UKUSUSELA ngo-1998

Umboneleli wenkonzo yotyando oluqhelekileyo lwezixhobo zonyango
intloko_ibhena

Yintoni omele uyazi malunga ne-thoracoscopic trocar elahlayo

Yintoni omele uyazi malunga ne-thoracoscopic trocar elahlayo

Iimveliso ezinxulumeneyo

Isixhobo sokubhoboza esilahlwayo sepleural sisetyenziswa kunye ne-endoscope ukuseka umjelo wofikelelo wesixhobo ngokugqobhoza kutyando lwe-pleural endoscopic.

trocar thoracoscopic's iimpawu

1. Ukusebenza okulula, kulula ukuyisebenzisa.

2. I-puncture e-blunt, umonakalo omncinci kwesikhumba kunye nezicubu zomzimba.

3. Ukusikeka kotyando kuncinci, kuhambelana ngakumbi nombono wokuhlaselwa kancinci.

4. I-puncture cannula igxininiswe ngokuqinileyo, kwaye isixhobo sinokugcinwa sizinzile ngaphakathi nangaphandle.

Ukusetyenziswa-kanye-thoracentesis-xabiso-Smail (1)

Ukusetyenziswa kwetrocar yethoracoscopic

1. Gcina umguli kwindawo enokuba nobubele kuqhaqho, ujonge ngasemva kwesihlalo, kwaye ubeke iingalo zangaphambili ngasemva kwesitulo.Ibunzi phezu kwengalo.Ayikwazi ukuphakama, enqwenelekayo semi-ehleli supine isikhundla, icala echaphazelekayo forearm ibekwe kwi occipital.

2. Ukubhoboza kunye nokuthotywa kwemoya:

(1) Isifuba sokugqobhoza ulwelo lokumpompa, ukwenza ukubetha kwesifuba, ukhetho lokuqala lweendawo zokwenyani zokugqobhoza isandi esicacileyo, kuyafaneleka ukuba uqaphele ukuba indawo yokugqobhoza inokusebenzisa i-gentian violet, i-puncture, ngokubanzi kukho ezine, ngokulandelanayo: unyawo lomgca phakathi kweimbambo ezi-7-9, umgca we-axillary emva kwe-7-8 intercostals, i-axillary midline phakathi kwe-6-7 rib, i-axillary phakathi kwe-front 5 i-6 iimbambo.

(2) I-Pneumothorax suction decompression: Indawo yokubhoboza ngokuqhelekileyo yindawo yesibini yeendleko zomgca wecala elichaphazelekayo le-midclavicular okanye i-4-5 indawo yeendleko zomgca we-midaxillary.

3. Hlalisa ulusu kwindawo yokuhlatywa ukuze uhlatywe nge-iodine kunye notywala, kwaye uluhlu lwe-disinfection lumalunga ne-15cm.Xa uvula isikhwama sokubhoboza, nikela ingqalelo kwizixhobo zonyango ebhegini kwaye ujonge ukuba inaliti yokubhoboza igudile.

4. I-anesthesia yendawo yenziwa ngokukhupha i-2% ye-procaine 2cm kunye ne-syringe ye-2cm ukusuka kumda ophezulu weembambo kwindawo yokubhoboza i-anesthesia yendawo ukusuka kwesikhumba ukuya kwi-parial pleura.Ngaphambi kokujova, i-anesthesia kufuneka iphonswe emva, kwaye akukho gesi, igazi okanye i-pleural fluid kufuneka ibonwe ngaphambi kokuba ijoyiwe.

5. Ukuqala kokugqobhoza: Okokuqala, cinezela ityhubhu yerabha emva kwenaliti yokuhlatywa nge forceps enehemostatic, lungisa ulusu lwendawo kwindawo yokuhlatywa ngesandla sasekhohlo, bamba inaliti yokugqobhoza (isongelwe ngeyasuyasu eliyinyumba) ngesandla sasekunene, kunye nePierce. ithe nkqo nangokucothayo ecaleni kwesiza sokuthomalalisa iintlungu kumphetho ophezulu weembambo.Xa ukuchasana kwencapha yenaliti kunyamalala ngokukhawuleza, kubonisa ukuba incam ingene kwi-pleural cavity, kwaye ifake i-syringe ye-50M1.Umncedisi ukhulula i-forceps ye-hemostatic kwaye uncedise ekulungiseni inaliti yokubhoboza kunye ne-hemostatic forceps.Emva kokuba i-syringe igcwaliswe, umncedisi ubambe i-hose nge-hemostatic forceps kwaye wayisusa isirinji.Galela ulwelo kwisikhongozeli, yilinganise kwaye uyithumele ukuba ihlolwe elabhoratri.

Iimveliso ezinxulumeneyo
Ixesha lokuposa: Oct-11-2022