Izindlela ze-thoracocentesis kanye ne-drainage ngei-trocar
1 Izinkomba
Ukubhoboza amanzi avaliwe kusebenza kakhulu ku-tension pneumothorax noma i-pleural effusion.
2 Inqubo yokubhoboza
1. Kulabo abakhwehlela kaningi, i-codeine engu-0.03 ~ 0.06g kufanele iphuzwe ngomlomo ngaphambi kokuhlinzwa ukuze kugwenywe ukukhwehlela okunamandla okuzumayo phakathi nokuhlinzwa, okuthinta ukuhlinzwa noma ithiphu yenaliti eligwaza iphaphu.
2. Indawo yokubhoboza iyafana nendawo yokungena amanzi ethoracic evaliwe.
3. Isikhumba sasivame ukufakwa isibulala-magciwane, amathawula okuhlinza angenalutho ayegandaywe, futhi izinzwa zendawo ezivamile zenziwa kuze kube ungqimba lwe-pleural.
4. Yenza ukusikeka okuncane okungu-0.5cm ngommese obukhali esikhunjeni endaweni yokungena inaliti kuze kube ngaphansi kwesikhumba;I-trocar yafakwa kancane kancane kusukela ekusikeni kwesikhumba kuya esifubeni;Khipha umgogodla yenaliti, faka ngokushesha ithubhu lejeli le-silica elinezimbobo ngaphambili, bese uphuma emkhonweni;Ishubhu yejeli yesilika ixhunywe nebhodlela elivalwe ngamanzi;Thunga inaliti ngentambo kasilika enosayizi omaphakathi embotsheni yephini, bese ulungisa ishubhu lokudonsa amanzi odongeni lwesifuba.Uma kudingekile ukurekhoda ivolumu yokukhishwa komoya, xhuma ishubhu lokudonsa emshinini wokufakelwa we-pneumothorax, urekhode ivolumu yokukhipha umoya bese ubheka ukuguqulwa kwengcindezi yethoracic.
3 Izinyathelo zokuqapha
1. Wonke umsebenzi kufanele kube izinqubo eziqinile ze-aseptic ukuvimbela ukutheleleka kwesibili, futhi indawo yokubhoboza kanye nendawo yokukhipha amanzi kufanele imbozwe nge-gauze oyinyumba.
2. Naka ukusebenzisa ngokuqinile izidingo "zokulungiswa okuphindwe kabili" kweshubhu lokudonsa amanzi, futhi ulungise ishubhu lenjoloba elixhuma ibhodlela lokuvala lamanzi phezu kombhede nge-adhesive tape.
3. Ezinye izindlela zokuphepha ziyafana nokukhipha amanzi ethoracic avaliwe.
Isikhathi sokuthumela: Jun-13-2022
