Ọkpụkpọ ebe obibi thoracic - mgbapu thoracic mechiri emechi
1 Ngosipụta
1. Ọnụ ọgụgụ dị ukwuu nke pneumothorax, pneumothorax na-emeghe, pneumothorax erughị ala, pneumothorax na-emegbu iku ume (n'ozuzu mgbe mkparịta ụka ngụgụ nke unilateral pneumothorax karịrị 50%).
2. Thoracocentesis na ọgwụgwọ pneumothorax ala
3. Pneumothorax na hemopneumothorax chọrọ ikuku ventilashị ma ọ bụ arụ ọrụ
4. pneumothorax ugboro ugboro ma ọ bụ hemopneumothorax mgbe e wepụsịrị tube drainage thoracic.
5. Hemopneumothorax traumatic na-emetụta akụkụ iku ume na ọrụ ọbara.
2 Nkwadebe
1. Nhazi
Nọdụ ala ma ọ bụ ọkara nọdụ ala
Onye ọrịa ahụ nọ na ọkara nke dina (ọ bụrụ na ihe ịrịba ama ndị dị mkpa adịghị eguzosi ike, onye ọrịa ahụ nọ n'ọnọdụ ụgha dị larịị).
2. Họrọ saịtị
1) Nhọrọ nke oghere intercostal nke abụọ nke ahịrị clavicular nke etiti maka drainage pneumothorax.
2) A na-ahọrọ nfụkasị ahụ n'etiti etiti etiti axillary na ahịrị axillary dị n'azụ, na n'etiti 6th na 7th intercostals.
3. Disinfection
Ngwọta anụ ahụ na-emekarị, dayameta 15, 3 ayodiin 3 mmanya
4. Nkụnwụ nbanye n'ime obodo
Intramuscular injections nke phenobarbital sodium 0 lg.
Infiltration mpaghara nke mgbidi nkwadebe oyi akwa na mpaghara anesthesia mbepụ na pleura;Bee akpụkpọ ahụ 2cm n'akụkụ eriri intercostal, gbasaa ike vaskụla n'akụkụ elu nke ọgịrịga ahụ, ma kewaa akwara intercostal na igbe;A ga-edobe tube mmiri ahụ ozugbo mgbe mmiri na-apụta.Omimi nke tube mmiri n'ime oghere obi ekwesịghị ịfe 4 ~ 5cm.A ga-eji eriri silk nke na-ajụ ọkara sụọ mgbidi akpụkpọ anụ ahụ, a ga-ejikọta tube drainage ma dozie ya, ma kpuchie ya na gauze na-adịghị mma;N'èzí gauze, kechie ogologo teepu gburugburu tube drainage ma mado ya na mgbidi obi.A na-ejikọta njedebe nke tube drainage na disinfection ogologo roba tube na mmiri a na-ekpuchi karama, na tube tube ejikọrọ na karama mmiri ahụ na-edozi n'elu akwa akwa na teepu ntanye.A na-etinye karama mmiri mmiri n'okpuru akwa ụlọ ọgwụ ebe ọ na-adịghị mfe ịkụtu.
3 Ntinye
1. Mbepu akpụkpọ ahụ
2. Nkewa nke ukwuu nke oyi akwa muscular na ntinye nke tube thoracic drainage na oghere akụkụ site na nsọtụ elu nke ọgịrịga.
3. Oghere akụkụ nke tube drain kwesịrị ịdị 2-3cm n'ime oghere obi
4 Akpachara anya
1. N'ihe banyere nnukwu hematocele (ma ọ bụ effusion), a ga-enyocha ọbara mgbali elu n'oge mbido mbụ iji gbochie onye ọrịa ahụ ka ọ ghara ịda mbà na mberede ma ọ bụ daa.Ọ bụrụ na ọ dị mkpa, a ga-ahapụ ọbara mgbali elu mgbe niile ka ịzenarị ihe egwu mberede.
2. Lezienụ anya ka a kpọchie tube drainage na-enweghị nrụgide ma ọ bụ mgbagwoju anya.
3. Nyere onye ọrịa aka ịgbanwe ọnọdụ ahụ nke ọma kwa ụbọchị, ma ọ bụ gbaa onye ọrịa ume ume iku ume iji nweta mmiri mmiri zuru oke.
4. Dekọọ ụda mmiri mmiri kwa ụbọchị (ụda mmiri na-ekpo ọkụ kwa elekere n'oge mmalite mgbe mmerụ ahụ gasịrị) na mgbanwe nke ihe onwunwe ya, ma mee X-ray fluoroscopy ma ọ bụ nyochagharị ihe nkiri dị ka o kwesịrị.
5. Mgbe ị na-edochi karama mmiri na-adịghị mma, a ga-egbochi tube drainage nwa oge, mgbe ahụ, a ga-ahapụkwa tube drainage ọzọ mgbe dochie anya iji gbochie ikuku site na nrụgide ọjọọ nke obi.
6. Iji kpochapụ ọrịa nke abụọ, a pụrụ ime omenala nje bacteria na nyocha mmetụta ọgwụ nke mmiri mmiri mmiri ma ọ bụrụ na a na-agbanwe ihe ndị na-emepụta mmiri mmiri.
7. Mgbe ị na-adọpụ tube drainage, akpụkpọ ahụ dị n'akụkụ mbepụ ahụ ga-ebu ụzọ kpochapụ ya, a ga-ewepụ suture a na-edozi ahụ, a ga-ejikọta tube na-ekpo ọkụ n'akụkụ mgbidi obi na ike vaskụla, na oghere drainage kwesịrị iji 12 ~ kpuchie ya. 16 n'ígwé nke gauze na 2 n'ígwé nke Vaseline gauze (gụnyere ntakịrị vaseline ka a na-ahọrọ).Onye na-arụ ọrụ kwesịrị iji otu aka jide gauze, jiri aka nke ọzọ jide tube drainage, ma dọpụta ya ngwa ngwa.A na-emechi gauze na oghere drainage kpamkpam na mgbidi igbe na nnukwu mpempe akwụkwọ ntanye nke mpaghara ya karịrị nke gauze, na mgbakwasa nwere ike gbanwee mgbe awa 48 ~ 72 gasịrị.
5 Nọọsụ mgbe arụchara ọrụ ahụ
Mgbe arụchara ọrụ ahụ, a na-ebufekarị tube nke drainage iji mee ka lumen ghara igbochi ya.A na-edekọ mmiri mmiri mmiri kwa elekere ma ọ bụ awa 24.Mgbe mmiri gbasasịrị, ngụgụ na-agbasa nke ọma, ọ dịghịkwa gas ma ọ bụ mmiri na-asọpụta.Enwere ike iwepụ tube drainage mgbe onye ọrịa na-eku ume miri emi, enwere ike mechie ọnya ahụ na vaseline gauze na teepu nrapado.
Oge nzipu: Jun-10-2022
