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护师考试外科必考点

  • 2026-01-12 20:59:47
护师考试外科必考点
1.甲亢并发症
术后呼吸困难（最危急）：
最常见原因：切口内出血，多见于48小时内
喉返神经（反思）
单侧：声音嘶哑（单嘶双失）
双侧：失声或呼吸困难
喉上神经
外支：会环甲肌瘫痪、音调降低
内支：饮水呛咳（外低内呛）
2.胆道疾病
部位及疾病
症状
病因
体征
胆囊
胆囊炎
胆绞痛
饱餐、进油腻食物
Murphy征（+）
胆道
胆管结石
Charcot三联征
结石导致胆道梗阻合并感染（黄、热、痛、休克、意识障碍）
夏天又黄又热痛
重症胆管炎
Reynolds五联征
胆道蛔虫
钻顶样绞痛症状与体征不符合
内环境有关
--
3.甲状旁腺
误伤甲状旁腺：手足抽搐（10%葡萄酸钙静脉推注）（升血钙）
甲状危象：12~36小时；体温＞39℃、脉率快（＞120~140）、昏迷（一热、二快、三昏迷）
4.常见致病菌
金黄色葡萄球菌
痈
新生儿脐炎
急性感染性心内膜炎
急性乳腺炎
败血症
甲沟炎
脓性指头炎
5.特异性感染
特异性感染
结核分枝杆菌（肺结核）
破伤风梭菌（破伤风）
白色念珠菌（真菌）
产气荚膜梭菌（气性坏疽）
炭疽杆菌（炭疽）
巧记：凤姐真坏，有贪念
非特异性感染
葡萄球菌、链球菌、大肠杆菌
6.上尿路结石（肾+输尿管）草酸钙结石（巧记：上草下磷）
下尿路结石（膀胱+尿道）磷酸镁铵结石
尿酸结石和胱氨酸结石在酸性尿中形成（巧记：光酸着你）
磷酸盐及磷酸镁铵结石易在碱性尿中形成（巧记：您捡石头）
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  1. CONNECT:[ UseTime:0.000379s ] mysql:host=127.0.0.1;port=3306;dbname=b_mffb;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.000698s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000281s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000217s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.000583s ]
  6. SELECT * FROM `set` [ RunTime:0.000222s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.000517s ]
  8. SELECT * FROM `article` WHERE `id` = 462304 LIMIT 1 [ RunTime:0.000366s ]
  9. UPDATE `article` SET `lasttime` = 1770401361 WHERE `id` = 462304 [ RunTime:0.012874s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 65 LIMIT 1 [ RunTime:0.000388s ]
  11. SELECT * FROM `article` WHERE `id` < 462304 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.000496s ]
  12. SELECT * FROM `article` WHERE `id` > 462304 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.006576s ]
  13. SELECT * FROM `article` WHERE `id` < 462304 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.008103s ]
  14. SELECT * FROM `article` WHERE `id` < 462304 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.007902s ]
  15. SELECT * FROM `article` WHERE `id` < 462304 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.001042s ]
0.112491s