Thoracic indwelling tube - e koetsoeng ka drainage ea sefuba
1 Lipontšo
1. Palo e kholo ea pneumothorax, pneumothorax e bulehileng, tsitsipano ea pneumothorax, pneumothorax e hatella phefumoloho (ka kakaretso ha khatello ea matšoafo ea pneumothorax e le 'ngoe e feta 50%).
2. Thoracocentesis ha ho phekoloa pneumothorax e tlaase
3. Pneumothorax le hemopneumothorax tse hlokang moea oa mochini kapa oa maiketsetso.
4. Pneumothorax e tloaelehileng kapa hemopneumothorax ka mor'a ho tlosoa ha thoracic drainage tube
5. Hemopneumothorax e sithabetsang e amang mesebetsi ea ho hema le ea ho potoloha ha mali.
2 Boitokisetso
1. Maemo
Sebaka sa ho dula kapa se sekame sa ho thetheha
Mokuli o le boemong ba ho robala halofo (haeba matšoao a bohlokoa a sa tsitsa, mokuli o sebakeng se bataletseng).
2. Khetha sebaka
1) Khetho ea sebaka sa bobeli sa intercostal sa mohala o bohareng oa clavicular bakeng sa drainage ea pneumothorax.
2) Pleural effusion e ile ea khethoa pakeng tsa axillary midline le posterior axillary line, le pakeng tsa 6th le 7th intercostals.
3. Ho bolaea likokoana-hloko
Tloaelo ea ho thibela likokoana-hloko letlalong, bophara ba 15, 3 iodine 3 joala
4. Anesthesia ea ho kenella sebakeng seo
Ente ea intramuscular ea phenobarbital sodium 0 lg.
Ho kenngoa ha sebaka sa lerako la ho lokisetsa lerako la sefuba sebakeng sa anesthesia incision ho pleura;Khaola letlalo ka 2cm ho latela mola oa intercostal, eketsa matla a vascular ka lehlakoreng le ka holimo la likhopo, 'me u arole lihlopha tsa mesifa ea intercostal ho sefuba;Tube ea drainage e tla beoa hang hang ha mokelikeli o tsoa.Botebo ba tube ea drainage ka har'a sefuba sa sefuba ha ea lokela ho feta 4 ~ 5cm.Lerako la sefubeng la letlalo le phunyeletsoeng le lokela ho kenngoa ka khoele ea silika ea boholo bo bohareng, tube ea drainage e lokela ho kenngoa le ho tsitsisoa, 'me e koaheloe ka gauze e sa hloekang;Ka ntle ho gauze, koahela tepi e telele ho pota-potile tube ea drainage ebe u e beha leboteng la sefuba.Qetello ea tube ea drainage e hokahane le "disinfection" tube e telele ea rabara ho botlolo ea metsi e tiisitsoeng, 'me tube ea rabara e hokahaneng le botlolo ea metsi e tiisitsoeng e behiloe holim'a bethe ka theipi e khomarelang.Botlolo ea drainage e behoa tlas'a bethe ea sepetlele moo ho seng bonolo ho lihuoa.
3 Intubation
1. Ho seha letlalo
2. Karohano e bohlasoa ea lera le ho beoa ha thoracic drainage tube e nang le lesoba le lehlakoreng ka lehlakoreng le ka holimo la likhopo.
3. Lesoba le lehlakoreng la tube ea drainage le lokela ho ba botebo ba 2-3cm ka har'a sefuba sa sefuba
4 Litlhokomelo
1. Tabeng ea hematocele e kholo (kapa effusion), khatello ea mali e lokela ho behoa leihlo ka hloko nakong ea ho ntša metsi pele ho thibela mokuli hore a se ke a tšoha kapa a oa ka tšohanyetso.Haeba ho hlokahala, khatello ea mali e lokela ho tsoela pele ho lokolloa ho qoba kotsi ea tšohanyetso.
2. Ela hloko ho boloka tube ea drainage e sa thijoa ntle le khatello kapa ho sotha.
3. Thusa mokuli hore a fetole boemo ka tsela e nepahetseng letsatsi le leng le le leng, kapa a khothalletse mokuli hore a phefumolohe haholo ho finyella metsi a mangata.
4. Ngola molumo oa letsatsi le letsatsi oa drainage (bolumo ea drainage ka hora sethaleng sa pele ka mor'a kotsi) le liphetoho tsa thepa ea eona, 'me u etse X-ray fluoroscopy kapa tlhahlobo ea filimi hape ha ho loketse.
5. Ha ho nkeloa sebaka sa botlolo e tiisitsoeng ea metsi a sa hloekang, tšupu ea drainage e lokela ho thijoa ka nakoana pele, ebe tšupu ea drainage e tla lokolloa hape ka mor'a hore e nkeloe sebaka ho thibela moea hore o se ke oa monngoa ke khatello e mpe ea sefuba.
6. E le ho felisa tšoaetso ea bobeli, setso sa baktheria le teko ea kutloisiso ea lithethefatsi ea mokelikeli oa metsi o ka etsoa haeba thepa ea mokelikeli oa metsi e fetoloa.
7. Ha o ntša tube ea drainage, letlalo le pota-potileng sekheo le lokela ho hlajoa ka likokoana-hloko pele, lesela le tsitsitseng le tlosoe, tube ea drainage e haufi le lebota la sefuba e lokela ho tlamisoa ka matla a methapo, 'me lekhalo la drainage le koaheloe ka 12 ~ Likarolo tse 16 tsa gauze le likarolo tse 2 tsa gauze ea Vaseline (ho kenyeletsoa le vaseline e nyane e khethoa).Motho ea sebetsang o lokela ho tšoara gauze ka letsoho le le leng, a tšoare tube ea drainage ka letsoho le leng, 'me ae ntše kapele.Lesela le bulehileng la drainage le ne le tiisitsoe ka ho feletseng leboteng la sefuba ka sekoahelo se seholo sa sekhomaretsi seo sebaka sa sona se fetang gauze, 'me seaparo se ka fetoloa ka mor'a lihora tse 48-72.
5 Booki ka mor'a ho buuoa
Ka mor'a ts'ebetso, tube ea drainage e atisa ho tlala ho boloka lumen e sa thijoa.Phallo ea metsi e tlalehoa hora e 'ngoe le e' ngoe kapa lihora tse 24.Ka mor'a ho ntša metsi, matšoafo a atoloha hantle, 'me ha ho na khase kapa metsi a tsoang.The drainage tube e ka ntšoa ha mokuli a hema ka botebo, 'me leqeba le ka koaloa ka vaseline gauze le tepi e khomarelang.
Nako ea poso: Jun-10-2022
