Dab tsi yog lub cev tho

Kev kuaj mob thiab cov txheej txheem kev kho mob, cov koob txhaj tshuaj yog muab tso rau hauv lub cev kab noj hniav kom tshem tawm cov kua qaub rau kev sim, roj lossis tus neeg sawv cev sib txawv yog txhaj rau hauv lub cev kab noj hniav rau qhov sib piv, lossis cov tshuaj txhaj rau hauv lub cev kab noj hniav. Feem ntau siv puncture yog cov hauv qab no. Lub paj hlwb lossis tus txha caj qaum rau kev kuaj mob lossis kev kho mob. Muaj cov hauv qab no: Subdural puncture. Feem ntau hauv cov menyuam mos thiab menyuam yaus. Thaum lub anterior fontanelle tsis raug kaw los yog lub coronal suture yog loj, ib tug lumbar puncture koob yog muab tso rau hauv lub subdural txheej los ntawm lub kaum sab xis ntawm lub anterior fontanelle los yog los ntawm lub coronal suture kom tshem tawm cov subdural effusion nyob rau hauv traumatic chronic subdural hematoma meningitis thiab suppuration. , thiab tom qab ntawd txhaj cov tshuaj tua kab mob uas tsim nyog. Ventricular puncture. Muaj peev xwm muab faib ua anterior kaum puncture, lateral kaum puncture thiab posterior lub kaum sab xis peb. Qhov yooj yim yog siv lub cranial lub khob hliav kom khiav nrawm nrawm thiab 2.5cm tom qab lub ntsej muag me me los sis tom qab lub raj loj los sis tso quav tawm ntawm lub tshuab raj ntawm cov av me me. Thaum lub cerebral siab siab dhau lawm, tus neeg mob nyob rau hauv lub coma, cov menyuam kawm ntawv yog dilated, ua tsis taus pa yog superficial, thiab lub hlwb herniation yog tsim, ib tug ceev ventriculocentesis yog ua kom tso tawm lub ventricular kua, thiab lub paj hlwb herniation yuav txo tau. tam sim ntawd. Lub ventricular siab kuj tuaj yeem ntsuas tau, lossis lub raj xa dej tuaj yeem txuas rau cov kua dej txuas ntxiv, thiab cov kua dej ventricular tuaj yeem raug coj mus kuaj. Methylene xiav kuj tuaj yeem txhaj tshuaj kom nkag siab txog cov kua dej cerebrospinal. Cua, oxygen, thiab cov neeg ua haujlwm sib txawv, xws li iodophenyl ester, 60 feem pua ​​​​iodine, meglumine (Kangrui), thiab meglumine meglumine, kuj tuaj yeem raug txhaj los ntawm rab koob txhaj tshuaj rau ventriculography los kuaj xyuas qhov chaw intracranial-nyob qhov mob thiab ventricular. kev cuam tshuam. Cov neeg uas tsis haum rau iodine yuav tsum tsis txhob ua angiography. ventricular kua paug tawm sai heev, qee zaus ua rau epidural thiab subdural hematoma. Cerebral vascular puncture. Lub paj hlwb hemisphere yog muab los ntawm cov hlab ntsha hauv carotid, thiab lub paj hlwb thiab lub paj hlwb yog muab los ntawm cov hlab ntsha vertebral. Cov hlab ntsha carotid lossis cov hlab ntsha vertebral tuaj yeem raug punctured, thiab tus neeg sawv cev sib txawv tuaj yeem raug txhaj rau cerebral angiography, thiab cov carotid artery angiography tuaj yeem pom cov hlab ntsha ntawm lub paj hlwb hemisphere. Cov txheej txheem yog txhawm rau theem sab sauv ntawm cov pob txha mos ntawm cov thyroid caj pas thiab sab hauv ntawm cov leeg sternocleidomastoid txhawm rau txhawm rau cov hlab ntsha carotid uas muaj cov koob angiography, thiab tom qab ntawd txhaj cov tshuaj sib txawv, xws li meglumine meglumine, 60 feem pua ​​meglumine iodine (Kangrui) , thiab zoo heev nkaus xwb. Vertebral artery angiography tuaj yeem pom cov hlab ntsha qis. Tus txheej txheem yog mus rau theem 3 mus rau 4th los yog 4 mus rau 5th cervical intervertebral qhov chaw nyob ib sab ntawm lub trachea, puncture lub vertebral hlab ntsha nrog ib tug angiography koob, thiab