医美整形重睑术手术记录单.docx

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1、病历号:医疗美容医院重睑术手术记录单姓名Name年龄Agc性别Scx男M女F病历号MRN手术口期Dateofoperation于术医师MainPhySiCian麻醉医，Anaesthesia助理医师Assistphysician洗手护士Hand-washednue巡I可护士OndU1.ynU悭手术H期：年月F1.Operationdate:Yymmdd开始时间：时分Startingtime:hourmunite结束时间：时分Finishingtime:hourmunite手术名弥：MNt*Surgayoadoubieeye1.id术前检查ExaminationbeforeoperationI.

2、专科检查Majorcheck上睑皮肤：Skinofuppereye1.idNorma1.-51.oosen口较松旭obviouskosenes（明显松弛上睑史厚：fkshyofupperc）,c1.id无NO口有Ycs两眼大小外形：SiZeandSharCofeycS口对称match口不对称unmatched左（右眼裂较大内毗赘皮：口无NoYes撷弓过高：Highzygoma口无No口有Yes2.血常规BkXXirOUHrK有（无）异常异常项目：3,凝血版原时间Timeofthrombin有（无）异常异常项13：手术idOperationRecoris（1）切开法；CuUingopenmc1.

3、hcd:1.患者取平卧位,常规消毒、铺巾：Prostration,disinfectiononoperationarca,drapc.2.用美兰在险缘中央偏内标记最离点.内毗部不靠近峻缘外侧路与险缘平行,不超过据缘.最高点JEIS壕的为mm：内测为mm：外何为mm：Markingthehighestpointoncentra1.eye1.idinc1.iningtoinner.innercantnusisawayfromeye1.idQIrtSidepara1.1.e1.edwihit.donotexceededtoeye1.id,1.hehighestpointtoeye1.idisabus

4、Iissuexxposureoforbicu1.aris.5 .切1.I下缘在皮肤与眼轮匝肌之间分离.至近上睑未损伤睫毛。Separatingskinfromorbicu1.armusc1.eofeyeondownsideofcuttouppereye1.idInoharmtoeye1.ash.6 .切除切口下绿一条眼轮匝肌，然露险板筋膜。Cu1.1.ingOfr1.heorbicu1.armusc1.eofeyeondownsideofcu1.eXPCNingtarsusfascia.7,见期脂肪膨出.去除少许.单极止血.去除切口上方皮肤一小条。Bysccinfatbu1.gefromeye

5、SOCkeIJCmoVinfisomeStachingb1.oiJCmoVinfiasma1.1.stnpofskinonUPPcrsidecut.8.7-0丝线连续缝合皮肤切口数针，缝线穿切口下线皮肤后经险板上绿的上1.提肌Ifi1.腹，再穿过切口上绿皮肤缝合，Sewingskincutdisconnected1.ybuusing7-0si）kthreadwhichakxgwiththedownsidecutofskinandthroughuppereye1.idonuppersidetarsusto1.iftmusc1.e即OnCUrOsis.10.术中左（右眼手术出血较多，造成血肿，眼肿

6、胀明显，难以调节两眼弧度，B1.ocdinfa1.oton1.e(t(112ht)cyeduringopcration.hocmatomaisCaUSed.hardtoadjusttheradiantofeyes.I1.受术者坐位其用豌子观察手术效果I,满意后结束手术。2.根据要求再修正后结束手术。PatientssittingandObSCrVingtheefec1.swithminorafterUPenI1.ion.finishingoperationafterSauSfaetion2.Finishingoperationafterco11xtonaccordingtodemands.12 .切口涂金建案眼药膏13 .术后用药。Spreadingch1.orotetracyc1.ineeyeointmentotheCU1.医疗美容医院