上!</p><p>&nbsp;</p><p>2、咨询师最重要的是自信,如果连自信都没有,就别上班了!</p><p>&nbsp;</p><p>3、女人一定要美丽,如果你都不爱美,死了得了!</p><p>&nbsp;</p><p>4、顾客都是养出来,不是宰出来,别一上来就开个几十万的单子,如今这种傻帽不多了!</p><p>&nbsp;</p><p>5、专家才是赢家,在专业知识上一定要下足功夫!</p><p>&nbsp;</p><p>6、能让你的成交率提升30%的秘诀:让顾客产生危机感!</p><p>&nbsp;</p><p>7、顾客来了就要想办法留下来,等她跑了想捞回来就难了!</p><p>&nbsp;</p><p>8、顾客来做什么项目,不一定就要成交什么项目,隆胸没谈也可以做个激光美肤啊!</p><p>&nbsp;</p><p>9、你的那张脸告诉顾客,她是否应该把美丽交给你!</p><p>&nbsp;</p><p>10、与其鸡脖子上带100万元的金链子,不如花10万有个美脖子!</p><p>&nbsp;</p><p>11、爱美的人始终是爱美的,30岁爱美、40岁爱美、50岁依然爱美!只要我不死,只要她不死,她就是我忠诚的顾客!我为这些人而活着!</p><p>&nbsp;</p><p>12、只要让顾客相信了你,这个行业挣钱是相当容易的!</p><p>&nbsp;</p><p>13、美容的理念是,预防一定大于治疗!不要等衰老了再去做,付出的会更多!</p><p>&nbsp;</p><p>14、顾客不在量多,要会选择,我一个客人的消费就能顶上你们一天的营业额!</p><p>&nbsp;</p><p>15、大单子是怎么出来的?养出来的,我的大顾客是我从1500个人当中养出来的!</p><p>&nbsp;</p><p>16、不要以貌取人,拿LV的包不一定有钱,可能她全部家当就在那个包上,能来整形医院的都有钱!</p><p>&nbsp;</p><p>17、女人都是爱美的,为了美可以去死,什么人不爱美?死人!只有死人是不爱美的!</p><p>&nbsp;</p><p>18、咨询师一定要有足够的气势和自信,要让顾客知道人一定是要爱美的,留着钱是没用的!</p><p>&nbsp;</p><p>19、满手都是钻石也盖不住你的老手,为什么不去整整,拥有一双嫩手呢!</p><p>&nbsp;</p><p>20、咨询师要学会在赞美中挑毛病,赞美中挑瑕疵,瑕疵越看越大,鼻子越看越歪!没法活了!</p><p>&nbsp;</p><p>21、赞美顾客的优点,放大顾客的缺点,一定会找你来!</p><p>&nbsp;</p><p>22、我很牛,我的新顾客成交率可以达到93.5%,这是我的实力!秘诀就是只要来了,总会让她变美一些!</p><p>&nbsp;</p><p>23、美丽是多维立体的美丽,你光有一对大胸就美了吗?满脸的褶子,一身的赘肉,胸再大也没用!</p><p>&nbsp;</p><p>24、你多主动,钱就多主动,业绩就是这么出来的!</p><p>&nbsp;</p><p>24、咨询师没有技巧,是你的态度、是你的眼界、是你的把控能力、是你的推荐!</p><p>&nbsp;</p><p>25、先聆听顾客的需求,再给予顾客需求!强硬的推荐,顾客只会捂紧钱包!</p><p>&nbsp;</p><p>26、再难斗得八婆也是有需求,才来美容的,放大她的需求就可以了!</p><p>&nbsp;</p><p>27、女人在30、40岁是密集衰老期,衰老是无法阻止的,但是可以对抗和延缓的!</p><p>&nbsp;</p><p>28、形容美丽皮肤的词是“白、透、亮”;</p><p>&nbsp;</p><p>29、咨询师最大的失败就是你的客人跑别人那里去了!我的顾客永远跑不了!这是我的魅力!</p><p>&nbsp;</p><p>30、我卖的不是产品,是方案,你在不同的年龄我会给你不同的美丽方案,想美丽,跟着我就可以了!</p><p>&nbsp;</p><p>31、我来你们医院上班,前三个月一定是最后一名,一年后绝对是第一,因为老顾客的澎湃力量是巨大的!</p><p>&nbsp;</p><p>32、有香味的就是有香精的,香精就是毒药、化学的都是有毒的,都是会有残留的,残留就会损害你的皮肤健康!</p><p>&nbsp;</p><p>33、大声的告诉顾客,安全大于美丽!多少人美容不成变毁容了!越保守才是越安全!</p><p>&nbsp;</p><p>34、胶原蛋白是不会通过吃、喝补充的,99%都转换成了酶!</p><p>&nbsp;</p><p>35、如果你想更优秀,一定要专业、职业,要会说,大美女、大美妞、真漂亮,你这太俗了!</p><p>&nbsp;</p><p>36、少了胶原蛋白,你的美还剩下什么?最悲哀的衰老,是塌陷!看赫本!</p><p>&nbsp;</p><p>37、美丽是靠保养得,没有一劳永逸的,只有化学的才是永久的,一旦永久离死就不远了!看看奥美定!</p><p>&nbsp;</p><p>38、胶原蛋白是会打上瘾的,从50岁变成40岁她可以接受,但重新回到50岁她是接受不了的!</p><p>&nbsp;</p><p>39、我30秒就挣了十几万,一个电话打过去,张总,你赶紧来找我吧,再过一段时间你就要现原型了!</p><p>&nbsp;</p><p>40、我不是能吹的,我的话都是有理论基础的,咨询师一定要够专业!</p><p>&nbsp;</p><p>41、你不张嘴我帮不了你,顾客不说,你就不知道她的需求!</p><p>&nbsp;</p><p>42、你不张嘴,钱就不来,你一张嘴,钱就来了,因为我老是张嘴,所以我就值钱!</p><p>&nbsp;</p><p>43、最聪明的咨询师,一定会选择客人!目光一定要放长远!如果只顾眼前,你的顾客永远是流水的兵,留不住!</p><p>&nbsp;</p><p>44、顾客上来就说成交吧!做了就好,太棒了,你越说顾客越害怕!要先听顾客的需求!</p><p>&nbsp;</p><p>45、双美30年都经久不衰,一定是安全的,我打过的顾客没有一个不满意的!</p><p>&nbsp;</p><p>46、打胶原蛋白一定要维持,不要等降解完了才来,那要重新开始,还要花更多的钱!</p><p>&nbsp;</p><p>47、打胶原蛋白是悄悄的变美丽,谁都不知道你是怎么漂亮的,第二天就可以上班去!