Matenda a thoracentesis
3. Kupha tizilombo toyambitsa matenda
1) Kupha tizilombo toyambitsa matenda pakhungu, 3 ayodini 3 mowa, m'mimba mwake 15cm
2) Valani magolovesi osabala,
3) Bowo atagona thaulo
4. Wosanjikiza ndi wosanjikiza m'deralo kulowetsedwa opaleshoni
1) Odwala amatha kupatsidwa 0.011mg / kg atropine m'mitsempha kuti ateteze vasovagal reflex panthawi yochotsa madzi.Ma anesthetics kapena sedatives safunikira kugwiritsidwa ntchito.
2) Panthawi yopuma, wodwalayo ayenera kupewa kutsokomola ndi kuzungulira kwa thupi, ndi kutenga codeine poyamba ngati kuli kofunikira.
3) 2ml lidocaine wa lidocaine adakhomeredwa m'mphepete mwa nthiti ina kuti apange colliculus.
4) Lowani wosanjikiza ndi wosanjikiza kuti muteteze jekeseni m'mitsempha yamagazi, ndipo musalowe m'mitsempha mozama kwambiri.
5. Kubowola
Khungu pa malo obowola limakonzedwa ndi dzanja lamanzere, ndipo singano imayikidwa ndi dzanja lamanja
Pamwamba pa nthiti yotsatira, pamalo a anesthesia wamba, bayani singano mpaka kukana kutha, ndikusiya jekeseni.
Anakhazikika puncture singano kupewa puncture wa ziwalo zamkati
Pewani mpweya kulowa mu pleural cavity.Samalani mukamagwiritsa ntchito silinda ya singano ndi kusintha kwanjira zitatu.Mpweya suloledwa kulowa pachifuwa.Osapopa madzimadzi mwamphamvu kuti singano kapena catheter isalowe mu pleura kuvulaza mapapo.
6. Kukoka singano
1) Mukachotsa singano yoboola, iphimbe ndi yopyapyala yopyapyala ndikuyikonza mopanikizika
2) Gona mosatekeseka pambuyo pa opaleshoni kupewa kuyeretsa kwanuko
7. Njira zodzitetezera panthawi komanso pambuyo pa opaleshoni
1. Mukakhala ndi anaphylactic shock, siyani opaleshoni nthawi yomweyo ndikubaya 0.1% -------------0.3ml-0.5ml adrenaline subcutaneously.
Wodwala akhoza kumva kupweteka pachifuwa pamene mapapo atambasulidwanso ku khoma la pachifuwa.Pankhani ya ululu pachifuwa, dyspnea, tachycardia, kukomoka kapena zizindikiro zina zazikulu, akuti wodwalayo ali ndi pleural ziwengo, ndi ngalande ayenera kuyimitsidwa, ngakhale akadali kuchuluka kwa pleural effusion mu chifuwa.
2. Kupopa kwamadzi nthawi imodzi sikuyenera kukhala kochuluka, osapitirira 700 kwa nthawi yoyamba, komanso osapitirira 1000 m'tsogolomu.Kwa odwala omwe ali ndi kuchuluka kwamadzimadzi am'mimba, madzimadzi osakwana 1500ml amayenera kutsanulidwa nthawi iliyonse kuti apewe kusakhazikika kwa hemodynamic komanso / kapena pulmonary edema pambuyo polemba ntchito m'mapapo.
Pankhani ya zoopsa hemothorax puncture, izo m`pofunika kukhetsa anasonkhanitsa magazi nthawi yomweyo, kulabadira kuthamanga kwa magazi nthawi iliyonse, ndi kufulumizitsa kuikidwa magazi ndi kulowetsedwa kupewa mwadzidzidzi kupuma ndi kuzungulira kwa kukanika kapena mantha pa m`zigawo za madzimadzi.
3. Matenda amadzimadzi m'zigawo 50-100
4. Ngati ndi empyema, yesani kuyamwa nthawi zonse
5. Kufufuza kwa cytological kuyenera kukhala osachepera 100 ndipo kumayenera kuperekedwa mwamsanga kuti ateteze autolysis ya maselo
6. Pewani puncture pansi pa danga lachisanu ndi chinayi la intercostal kuti muteteze kuvulala kwa ziwalo za m'mimba
7. Pambuyo pa thoracocentesis, kuyang'anitsitsa kwachipatala kuyenera kupitilizidwa.Zitha kukhala maola angapo kapena tsiku limodzi kapena awiri pambuyo pake, thoracocentesis ikhoza kubwerezedwa ngati kuli kofunikira.
Nthawi yotumiza: Jun-08-2022
