Kev ceev faj thaum phais rau PTC
Nov 10, 2022
1. Tsis txhob haus dej haus biliary uas tshwm sim los ntawm kev txhaj tshuaj tiv thaiv kab mob vim qhov sib txawv ntawm tus neeg sawv cev thiab cov kua tsib tuaj yeem nkag mus rau hauv lub plab kab noj hniav raws tus koob, ua rau cov kab mob biliary peritonitis hauv zos. Yog li ntawd, thaum lub puncture koob nkag mus rau hauv cov kua tsib duct kom tshem tawm cov kua tsib, cov kua tsib yuav tsum tau muab rho tawm kom deb li deb tau mus cuag decompression. Yog tias muaj cov cuab yeej ntsuas siab, kev txhaj tshuaj ntawm tus neeg sawv cev sib txawv yuav tsum tsis pub tshaj cov kua tsib rho tawm, thiab cov kua tsib yuav tsum tau muab rho tawm ua ntej, sib tov rau hauv lub syringe thiab tom qab ntawd maj mam txhaj tshuaj. Tom qab angiography, cov kua tsib yuav tsum tau muab tshem tawm kom deb li deb tau, txawm tias muaj cov ntshav biliary fistula, cov kua tsib rau hauv cov ntshav tsawg dua.
2. Thaum puncture rau kev tiv thaiv thiab kev kho mob ntawm koob duct biliary ntshav fistula nkag mus rau ib tug loj lumen, feem ntau yog ib tug pom tseeb ntawm emptiness, uas yuav tsum tau tam sim ntawd aspirated. Yog tias nws yooj yim rau kev nqus ntshav los ua pov thawj tias rab koob yog nyob rau hauv cov hlab ntsha, rab koob yuav tsum tau muab tshem tawm tam sim ntawd.
3. Tsis txhob cuam tshuam cov kua tsib nyob rau ntawm angiography thaum biliary obstruction thiab kab mob, viscosity ntawm cov kua tsib nce, thiab nws tsis yooj yim rau kev sib xyaw nrog tus neeg sawv cev sib txawv. Txhawm rau kom tsis txhob muaj cov kua tsib tsis zoo, ib qho me me ntawm cov kua qaub ib txwm tuaj yeem maj mam txhaj rau dilute, tom qab ntawd tshem tawm thiab diluted, rov ua dua kom txog thaum cov xim ntawm cov kua tsib txo qis, thiab tus neeg sawv cev sib txawv yog txhaj rau angiography. Yog tias cov kua tsib tsis tuaj yeem muab rho tawm lossis diluted, nws tsis haum rau kev kho mob angiography tam sim. Lub raj xa dej tuaj yeem muab tso rau 3-5 hnub tom qab, thiab tom qab ntawd angiography tuaj yeem ua tau thaum cov kua tsib diluted.
4. Ua tib zoo saib xyuas qhov concentration thiab uniformity ntawm tus neeg sawv cev sib txawv hauv cov kua tsib. Tus neeg sawv cev zoo sib xws muaj zog heev, uas tuaj yeem npog cov pob zeb me me; Lub teeb dhau lawm, cov zaub tsis meej, tuaj yeem kuaj tsis raug.