</p><p>&nbsp;</p><p>48、顾客出门一定要送到门口,帮她打伞,给她打车,叮嘱术后注意事项!</p><p>&nbsp;</p><p>49、整形美容中会出现的问题一定要提前告诉顾客,不要隐瞒,不要在顾客回家发现了,打电话过来了你才去说,晚了!</p><p>&nbsp;</p><p>50、你没有用过,你就没有说服力!隆过胸的让顾客看看你的胸就成交了!割过双眼皮的让顾客看看你眼睛就成交了!</p><p>&nbsp;</p><p>51、预防大于治疗,要给顾客树立防患于未然的抗衰老意识!不要等脸上的肉咧下来了才来打!</p><p>&nbsp;</p><p>52、我永远都不会失败的,我永远跟着时代走的,只要客人不死,我不死,我就是最好的!</p><p>&nbsp;</p><p>53、嘴越欠越挣钱,睁开的慧眼,伸出你的手,张开你赞美的口,找出顾客的瑕疵,提出解决方案,钱就来了!</p><p>&nbsp;</p><p>54、要告诉顾客,维持你的美丽,是每一天都要做的功课!</p><p>&nbsp;</p><p>55、客户的管理是非常重要的,维护有价值的顾客会让你越做越大,没有顾客管理,永远只是广告费、广告费,一次性的成交会越做越难!</p><p>&nbsp;</p><p>56、我满脸都是假的,我鼻子是整的,我眉毛是切得,我眉毛是种的,我刚来的时候打了八针扇形双美!</p><p>&nbsp;</p><p>57、顾客出来一定要第一时间上去,赞美注射或者手术的效果,因为医生是没法自己夸自己的,这个活就得咨询师来干!</p><p>&nbsp;</p><p>58、我的培训特别值钱,你们随便都可以问我点问题,我什么都知道,我来一趟不容易,走了就没机会了!</p><p>&nbsp;</p><p>59、咨询师一定是捧着医生出台的,要给医生捧场,千万别给医生挖个坑让她跳!</p><p>&nbsp;</p><p>60、你要全程的去服务你的顾客,不要收了钱你跑了,那样你的顾客永远都不会再来了!</p><p>&nbsp;</p><p>61、咨询师身边要备着伞、墨镜、口罩,顾客走的时候送给她,告诉她注意防晒、别人看着你眼肿着,我不信你不还我,还我生意就又来了!</p><p>&nbsp;</p><p>62、服务你们能做到吗?我这么大腕我都能做到,你们做不到吗?我给个口香糖、端杯水、帮她打个伞、打个车,这算个屁啊,我留住她的心!永远跑不了!</p><p>&nbsp;</p><p>63、咨询师没有技巧,服务做到位,你的顾客就成你的朋友了,下次来就带朋友了!留住她的心就留住了她的人!</p><p>&nbsp;</p><p>64、咨询师要学会降低顾客的期望,你顺着她说,没问题,可以达到,好着呢!完了,做完就要打架了!</p><p>&nbsp;</p><p>65、咨询师一定要真心真意的面对你的客人,好就是好,不好就是不好,竭尽全力为顾客解决问题!</p><p>&nbsp;</p><p>66、咨询师是不出产品的,必须依靠专家;</p><p>&nbsp;</p><p>67、把你的专家捧红了,你就红了;</p><p>&nbsp;</p><p>68、隆重的推出你的专家,而不是营销你自己;</p><p>&nbsp;</p><p>69、我能说出来的都是基础的,真正厉害的东西一句话就能让你成交几十万;</p><p>&nbsp;</p><p>70、我的经验没有那么系统,但招招致命,都是从无数的实战中得出的。</p><p><br/></p>Wed, 09 Oct 2019 18:38:01 +0800 肋软骨切片器 鼻整形必备 有示范视频http://www.xiangzhiling.com/lingzhi/ganoderma/1038.html<p data-find="_1" style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">&nbsp;肋软骨隆鼻是鼻综合整形手术中医生们首选的最为流行的手术方式之一,到目前医美整形的发展状态下已经到了不会肋软骨隆鼻都不好意思说自己是整形医生的潮流!一台肋软骨隆鼻一般医生们需要花费2.5小时~3小时左右,时间长度已经不算低了,其中在肋软骨切出后其不规则的形态要切出各种薄片,搭成鼻骨支撑支架,如2+1方式还是很费时费力的,因此如何缩短手术时间,提升手术质量都是医生们费劲心思琢磨的,我公司设计生产的此款肋软骨切片器很好的解决了这个问题:不伤手、方便、省力,均匀 ,是医生们肋软骨隆鼻的手术操作的辅助利器:</p><p data-v-a64cc490="" data-v-5f128736="" class="d-text" style="margin: 0.533333rem 0.4rem; padding: 0px; list-style: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); -webkit-tap-highlight-color: transparent; box-sizing: border-box; position: relative; text-align: justify; word-break: break-all; font-family: Simsun;">2019升级新款!0.5, 1,1.5 ,2毫米厚度</p><p data-v-a64cc490="" data-v-5f128736="" class="d-text" style="margin: 0.533333rem 0.4rem; padding: 0px; list-style: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); -webkit-tap-highlight-color: transparent; box-sizing: border-box; position: relative; text-align: justify; word-break: break-all; font-family: Simsun;">&nbsp;<img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570531132261920.jpg" title="软骨切片器2019款.jpg" alt="软骨切片器2019款.jpg"/></p><h2 