Ohun elo puncture pleural isọnu jẹ lilo papọ pẹlu endoscope lati fi idi ikanni iwọle ti ohun elo nipasẹ puncture ni iṣẹ abẹ endoscopic pleural.
Thoracoscopic trocar's awọn abuda
1. Iṣẹ ti o rọrun, rọrun lati lo.
2. Blunt puncture, kekere ibaje si ara ati isan àsopọ.
3. Ibẹrẹ abẹ-abẹ ti o kere ju, diẹ sii ni ila pẹlu imọran ti o kere julọ.
4. Awọn puncture cannula ti wa ni ti o wa titi ìdúróṣinṣin, ati awọn irinse le wa ni duro idurosinsin ni ati ki o jade.
Thoracoscopic trocar ká lilo
1. Jeki alaisan ni ipo ti o le jẹ ore fun iṣẹ abẹ, koju ẹhin alaga, ki o si fi awọn ọwọ iwaju rẹ si ẹhin alaga.Iwaju lori iwaju.Ko le dide, ifẹ ologbele-joko supine ipo, awọn fowo ẹgbẹ ti awọn forearm gbe ni occipital.
2. Puncture ati yiyọkuro afẹfẹ:
(1) Omi puncture ti nfa omi, ṣe igbaya àyà, yiyan akọkọ awọn ẹya gidi fun lilu ohun ti o han gbangba, o tọ lati ṣe akiyesi pe aaye puncture le lo violet gentian, puncture, ni gbogbogbo mẹrin wa, lẹsẹsẹ ni: Igun ejika ni ẹsẹ ila laarin 7-9 ribs, axillary ila lẹhin 7-8 intercostals, axillary midline laarin 6-7 wonu, axillary laarin awọn iwaju 5 a 6 ribs.
(2) Pneumothorax afamora decompression: Aaye puncture ni gbogbogbo ni aaye idiyele keji ti laini midclavicular ẹgbẹ ti o kan tabi aaye idiyele 4-5 ti laini midaxillary.
3. Sterilize awọ ara ni aaye puncture lati wa ni punctured pẹlu iodine ati ọti-lile, ati ibiti ajẹsara jẹ nipa 15cm.Nigbati o ba ṣii apo puncture, ṣe akiyesi awọn ohun elo iṣoogun ti o wa ninu apo naa ki o ṣayẹwo boya abẹrẹ puncture jẹ dan.
4. Akuniloorun agbegbe ni a ṣe nipasẹ yiyọ 2% procaine 2cm pẹlu syringe 2cm lati eti oke ti awọn egungun ni aaye puncture fun akuniloorun agbegbe lati awọ ara si pleura parial.Ṣaaju abẹrẹ, o yẹ ki o fa akuniloorun pada, ko si si gaasi, ẹjẹ tabi ito pleural yẹ ki o ṣe akiyesi ṣaaju abẹrẹ.
5. Ibẹrẹ puncture: Ni akọkọ, di tube roba lẹhin abẹrẹ puncture pẹlu awọn ipa hemostatic, ṣe atunṣe awọ agbegbe ni aaye puncture pẹlu ọwọ osi, di abẹrẹ puncture (ti a we pẹlu gauze sterile) pẹlu ọwọ ọtun, ati Pierce ni inaro ati laiyara lẹgbẹẹ aaye anesitetiki nipasẹ eti oke ti awọn egungun.Nigbati awọn resistance ti awọn abẹrẹ sample lojiji disappears, o tọkasi wipe awọn sample ti tẹ awọn pleural iho, ki o si so a 50M1 syringe.Oluranlọwọ tu awọn ipa-ipa hemostatic silẹ ati ṣe iranlọwọ ni titunṣe abẹrẹ puncture pẹlu awọn ipa hemostatic.Lẹhin ti a ti kun syringe, oluranlọwọ naa di okun pẹlu agbara hemostatic o si yọ syringe naa kuro.Tú omi naa sinu apo eiyan, wọn wọn ki o firanṣẹ fun ayewo yàrá.
Akoko ifiweranṣẹ: Oṣu Kẹwa 11-2022
