Izinto ezilahlwayo zokubhoboza i-pleural zisetshenziswa kanye ne-endoscope ukuze kusungulwe isiteshi sokufinyelela sethuluzi ngokubhoboza ukuhlinzwa kwe-pleural endoscopic.
I-Thoracoscopic trocarizici 's
1. Ukusebenza okulula, kulula ukuyisebenzisa.
2. Ukubhoboza buthuntu, ukulimala okuncane esikhunjeni nasemisipha.
3. Ukusika kokuhlinzwa kuncane, kuhambisana kakhulu nomqondo wokuhlasela kancane.
4. I-cannula yokubhoboza igxilile, futhi insimbi ingagcinwa izinzile ngaphakathi nangaphandle.
Ukusetshenziswa kwe-trocar thoracoscopic
1. Gcina isiguli sisesimweni esingasivumela ukuba sihlinzwe, sibheke ngemuva kwesihlalo, futhi sibeke imiphambili yaso ngemuva kwesihlalo.Isiphongo esiphongweni.Awukwazi ukuvuka, efiselekayo semi-ehlezi supine isikhundla, ohlangothini ethintekile umphambili ibekwe occipital.
2. Ukunciphisa ukubhoboza nokukhipha umoya:
(1) Isifuba sokubhoboza uketshezi olumpompayo, shaya isifuba, ukukhetha kuqala izingxenye zangempela zokubhoboza umsindo osobala, kubalulekile ukuphawula ukuthi indawo yokubhoboza ingasebenzisa i-gentian violet, ukubhoboza, ngokuvamile kunezine, ngokulandelana yilezi: I-angle yehlombe unyawo lomugqa phakathi kwezimbambo ezingu-7-9, umugqa we-axillary ngemva kwama-intercostals angu-7-8, umugqa we-axillary phakathi kwezimbambo ezingu-6-7, i-axillary phakathi kwezimbambo ezi-5 kuya kwezi-6 zangaphambili.
(2) I-pneumothorax suction decompression: Indawo yokubhoboza ngokuvamile iyindawo yesibili ebizayo yomugqa oseceleni othintekile we-midclavicular noma isikhala sezindleko ezingu-4-5 somugqa we-midaxillary.
3. Nciphisa isikhumba endaweni yokubhoboza ezobhotshwa nge-iodine notshwala, futhi ububanzi bokubulala amagciwane buba ngu-15cm.Lapho uvula isikhwama sokubhoboza, qaphela amathuluzi ezokwelapha asesikhwameni futhi uhlole ukuthi inaliti yokubhoboza ibushelelezi yini.
4. I-anesthesia yendawo yenziwa ngokukhipha i-2% ye-procaine 2cm ngesirinji engu-2cm kusukela onqenqemeni olungaphezulu lwezimbambo endaweni yokubhoboza ye-anesthesia yendawo kusukela esikhumbeni kuya ku-pleura ye-parial.Ngaphambi komjovo, i-anesthesia kufanele iphindiselwe emuva, futhi akufanele kubonwe igesi, igazi noma uketshezi lwe-pleural ngaphambi komjovo.
5. Ukuqala kokubhoboza: Okokuqala, qinisa ishubhu lerabha ngemuva kwenaliti yokubhoboza ngama-forceps ane-hemostatic, lungisa isikhumba sendawo endaweni yokubhoboza ngesandla sobunxele, ubambe inaliti yokubhoboza (egoqwe nge-gauze oyinyumba) ngesandla sokudla, kanye ne-Pierce. ibheke phezulu futhi kancane eduze kwendawo yokubulala izinzwa ngonqenqema olungaphezulu lwezimbambo.Lapho ukumelana kwephuzu yenaliti kunyamalala ngokuzumayo, kubonisa ukuthi ithiphu ingene emgodini we-pleural, futhi inamathisele isirinji engu-50M1.Umsizi ukhulula amandla e-hemostatic futhi usize ekulungiseni inaliti yokubhoboza nge-hemostatic forceps.Ngemva kokuba isipetu sesigcwalisiwe, umsizi wabamba ipayipi nge-hemostatic forceps futhi wakhipha isirinji.Thela uketshezi esitsheni, ulinganise bese uluthumela ukuze luhlolwe ilabhorethri.
Isikhathi sokuthumela: Oct-11-2022