style="margin: 0px 0px 20px; padding: 0px 0px 0px 15px; list-style-type: decimal; color: rgb(121, 97, 10); font-size: 14px; border-left: 4px solid rgb(145, 131, 80); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);">2019款肋软骨切片器使用说明:</h2><p data-v-a64cc490="" data-v-5f128736="" class="d-text" style="margin: 0.533333rem 0.4rem; padding: 0px; list-style: none; color: rgb(51, 51, 51); white-space: normal; background-color: rgb(255, 255, 255); -webkit-tap-highlight-color: transparent; box-sizing: border-box; position: relative; text-align: justify; word-break: break-all; font-family: Simsun;"><br style="margin: 0px; padding: 0px; list-style-type: none; -webkit-tap-highlight-color: transparent;"/>一,先手工切取肋软骨的大概规则形状<br style="margin: 0px; padding: 0px; list-style-type: none; -webkit-tap-highlight-color: transparent;"/><br style="margin: 0px; padding: 0px; list-style-type: none; -webkit-tap-highlight-color: transparent;"/>二,将要切片的髓质肋软骨塞入切片器的槽内,调整刀片厚度位置,第一次第一片切掉削平!<br style="margin: 0px; padding: 0px; list-style-type: none; -webkit-tap-highlight-color: transparent;"/><br style="margin: 0px; padding: 0px; list-style-type: none; -webkit-tap-highlight-color: transparent;"/>从第二片开始获取想要厚度的软骨片(参考视频操作)</p><p><br/></p>Tue, 08 Oct 2019 18:32:23 +0800 光导鼻孔拉勾 术前术后术中都可用http://www.xiangzhiling.com/lingzhi/ganoderma/1037.html<p><br/></p><p>主要是鼻整形术前术后检查用<br/></p><p>患者鼻子<strong>是否鼻中隔缺损,鼻甲肥大,通气功能有没障碍</strong>等,是医生手术前需要确认的。这些功能障碍术前告知患者说明这些功能缺失将来可能会存在的并不是此次鼻子手术的原因,避免将来矛盾纠纷出大事!</p><p><br/></p><p>所以这种检查也很有必要!</p><p><br/></p><p>鼻背筋膜分离 脱套时也可以用到</p><p>用它,不被自己手,拉勾,棉签挡光</p><p>护士打无影灯不到位,有它一清二楚</p><p><br/></p><p><strong>小巧,方便哟</strong></p><p><br/></p><p>头宽8毫米,头长30毫米</p><p><br/></p><p><br/></p><p>根据医生使用反馈,升级改进,<strong>电池部分外加医用不锈刚套筒</strong>。</p><p><br/></p><p><strong>外套筒</strong>,拉勾部分都能高温高压消毒!</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570526533183779.jpg" title="光导鼻孔拉钩.jpg" alt="光导鼻孔拉钩.jpg"/></p>Tue, 08 Oct 2019 17:21:56 +0800 好用方便cfs手术用的斜视镊肌肉镊:眼睛提肌手术锁住肌肉用http://www.xiangzhiling.com/lingzhi/ganoderma/1036.html<p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; line-height: 30px;">好用方便cfs手术用的斜视镊肌肉镊!</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; line-height: 30px;">眼睛提肌手术示意图步骤七:锁住肌肉,</span>用肌肉镊夹住Müller肌和提上睑肌腱膜和眶隔,并将肌肉锁住。(<strong>参考后面案例示意文章</strong>)</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570521234762705.jpg" style="" title="cfs手术肌肉镊.jpg"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570526193348486.jpg" title="cfs手术肌肉镊4.jpg" alt="cfs手术肌肉镊4.jpg"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570521234607599.jpg" style="" title="cfs手术肌肉镊2.jpg"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570521234457965.jpg" style="" title="cfs手术肌肉镊3.jpg"/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; line-height: 30px;">眼睛提肌手术示意图步骤一:术前划线</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);">以亚甲蓝画出术眼的上睑皱襞,术眼的上睑皱襞应与对侧健眼的上睑皱襞的弧度、距睑缘的距离一致。