Nzira dze thoracocentesis uye drainage netrocar
1 Zviratidzo
Puncture yakavharwa drainage inonyanya kushanda kune tension pneumothorax kana pleural effusion.
2 Puncture maitiro
1. Kune avo vanokosora kakawanda, 0.03 ~ 0.06g codeine inofanira kutorwa nemuromo isati yavhiyiwa kudzivirira chikosoro chakanyanya kamwe kamwe panguva yekuvhiya, kukanganisa kuvhiyiwa kana tsono yetsono kubaya mapapu.
2. Nzvimbo yepuncture yakafanana neyomukova wakavharwa thoracic drainage.
3. Ganda racho raiwanzoitwa disinfected, tauro rekuvhiya risingabereki rakagadzirwa, uye nguva dzose anesthesia yemunharaunda yakaitwa kusvikira pleural layer.
4. Ita chidimbu che 0.5cm nebanga rakapinza muganda panzvimbo yekupinda tsono kusvika pasi pecutaneous;Iyo trocar yakaiswa zvishoma nezvishoma kubva paganda rekucheka kusvika pachipfuva;Dhonza core yetsono, kurumidza kuisa porous silica gel chubhu kumucheto kumucheto, uye buda sleeve;Iyo silica gel chubhu yakabatana nemvura yakavharwa bhodhoro;Sona tsono neshinda yesiririka yepakati nepakati paburi repini, uye gadzirisa chubhu yemvura pamadziro echipfuva.Kana zvichidikanwa kurekodha vhoriyamu yekuburitsa mhepo, batanidza chubhu yemvura kune yakagadzirwa pneumothorax mudziyo, rekodha vhoriyamu yekuburitsa mhepo uye chengetedza shanduko ye thoracic pressure.
3 Kungwarira
1. Kushanda kwese kunofanirwa kuve kwakanyatso aseptic maitiro ekudzivirira hutachiona hwechipiri, uye iyo puncture uye nzvimbo yemvura inofanira kuvharwa neyakaomeswa gauze.
2. Nyatsoteerera kunyatsoita zvinodiwa zve "double fixation" yechubhu yemvura, uye gadzirisa rubber chubhu inobatanidza bhodhoro rekuvhara mvura pamubhedha wepamusoro netepi yekunamatira.
3. Zvimwe zvidziviriro zvakafanana nekuvhara thoracic drainage.
Nguva yekutumira: Jun-13-2022
