Te matauranga mo te thoracentesis

E mohio ana tatou katoa, ko te taputapu thoracentesis tuku te taputapu matua mo te thoracentesis.He aha ta tatou e mohio ai mo te thoracentesis?

Nga tohu moThoracocentesis

1. Te werohanga o te mamae o te uma e whakapaetia ana he hemopneumothorax, me whakamarama ake;Ko te ahua o te pupuhi o te kopu kaore i te whakatauhia, a me werohia te pupuhi o te kopu mo te whakamatautau taiwhanga.

2. I te wa e werohia ana te nui o te pleural effusion (hematocele ranei) hei rongoa, e pa ana ki nga mahi rewharewha me te rere toto, a kaore ano kia whai tohu mo te whakaheke toto, ka pa te pneumothorax ki te mahi manawa.

Tikanga Thoracocentesis

1. Ka noho te manawanui ki runga i te tuuru i te taha whakamuri, ko te ringa hauora kei te tuara o te tuuru, ko te mahunga kei runga i te ringa, ko te peka o runga kua pangia ki runga ake i te mahunga;Me noho ranei ki te taha haurua te takoto, me te taha e pa ana ki runga, me te ringa o te taha kua pa ki runga ake i te mahunga, kia tuwhera tonu nga utu.

2. Ko te werohanga me te whakaheke wai me mahi ki te waahi oro pakari o te percussion, i te nuinga o te waa i te 7 ki te 8 o nga waahi o te koki subscapular, i te waahi 5 ki te 6 ranei o te waahi o te raina midaxillary.Ko te waahi werohanga o te effusion kapi me noho i runga i te X-ray fluoroscopy me te tirotiro ultrasonic.

3. Ko te Pneumothorax te aspirate, i te nuinga o te waa kei te noho whakahurihuri, a ko te waahi werohanga mowhiti kei te raina midclavicular i waenga i te 2nd me te 3rd intercostals, kei mua ranei o te kee i waenganui i te 4th me te 5th intercostals.

4. Me kaha te mahi a te kaiwhakahaere ki te mahi aseptiki, ka mau i te kanohi kanohi, te potae me nga karapu aseptiki, me te horoi i te kiri ki te waahi werohanga me te tincture iodine me te waipiro, me te whakatakoto i te tauera mahi.Me kuhu te rewharewha o te rohe ki te pleura.

5. Me ata kuhu te ngira ki te taha o runga o te rara e whai ake nei, a ko te ngongo taherapa e hono ana ki te ngira me awhi ki te maru hemostatic i te tuatahi.I te wa e haere ana i roto i te parietal pleura ka uru ki roto i te kohao thoracic, ka taea e koe te rongo i te "ahua o te hinga" kei te aukati te pito o te ngira i te ngaro ohorere, ka hono i te syringe, ka tuku i nga maru hemostatic i runga i te ngongo latex, katahi ka taea e koe te pupuhi wai. te hau ranei (i te wa e pupuhi ana i te hau, ka taea hoki e koe te hono atu i te taputapu pneumothorax artificial i te wa e whakapumautia ana ka pupuhihia te pneumothorax, me te mahi tonu i te pupuhi).

6. I muri i te tangohanga wai, toia te ngira wero, pehia te 1~3nin me te kakano parakore ki te kohao ngira, ka whakatika ki te riipene whakapiri.Tonoa te manawanui ki te noho ki te moenga.

7. Ka werohia nga turoro e mate kino ana, ka noho papatahi tonu ratou, kaua hoki e neke rawa te tinana mo te werohanga.