若对侧健眼无上睑皱襞,应同时做与术眼一致的上睑皱襞成形术。</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570522355537004.png" title="5b6270f6Nf58d5ae6.png" alt="5b6270f6Nf58d5ae6.png"/></p><p><br/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; line-height: 30px;">眼睛提肌手术示意图步骤二:做牵引缝线</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);">在睑缘中外1/3和中内1/3交界处用1-0缝线各做一牵引缝线。翻转上睑,暴露上穹隆结膜。</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570522741752552.png" title="5b6270f6Ncfcea371.png" alt="5b6270f6Ncfcea371.png"/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; line-height: 30px;">眼睛提肌手术示意图步骤四:注射麻醉剂</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);">穹隆部结膜下注射2%利多卡因0.5ml,一方面起麻醉作用,另方面使Mü-ller肌与穹隆部结膜分离。注射时进针要浅。</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570522802528516.png" title="5b6270f7Nd73d8f3a.png" alt="5b6270f7Nd73d8f3a.png"/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; line-height: 30px;">眼睛提肌手术示意图步骤五:穿线</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);">在内、外侧穹隆部结膜各做一个长5mm的纵行切口,用钝头剪刀伸入结膜下,将穹隆部结膜与Müller肌分离,置入橡皮带,至内侧结膜切口穿出。</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570522909127312.png" style="" title="5b6270f8Nc760f793.png"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570522909918625.png" style="" title="5b6270f8N1bf86a0f.png"/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; line-height: 30px;">眼睛提肌手术示意图步骤六:眼睑复位</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);">眼睑复位,在皮肤亚甲蓝画线处(距睑缘3~5mm)切开皮肤、皮下组织深达睑板,用剪刀在睑板上分离眼轮匝肌,至暴露睑板全长及其前面附着的提上睑肌腱膜。</p><p><br/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570522957375098.png" title="5b6270f8Nb099f66e.png" alt="5b6270f8Nb099f66e.png"/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; line-height: 30px;">眼睛提肌手术示意图步骤七:剪开腱膜</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);">在睑板上缘上方近外眦部纵行剪开腱膜。</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570522984135201.png" title="5b6270f9N42028fa0.png" alt="5b6270f9N42028fa0.png"/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; line-height: 30px;">眼睛提肌手术示意图步骤七:锁住肌肉</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);">用肌肉镊夹住Müller肌和提上睑肌腱膜和眶隔,并将肌肉锁住。</p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570523157276220.png" title="5b6270f9N9bd0554d.png" alt="5b6270f9N9bd0554d.png"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570523080220746.png" title="5b6270faNdd67322c.png" alt="5b6270faNdd67322c.png"/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; line-height: 30px;">眼睛提肌手术示意图步骤八:切断眶隔</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);">在睑板上缘与肌肉镊之间切断眶隔、提上睑肌腱膜与Müller肌,将暴露的橡皮带抽出。