Iyo inoraswa pleural puncture apparatus inoshandiswa pamwe chete ne endoscope kumisikidza nzira yekupinda yechiridzwa kuburikidza nekupinza mukuvhiya kwepleural endoscopic.
Thoracoscopic trocar's maitiro
1. Kushanda kuri nyore, nyore kushandisa.
2. Blunt puncture, kukuvara kudiki paganda uye tsandanyama tishu.
3. Iyo yekuvhiya incision idiki, zvakanyanya kuenderana neiyo pfungwa yehushoma.
4. Iyo puncture cannula inogadziriswa zvakasimba, uye chiridzwa chinogona kuchengetwa chakadzikama mukati nekunze.
Kushandiswa kweThoracoscopic trocar
1. Chengetedza murwere munzvimbo iyo inogona kuva noushamwari pakuvhiyiwa, kutarisana neshure kwechigaro, uye kuisa maoko ake epamberi kumashure kwechigaro.Huma pahuma.Haikwanise kusimuka, inodiwa semi-yakagara supine chinzvimbo, iyo yakakanganisika yerutivi rwe forearm yakaiswa mune occipital.
2. Puncture uye air extraction decompression:
(1) Chifuva chinoboora kupomba mvura, kuita chipfuva kurova, yekutanga sarudzo chaiyo yekuboora kurira kuri pachena, zvakakosha kucherechedza kuti iyo puncture point inogona kushandisa gentian violet, iyo puncture, kazhinji pane ina, zvichiteerana ndeiyi: fudzi Angle pa rutsoka rwemutsetse pakati pe 7-9 mbabvu, axillary mutsetse mushure 7-8 intercostals, axillary midline pakati 6-7 mbabvu, axillary pakati pamberi 5 a 6 mbabvu.
(2) Pneumothorax suction decompression: Nzvimbo yekubaya kazhinji ndiyo yechipiri inodhura nzvimbo yeyakakanganiswa side midclavicular line kana 4-5 costal space ye midaxillary line.
3. Simbisa ganda panzvimbo yepuncture kuti ubayerwe neodini nedoro, uye disinfection range inenge 15cm.Paunenge uchivhura bhegi repuncture, teerera kune zvekurapa zviri mubhegi uye tarisa kana tsono yekubaya yakatsetseka.
4. Nharaunda yemunharaunda yakaitwa nekubudisa 2% procaine 2cm ne 2cm sirinji kubva kumucheto wepamusoro wembabvu panzvimbo yepuncture yeanesthesia yemunharaunda kubva paganda kusvika kune parial pleura.Pamberi pejekiseni, iyo anesthesia inofanira kupombwa shure, uye hapana gasi, ropa kana pleural fluid inofanira kuonekwa pamberi pejekiseni.
5. Kutanga kwekuboora: Chekutanga, sunga chubhu yerabha kuseri kwetsono nehemostatic forceps, gadzirisa ganda renzvimbo panzvimbo yekuboora neruoko rweruboshwe, bata tsono yekubaya (yakaputirwa nejecha risina utachiona) neruoko rwerudyi, uye Pierce. iyo yakatwasuka uye zvishoma nezvishoma ichitevedza nzvimbo yeanesthetic kuburikidza nepamusoro pemucheto wembabvu.Kana kushorwa kwepini yetsono kwakangoerekana kwanyangarika, zvinoratidza kuti muromo wapinda mukati mepleural cavity, uye unoisa sirinji ye50M1.Mubatsiri anoburitsa hemostatic forceps uye anobatsira mukugadzirisa tsono yekubaya nehemostatic forceps.Mushure mekunge jekiseni razadzwa, mubatsiri akasunga hose nehemostatic forceps ndokubvisa sirinji.Dururira mvura mumudziyo, woiyera uye woitumira kunoongororwa murabhoritari.
Nguva yekutumira: Oct-11-2022
