70.牛隻進行碎胎術時,下列敘述何者最不適當?
(A)母體站立時對母體較安全
(B)母體站立時對施術者最為便利
(C)施術過程應儘量減少污染產道
(D)碎胎線鋸於每一次切割後應檢視是否要更換
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統計: A(72), B(29), C(6), D(39), E(0) #3490938
統計: A(72), B(29), C(6), D(39), E(0) #3490938
詳解 (共 2 筆)
#7386377
資料來源: Veterinary Reproduction and Obstetrics 第10版 P.281
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A與B選項:部分或完全的胎兒切截術可在母牛站立或臥姿時進行,兩種姿勢各有優缺點。從產科醫師的觀點來看,站立姿勢方便得多,但對母牛而言較不安全。若母牛呈胸骨臥姿且無法站起,初期抬高後軀會有所幫助。隨著操作進行,當母牛完全側臥時,接近胎兒會變得較容易。或者,也可以從一開始就讓母牛採左側臥姿,並使首先要截除的胎兒部分位於上方。在此姿勢下,瘤胃不會將子宮向下推壓。
D選項:多股絲設計的胎兒切截術鋼絲,即使只進行一至兩次切割,也很容易捲曲。因此,在每次切割後檢查鋼絲十分重要,必要時若發現扭折或磨損,應予以更換。
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以下為原文出處
A fetotomy, partial or complete, can be performed on both the standing or recumbent cow. Both positions have advantages and disadvantages, and sometimes there is no choice due to available, or lack thereof, facilities or the condition of the cow. From the obstetrician’s point of view the standing position is far more convenient but is less safe for the cow. If the cow is sitting in sternal recumbency and unable to rise, elevation of the hindquarters will be helpful initially. As the procedure progresses, access to the fetus becomes easier with the cow in complete lateral recumbency. Alternatively, she can be placed in left lateral recumbency right from the start, with the first part of the fetus to be amputated situated uppermost. In this position the rumen will not be pushing the uterus down. In order to amputate the other extremity, the cow should be rolled over on to her right side so that part of the fetus is now uppermost. This manoeuvre may need to be repeated if a total fetotomy is to be performed.
One of the major problems during a fetotomy arises from breaking of the wire. When threading the wire, it must be handled very carefully, especially avoiding it from getting kinked. Such kinks produce weak spots at which the wire may break when sawing. Fetotomy wire, which is multifilament in design, tends to curl very easily, even after one or two cuts. Therefore it is important to examine the wire after each cut and, if necessary, to replace it if it is kinked or frayed. To lessen the chance of breaking the wire when sawing, it is advised to rotate the wire through the fetotome as each cut is made. A new length of wire should be used for each fetotomy procedure.
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