Puncture txheej txheem rau epidural tshuaj loog

1. Txhawm rau tiv thaiv thiab kho tus txha caj qaum, nws yog ib qho tsim nyog yuav tsum tau npaj cov khoom siv endotracheal intubation, cov khoom siv oxygen thiab lwm yam khoom siv thawj zaug.

2, nruj tshuaj tua kab mob.

3. Muaj ob hom kev puncture txoj hauj lwm: lateral decubitus thiab zaum, thiab lateral decubitus yog siv nyob rau hauv kev kho mob. Lub puncture point yuav tsum raug xaiv raws li qhov chaw phais, feem ntau noj cov txheej txheem spinous qhov chaw innervating qhov chaw ntawm qhov phais ntau. Feem ntau, qhov puncture point ntawm lub sab sauv qaum yog nyob rau hauv lub thoracic 3 ~ 4 spinous txheej txheem chaw, lub Upper plab mog phais yog nyob rau hauv lub thoracic 8 ~ 10 spinous txheej txheem chaw, lub nruab nrab plab phais yog nyob rau hauv lub thoracic 9 ~ 11 spinous txheej txheem chaw, Kev phais hauv plab yog nyob rau hauv lub thoracic 12 mus rau lub lumbar 2 spinous txheej txheem chaw, lub sab ceg ceg phais yog nyob rau hauv lub lumbar 3 ~ 4 spinous txheej txheem chaw, lub perineal phais nyob rau hauv lub lumbar 4 ~ 5 qhov chaw, thiab lub sacral tshuaj loog muaj peev xwm kuj. siv. Txhawm rau txiav txim siab qhov chaw ua haujlwm spinous, qhov kev siv dav dav yog lub cev nto anatomical cim. Xws li lub caj dab tseem ceeb spinous txheej txheem, rau cov txheej txheem ntawm lub ncauj tsev menyuam qis; Ob sab ntawm lub scapular ganglia ntsib 3 txoj kev thoracic spinous; Ob sab ntawm lub subscapular Angle txuas nrog lub thoracic 7 spinous txheej txheem; Qhov siab tshaj plaws ntawm lub iliac crest ntawm ob sab yog txuas nrog lub lumbar 4 spinous txheej txheem los yog lub lumbar 3 ~ 4 spinous txheej txheem chaw.

4. Muaj ob hom epidural chaw puncture: ncaj puncture thiab para-puncture. Cov txheej txheem spinous ntawm cervical vertebrae, thoracic vertebrae thiab lumbar vertebrae yog sib npaug rau ib leeg. Cov txheej txheem spinous ntawm nruab nrab thiab qis ntu ntawm lub thoracic vertebrae yog imbricate, thiab qhov sib txawv yog nqaim. Txoj kev paracentesis tuaj yeem siv tau thaum qhov kev sib tsoo nyuaj. Nyob rau hauv cov neeg laus nrog calcification ntawm supraspinous ligament thiab txwv curvature ntawm tus txha nraub qaum, nws yog feem ntau tsim nyog siv rau sab mus kom ze.

5. Qhov kev ntsuas siab tsis zoo tuaj yeem ua tau los ntawm txoj kev dai poob. Nws tsis pom zoo kom siv cov cua txhaj tshuaj los txiav txim seb puas yuav nkag mus rau qhov chaw epidural.

Yog tias koj muaj lus nug, thov hu rau peb. Peb lub tuam txhab tuaj yeem tsim ntau yam koob txhaj tshuaj, koob tshuaj kho mob, koob txhaj tshuaj, koob tshuaj hypodermic, koob tshuaj biopsy, koob tshuaj tiv thaiv, koob txhaj tshuaj, koob txhaj tshuaj, koob tshuaj tua tsiaj, koob xaum koob, koob ovum khaws koob, koob txhaj tshuaj, thiab lwm yam Yog tias koj xav tau kev kho koob cov khoom, thov hu rau peb. Peb tos ntsoov rau koj qhov kev nug! Qhov zoo ntawm cov khoom tsim nyob rau hauv peb lub Hoobkas yuav txaus siab rau koj!

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