Dab tsi yog lub plab lavage raj

Peritoneal lavage thiab kua dej, tseem hu ua kev kho mob txuas ntxiv peritoneal lavage thiab kua dej, tsis yog txoj kev kho tshiab hauv cov tshuaj, tab sis nws tau raug them rov qab rau xyoo tas los no, thiab maj mam txhim kho. Los ntawm ntshiab saline lavage mus rau lub hom phiaj lavage tov nrog tshuaj tua kab mob, kab mob heparin, chymotrypsin thiab lwm yam.

2.1 Kev Xaiv Cov Lus Qhia Txog tam sim no, tsis muaj kev sib koom ua ke ntawm kev qhia txog kev lavage thiab dej. Cov ntaub ntawv qhia tau hais tias txoj kev no tuaj yeem siv tau thaum muaj cov kua paug thiab cov kua dej ntau ntxiv, mob peritonitis loj heev, mob plab hnyuv lossis tawm. Cov qauv hauv qab no tau raug coj los xaiv rau cov neeg mob hauv peb lub tsev kho mob: (1) plab plab lossis lwm cov kua dej hauv plab > 500ml; Tsis tas li ntawd, lub plab kab noj hniav feem ntau muaj kuab paug thiab ua paug hnyav, thiab txiav txim siab tias kev tu lossis dej ntws ib leeg tsis tuaj yeem ncav cuag lub hom phiaj; (2) Muaj ntau cov zaub mov seem thiab cov kua fecal nyob rau hauv lub plab kab noj hniav; (3) nruab nrab thiab hnyav necrotizing pancreatitis; Lub siab abscess yog ntau tshaj 300ml thiab abscess yog tuab thiab nyuaj rau ntws. (4) mob hnyav intraperitoneal ntau yam khoom nruab nrog cev, rupture, postoperative plab hnyuv fistula, biliary pancreatic fistula xav tias; (5) Cov neeg mob tom qab phais mob plab hnyuv loj, perforation, rupture, thiab lwm yam. Cov ntaub ntawv ntxiv qhia tias cov tsos mob lom lom thiab ntau yam hauv nruab nrog cev kuj tseem siv tau, tsis hais hnub nyoog li cas.

2.2 Qhov Zoo Tshaj Plaws Peritoneum muaj peev xwm tshem tawm cov dej molecules, tab sis nws qeeb heev kom tshem tawm cov cell molecules thiab cov kab mob. Yog tias muaj ntau cov co toxins thiab cov kab mob tsis raug tshem tawm hauv lub sijhawm, kev nqus tuaj yeem ua rau lub cev tsis ua haujlwm thiab tuag. Cov tshuaj tua kab mob tom qab phais kuj qee zaum ua tsis tau. Lub hom phiaj ntawm peritoneal lavage thiab kua dej yog: (1) zoo dilute co toxins, txo cov concentration ntawm cov kab mob, thiab pab txhawb kev ua si ntawm lub cev tiv thaiv mechanism; (2) Qhov zoo tshaj plaws concentration ntawm cov tshuaj tua kab mob intraperitoneal tuaj yeem tswj tau los ntawm kev kho tshuaj tua kab mob sab hauv; (3) Lavage thiab kua dej tuaj yeem tshem tawm lub cev txawv teb chaws uas nyuaj rau nqus tau hauv peritoneum, thiab rhuav tshem cov chamber me thiab me me septum quadrant abscess; (4) Peritoneal lavage thiab kua dej muaj txiaj ntsig zoo ib yam li peritoneal dialysis rau cov neeg mob uremia, uas feem ntau cov co toxins thiab cov kab mob tuaj yeem dialyzed. Nws kuj tseem tuaj yeem tswj xyuas cov ntshav biochemistry ib txwm muaj lossis kho cov kab mob metabolic los ntawm kev kho cov ion concentration thiab osmotic siab ntawm lavage kua, thiab pab txhawb kev ruaj ntseg ntawm ib puag ncig sab hauv.