</p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);"><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570523209721522.png" title="5b6270fbNbb94433c.png" alt="5b6270fbNbb94433c.png"/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; line-height: 30px;">眼睛提肌手术示意图步骤九:继续分离</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);">在腱膜前及Müller肌下面继续向上分离,剪断外角和内角。</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570523284670218.png" title="5b6270fbN1175ffc3.png" alt="5b6270fbN1175ffc3.png"/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; line-height: 30px;">眼睛提肌手术示意图步骤九:分离腱膜与韧带</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);">在腱膜前向上分离暴露Whitnall韧带,将腱膜与该韧带分离。将肌肉镊向下牵引,测试肌肉弹性。在提上睑肌剪断线之上2mm,做3根缝线各自结扎,沿预定提上睑肌剪断线以直剪刀剪断。</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570523383447763.png" title="5b6270fcNc3e03cd7.png" alt="5b6270fcNc3e03cd7.png"/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; line-height: 30px;">眼睛提肌手术示意图步骤九:收紧缝线</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);">将3根提上睑肌褥式缝线(已结扎)分别缝于睑板上,收紧缝线打活结,观察上睑的高度和弧度并调整,满意后将提上睑肌结扎固定于睑板上。</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570523419604798.png" title="5b6270fcNd3be614c.png" alt="5b6270fcNd3be614c.png"/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; line-height: 30px;">眼睛提肌手术示意图步骤九:剪去多余皮肤</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);">皮肤切口的下唇剪去一细条轮匝肌,切口的上唇剪去一条多余的皮肤。</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910081570523447257880.png" title="5b6270fcNbfda4881.png" alt="5b6270fcNbfda4881.png"/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);"><span style="margin: 0px; padding: 0px; line-height: 30px;">眼睛提肌手术示意图步骤九:缝合皮肤</span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; font-size: 16px; line-height: 30px; text-indent: 28px; font-family: &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, STHeiti, &quot;Microsoft YaHei&quot;, &quot;Microsoft JhengHei&quot;, &quot;Source Han Sans SC&quot;, &quot;Noto Sans CJK SC&quot;, &quot;Source Han Sans CN&quot;, &quot;Noto Sans SC&quot;, &quot;Source Han Sans TC&quot;, &quot;Noto Sans CJK TC&quot;, &quot;WenQuanYi Micro Hei&quot;, SimSun, sans-serif; color: rgb(64, 64, 64); white-space: normal; widows: 1; background-color: rgb(255, 255, 255);">缝合皮肤的缝线均应经睑板,以便形成上睑皱襞。如穹隆部结膜脱垂明显,用3-0丝线从穹隆结膜进针,穿出于上睑皮肤,做3对褥式缝合。若睑裂闭合不全,用0号线于近下睑缘处做Frost缝线,以闭合睑裂并用胶布将缝线固定于额部。结膜囊涂抗生素眼膏单眼包扎。