👨‍⚕️ Dr. BOSS 的一般外科衛教室｜Episode 03：闌尾炎手術

👨‍⚕️ Dr. BOSS 的一般外科衛教室｜Episode 03：闌尾炎手術 Dr. BOSS’s General Surgery Health Classroom｜Episode 03: Appendicitis Surgery 副標 / Subtitle 👨‍⚕️ Dr. BOSS × 🐨 Koala | 闌尾炎：右下腹的小麻煩 👨‍⚕️ Dr. BOSS × 🐨 Koala | Appendicitis: A Small Trouble in the Lower Right Abdomen --- 🟦 對話稿 Dialogue（中英對照） Koala： BOSS醫生，什麼是闌尾炎啊？ Doctor BOSS, what is appendicitis? BOSS 醫生： 闌尾炎是闌尾發炎或感染，會引起右下腹疼痛、噁心、發燒，是外科常見的緊急手術案例。 Appendicitis is inflammation or infection of the appendix, causing lower right abdominal pain, nausea, and fever. It’s a common surgical emergency. Koala： 那通常要怎麼治療呢？ How is it usually treated? BOSS 醫生： 多數患者需要手術切除闌尾，稱為闌尾切除術，以防止破裂造成腹膜炎。 Most patients require surgical removal of the appendix, called an appendectomy, to prevent rupture and peritonitis. --- 🟦 術前準備 Preoperative Preparation（中英對照） 診斷評估 / Diagnosis & assessment 體檢、血液檢查、腹部超音波或CT確認闌尾發炎。 Physical exam, blood tests, and abdominal ultrasound or CT to confirm inflamed appendix. 禁食與液體支持 / Fasting & IV fluids 術前禁食，給予靜脈輸液維持水分與電解質。 NPO (nothing by mouth) preoperatively, provide IV fluids for hydration and electrolytes. 抗生素 / Antibiotics 術前給予抗生素以減少感染風險。 Administer antibiotics preoperatively to reduce infection risk. --- 🟦 手術方式 Surgery Methods（中英對照） 開腹闌尾切除術 / Open appendectomy 傳統切開右下腹，切除發炎闌尾，清洗腹腔。 Traditional incision in the lower right abdomen, remove inflamed appendix, and irrigate abdominal cavity. 腹腔鏡闌尾切除術 / Laparoscopic appendectomy 微創手術，通過小切口放入攝影器械切除闌尾，恢復較快、疼痛較輕。 Minimally invasive surgery using small incisions and camera instruments to remove appendix, faster recovery, less pain. --- 🟦 術後照護 Postoperative Care（中英對照） 疼痛控制 / Pain management 術後可使用止痛藥控制不適。 Use pain medications to manage postoperative discomfort. 飲食恢復 / Diet recovery 初期禁食，腸蠕動恢復後逐步進食清淡食物。 NPO initially; gradually resume light diet as bowel function returns. 活動與復健 / Activity & rehabilitation 早期下床走動，促進血液循環與腸蠕動。 Early ambulation to promote circulation and bowel motility. 傷口照護 / Wound care 保持傷口清潔乾燥，觀察紅腫或滲液。 Keep wound clean and dry, monitor for redness or discharge. --- 🟦 小知識 Mini Note（中英對照） Koala： 闌尾切掉會不會影響腸道功能啊？ Will removing the appendix affect bowel function? BOSS 醫生： 一般不會。闌尾雖然有免疫與微生物功能，但切除後大腸依然可以正常運作。 Generally, no. The appendix has immune and microbiota roles, but bowel function continues normally after removal. --- 🟦 小貼士 Quick Tip 中文：術後注意傷口清潔、飲食逐步恢復、避免劇烈運動，定期追蹤醫師指示。 English: After surgery, keep the wound clean, gradually resume diet, avoid strenuous activity, and follow up regularly with your doctor.