Kev txhim kho ntawm kev txiav cov leeg txha taub hau (2)

Bainbridge piav qhia rab koob txuas rau rab koob hlau hauv xyoo 1900. Nws muaj lub hauv paus puag ncig me me, luv thiab ntse txiav bevel, thiab lub ntsej muag nrog lub bevel sib txuam (Daim duab 3). Nws yog ua los ntawm cov hlau hloov pauv. Buck yog tus pioneer tom ntej hauv kev tsim koob. Nws piav qhia nws cov txheej txheem hauv 1907. Thaum xub thawj, nws tau siv qhov hloov pauv Bier koob, tab sis thaum nws paub qhov teeb meem cuam tshuam nrog lub bevel ntev, nws tsim lub hollowed-out rab koob rau"" Nws hais tias:" Lub hom phiaj ntawm qhov no yog tias thaum puncturing, tag nrho qhib qhov kawg ntawm rab koob yuav tsum tau nyob hauv dura mater, tsis thawb lub taub hau rau hauv qhov txhab hauv cov tshuaj ntsiav. Pom tseeb, yog tias qhib qhov kawg ntawm rab koob tsuas yog qee qhov nkag mus rau qhov nyuaj Cov meninges thiab cov leeg txha caj qaum tuaj yeem ntws dawb txaus los ntawm rab koob, tab sis thaum txhaj tshuaj sib xyaw tshuaj, ib feem ntawm nws tuaj yeem nkag rau hauv lub hnab, thaum lwm qhov tuaj yeem khiav tawm. .. qhov chaw epidural. Raws li txoj kev ntseeg no, Kuv siv cov cuab yeej hauv qab no kom xa tag nrho cov kev txhaj tshuaj dhau ntawm qhov tseeb ntawm rab koob, tsis hais seb qhov kev qhib tag nrho yog qhov tseeb hauv lub tsiav tshuaj&"; Barker tau tsim cov kab ntsaum ntsaws kom haum rau hauv rab koob Bier, nthuav tawm 1 hli los ntawm rab koob. Tom qab hno lub dura mater nrog rab koob Bier, tso nws thiab txuas nws mus rau lub raj tshuaj loog tshuaj hauv zos. Cov lus qhia tsis meej yog tsim los txwv kev puas tsuaj rau cov qauv sab hauv. Tom qab ntawd, yam tsis paub hnub tim, Buck tsim ib rab koob tsis muaj lub puab tsaig sab hauv, hu ua Buck needle (Daim duab 4). Qhov koob 18G lossis 19G no muaj lub ntsej muag nruab nrab ntev bevel thiab lub ntsej muag nrog lub ntsej muag sib dhos. Qhov no yog rab koob loj thiab khov kho, uas cuam tshuam nrog rau qhov tshwm sim ntawm PDPH. Cov koob thaum ntxov tau ua los ntawm" npib tsib xee plated hlau." Lawv hloov xim sai thiab xeb. Buck tau qhia tias rab koob yuav ua los ntawm cov tawv npib tsib xee, uas yog kev txhim kho loj hauv kev tsim koob.

Daim duab 3

Bainbridge koob (1900).

Daim duab 4

Barker koob (1907).

Yog koj muaj lus nug, thov hu rau peb. Peb lub tuam txhab tuaj yeem tsim ntau yam koob txhaj tshuaj, rab koob kho mob, rab koob txhaj tshuaj, txhaj koob tshuaj biopsy, koob txhaj tshuaj, txhaj koob tshuaj, koob txhaj tshuaj, koob txhaj tshuaj, kws kho tsiaj, qe qe tuaj nqa koob, koob txhaj tshuaj, thiab lwm yam Yog tias koj xav tau cov khoom lag luam tshwj xeeb, thov hu rau peb. Peb tos ntsoov koj cov lus nug! Qhov zoo ntawm cov khoom tsim hauv peb lub Hoobkas yuav ua rau koj txaus siab!

Thov hu rau peb yog tias koj xav tau: zhang@sz-manners.com.