Kuziva nezve thoracentesis

Sezvatinoziva tese, kuraswa thoracentesis mudziyo ndiyo yakakosha chishandiso chethoracentesis.Chii chatinofanira kuziva nezve thoracentesis?

Zviratidzo zveThoracocentesis

1. Diagnostic puncture of chest trauma inofungidzirwa hemopneumothorax, iyo inoda kumwe kujekeswa;Chimiro chepleural effusion hachina kutsanangurwa, uye pleural effusion inoda kubayiwa kuti iongororwe murabhoritari.

2. Kana huwandu hwakawanda hwepleural effusion (kana kuti hematocele) inoputirwa nerapeutically, iyo inokanganisa maitiro ekufema uye kutenderera kweropa, uye haisati yakakodzerwa nethoracic drainage, kana pneumothorax inokanganisa basa rekufema.

Thoracocentesis nzira

1. Murwere anogara pachigaro achidzokera kumashure, ane ruoko rwakagwinya kumashure kwechigaro, musoro paruoko, uye nhengo yepamusoro yakabatwa yakatambanudzwa pamusoro pemusoro;Kana kuti tora hafu yedivi yakarara nzvimbo, nedivi rakakanganiswa richikwira uye ruoko rwakabatwa rwakasimudzwa pamusoro pemusoro, kuitira kuti maintercosts ave akavhurika.

2. Iyo puncture uye dhiraivha inofanira kuitwa panzvimbo yakasimba yezwi rekurova, kazhinji mu7th kusvika ku8th intercostal space ye subscapular angle, kana mu 5th kusvika 6th intercostal nzvimbo ye midaxillary line.Nzvimbo yepuncture yekuputirwa effusion inofanirwa kuwanikwa zvichienderana neX-ray fluoroscopy kana ultrasonic kuongororwa.

3. Pneumothorax aspirates, kazhinji mu semi recumbent position, uye ringing point inobaya iri pa midclavicular line pakati pe 2nd and 3rd intercostals, kana kumberi kwe armpit pakati pe 4th ne 5th intercostals.

4. Mushandi anofanira kunyatsoita kushandiswa kweaseptic, kupfeka mask, cap uye aseptic girovhosi, nguva dzose kuchenesa ganda panzvimbo yepuncture neine iodine tincture uye doro, uye kuisa tauro rekuvhiya.Nharaunda yemunharaunda inofanira kupinza pleura.

5. Tsono inofanira kupinzwa zvishoma nezvishoma nechekumusoro kwembabvu inotevera, uye latex chubhu yakabatana netsono inofanira kusungirirwa nehemostatic forceps kutanga.Paunenge uchipfuura neparietal pleura uye uchipinda mu thoracic cavity, unogona kunzwa "pfungwa yekudonha" iyo tsono yetsono inopikisa kunyangarika kamwe kamwe, wobva wabatanidza sirinji, sunungura iyo hemostatic forceps pane latex chubhu, uye ipapo unogona kupomba mvura. kana mhepo (kana uchipomba mhepo, unogonawo kubatanidza chigadzirwa chepneumothorax chakasimbiswa kana ichisimbiswa kuti pneumothorax inoputirwa kunze, uye inoramba ichiita kupomba).

6. Mushure mekubudisa mvura, dhonza tsono yepuncture, shandisa 1 ~ 3nin neine sterile gauze paburi retsono, uye gadzirisa nematepi anonamatira.Kumbira murwere kuti agare pamubhedha.

7. Kana varwere vanorwara zvakanyanya vakabayiwa, ivo vanowanzotora nzvimbo yakati sandara, uye havafanirwe kufambisa muviri wavo zvakanyanya kuti vapinze.