</p><p><br/></p>Tue, 08 Oct 2019 15:51:36 +0800 多平台互联网品牌宣传找整形外科医生公立三甲副高在职合作共赢无费用http://www.xiangzhiling.com/lingzhi/ganoderma/1035.html<p><strong>找医生:</strong>整形外科医生&nbsp;</p><p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</p><p><strong>&nbsp;条件:</strong>公立三甲,副高在职,<strong style="white-space: normal;">地域不限!</strong></p><p><br/></p><p><strong>合作共赢:</strong>给医生做个人品牌ip(或者医生团队),在互联网多平台大平台给医生做自媒体品宣。产生流量给医生&nbsp;</p><p><br/></p><p><strong>医生要做什么</strong>:提交资质,审核后就可 ,无费用</p><p><br/></p><p>多平台展现,流量支持,(参看图片宣传) 名额有限!</p><p><br/></p><p>欢迎推荐,自荐!符合条件者,有意合作者,可细节对接洽谈</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910071570409412548747.png" title="3.png" style="white-space: normal;"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910071570409412869164.png" style="" title="2.png"/></p><p><br/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910071570409412823267.png" style="" title="1.png"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910071570409413317776.png" style="" title="简单加入.png"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910071570409413772291.png" style="" title="采访.png"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910071570409414275695.png" style="" title="如何加入2.png"/></p><p><br/></p>Mon, 07 Oct 2019 08:49:34 +0800 (鼻)整形基础器械包 精简版http://www.xiangzhiling.com/lingzhi/ganoderma/1034.html<p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910061570333917127646.jpg" style="" title="鼻精简基础包.jpg"/></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><strong>简单的鼻综合器械基础配备,医生可根据手术项目增补加减配置要求,以最后协商为准</strong></p><p style="margin-top: 1em; margin-bottom: 1em; padding: 0px; list-style: none; color: rgb(51, 51, 51); font-family: Verdana, Arial, Helvetica, sans-serif, 宋体; white-space: normal; background-color: rgb(255, 255, 255);"><strong><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910061570337342470752.png" title="鼻精简基础包配置.png" alt="鼻精简基础包配置.png"/></strong></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910061570333916639785.jpg" style="" title="鼻包精简扩展.jpg"/></p><p><br/></p>Sun, 06 Oct 2019 11:46:43 +0800 眼科整形镊 精细眼科镊 手感好http://www.xiangzhiling.com/lingzhi/ganoderma/1033.html<p>眼科整形镊:<br/></p><p>眼科镊供眼科手术时夹持眼部组织用。眼用镊尖头的头端应尖锐,唇头齿、柄花应清晰,完整,无缺花!</p><p>眼部整形手术上手简单但在所有整形手术中它做好做精细更难,这个角度来说又医生最难做的整形手术,眼科镊要求精细,但越精细制作工艺越难,外形容易,精细及手感是医生最为在乎的。</p><p><strong>一般分为有齿或者说有钩1X2齿,无齿或无钩直平台</strong>;11cm长度,头宽0.4mm最为常用,眼整形手术必备必用;其它手术中也会用到。</p><p>提示:部分商品包装更换频繁,如商品与图片不完全一致,请以收到的商品实物为准</p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910061570329033267812.jpg" title="镊子2.jpg" alt="镊子2.jpg"/></p><p><img src="http://www.xiangzhiling.com/lingzhi/zb_users/upload/2019/10/201910061570330308823524.jpg" title="镊子3.jpg" alt="镊子3.jpg"/></p><p>医生喜欢的镊子</p>Sun, 06 Oct 2019 10:27:30 +0800跑狗论坛新一代的跑狗论坛