Kagwiritsidwe Ntchito kathoracoscopic trocar
Zida zotayidwa za pleural puncture zidagwiritsidwa ntchito limodzi ndi endoscope kukhazikitsa njira yolumikizira chidacho poboola mu opaleshoni ya pleural endoscopic.
Mawonekedwe a thoracoscopic trocar
1. Ntchito yosavuta, yosavuta kugwiritsa ntchito.
2. Kubowola kosaoneka bwino, kuwonongeka pang'ono pakhungu ndi minofu.
3. Kudulidwa kwa opaleshoni kumakhala kochepa, kumagwirizana kwambiri ndi lingaliro laling'ono.
4. Puncture cannula imakhazikika mwamphamvu, ndipo chidacho chikhoza kukhala chokhazikika mkati ndi kunja.
Kugwiritsa ntchito thoracoscopic trocar
1. Sungani wodwalayo pamalo omwe angakhale ochezeka ku opaleshoni, kuyang'ana kumbuyo kwa mpando, ndikuyika manja ake kumbuyo kwa mpando.Pamphumi pamphumi.Sangakhoze kudzuka, zofunika theka-atakhala chapamwamba udindo, zinkakhala mbali ya mkono anaika occipital.
2. Puncture ndi mpweya m'zigawo decompression:
(1) The chifuwa puncture kupopera madzi, kuchita pachifuwa percussion, choyamba kusankha mbali zenizeni kuboola phokoso zoonekeratu, Dziwani kuti puncture mfundo angagwiritse ntchito gentian violet, ndi puncture, zambiri pali zinayi, motero ndi: phewa ngodya pa phazi la mzere pakati pa nthiti 7-9, mzere wa axillary pambuyo pa 7-8 intercostals, axillary midline pakati pa nthiti 6-7, axillary pakati pa kutsogolo 5 ndi 6 nthiti.
(2) Pneumothorax suction decompression: Malo obowola nthawi zambiri amakhala malo achiwiri okwera mtengo a mzere wapakati womwe wakhudzidwa kapena malo okwera mtengo a 4-5 a mzere wa midaxillary.
3. Yatsani khungu pamalo obowola kuti mukhomedwe ndi ayodini ndi mowa, ndipo mulingo wa disinfection ndi pafupifupi 15cm.Mukatsegula thumba la puncture, tcherani khutu ku zida zachipatala zomwe zili m'thumba ndikuwonetsetsa ngati singano ya puncture ndi yosalala.
4. Opaleshoni ya m'deralo inkachitidwa pochotsa 2% procaine 2cm ndi syringe ya 2cm kuchokera kumtunda kwa nthiti pamtunda wa anesthesia wamba kuchokera pakhungu kupita ku parial pleura.Asanayambe jekeseni, opaleshoni iyenera kuponyedwa mmbuyo, ndipo palibe mpweya, magazi kapena madzi amadzimadzi omwe amayenera kuwonedwa asanayambe jekeseni.
5. Kuyamba kwa kubowola: Choyamba, limbitsani chubu cha rabara kuseri kwa singanoyo ndi mphamvu za hemostatic, konzani khungu lapafupi pamalo obowola ndi dzanja lamanzere, gwirani singano yoboola (yokutidwa ndi yopyapyala) ndi dzanja lamanja, ndi Pierce. izo molunjika ndi pang'onopang'ono m'malo oletsa kupweteka kupyola m'mphepete mwa nthiti.Pamene kukana kwa singano nsonga mwadzidzidzi kutha, zimasonyeza kuti nsonga walowa pleural patsekeke, ndipo angagwirizanitse 50M1 syringe.Wothandizira amatulutsa mphamvu za hemostatic ndikuthandizira kukonza singano yoboola ndi ma hemostatic forceps.Sirinjiyo itadzazidwa, wothandizirayo adatseka payipiyo ndi mphamvu ya hemostatic ndikuchotsa syringeyo.Thirani madziwo mumtsuko, muyeseni ndikutumiza kuti akawunikenso ku labotale.
Nthawi yotumiza: Nov-08-2021