txhaj cov tshuaj saum toj no rau angiography. Lumbar puncture. Siv lumbar puncture koob txhawm rau txhawm rau qhov chaw subarachnoid ntawm lumbar tus txha caj qaum yog ib qho tseem ceeb hauv kev soj ntsuam kev kuaj mob hauv cov paj hlwb. Nws tuaj yeem siv los ntsuas lub hlwb, sau cov paj hlwb effusion rau niaj hnub, kuaj biochemical thiab bacteriological, qog hlwb thiab kuaj mob, thiab muab lub hauv paus rau kev kuaj mob ntawm intracranial o, qog, hemorrhage thiab cerebral dawb teeb meem demyelination kab mob. Txawm li cas los xij, thaum lub siab intracranial siab dhau lawm, lub lumbar puncture yuav tsum tau ceev faj, thiab cov kua dej yuav tsum tau maj mam tawm. Cov neeg ua haujlwm sib txawv xws li iodophenyl ester, 60 feem pua ​​​​meglumine iodine (Congrui), DimerX, Amipague, thiab meglumine meglumine kuj tuaj yeem raug txhaj rau hauv qhov chaw subarachnoid rau nqis los yog nce siab. Huab cua (lossis oxygen) kuj tuaj yeem raug txhaj rau hauv qhov chaw subarachnoid, coj mus rau hauv lub hlwb, ua tus txha caj qaum angiography, ventriculo-encephalography thiab cisternography. Muaj ntau ntau hom thoracentesis: thoracentesis. Puncture lub pleural kab noj hniav nrog ib rab koob thoracic. Lub puncture point yog nyob rau hauv subscapular 7-9 intercostal qhov chaw los yog mid-axillary kab yog sib npaug rau 6-7 intercostal chaw. Tom qab punncturing lub pleural kab noj hniav, huab cua yuav muab rho tawm los kho pneumothorax, inflammatory exudate los ntawm lub pleural kab noj hniav kuj yuav muab rho tawm, los yog tshuaj muaj peev xwm yuav txhaj tshuaj los kho pleurisy thiab txo cov tsos mob ntawm ua pa nyuaj. Cov kua rho tawm tuaj yeem siv rau kev kuaj thiab kab mob kab mob. Kev kuaj mob aspiration ntawm 50 mus rau 100 ml yog txaus. Thawj qhov nqus ntawm pneumothorax tshwm sim los ntawm kev raug mob yuav tsum tsis pub tshaj 600ml. Lub hauv siab tsis tu ncua kuj tseem tuaj yeem ua kom tshem tawm cov kua dej thiab roj. Yog tias tus neeg mob muaj cov tsos mob ntawm lub cev qhuav dej, xws li tawv nqaij daj ntseg, tawm hws, palpitations, thiab mob hnyav hauv zos, tsis txhob tso tawm cov kua dej thiab deflate tam sim ntawd, thiab txhaj tshuaj 1:1000 adrenal qog 0.3-0.5ml, thiab ua rau nws tsaug zog . Pericardiocentesis. Lub pericardial kab noj hniav tau punctured los ntawm 5 mus rau 6 qhov chaw intercostal ntawm sab laug midclavicular kab nrog ib tug thoracic koob sab nraum ciam teb ntawm lub plawv dullness. Cov kua dej inflammatory yog tshem tawm los txo cov compression ntawm lub plawv. Thawj lub twj tso kua mis yuav tsum tsis pub tshaj 300ml. Thaum hloov rab koob thaum ua haujlwm, lub raj yuav tsum tau clamped kom tsis txhob muaj cua nkag. Cov tshuaj tua kab mob kuj tuaj yeem txhaj rau hauv pericardium rau kev kho mob. Lub plab kab noj hniav thiab lub cev puncture muaj xws li cov hauv qab no: paracentesis, siv ib rab koob puncture, 1cm siab tshaj qhov nruab nrab ntawm lub plab mus rau pubic kev twb kev txuas, thiab 1 mus rau 1.5cm tom qab rau puncture lub plab kab noj hniav. Siv los kuaj mob ascites uas tsis tau piav qhia thiab tso tawm ascites txhawm rau txo qis qis. Nws tuaj yeem raug txhaj rau hauv lub plab kab noj hniav. Qhov kev tso tawm thawj zaug tsis pub tshaj 3000ml, thiab cov kua dej txuas ntxiv tuaj yeem ua tiav yog tias tsim nyog. Txawm li cas los xij, yog tias tus neeg mob poob qis, cov kua dej yuav tsum tau nres tam sim ntawd thiab supine, thiab hypertonic qabzib yuav tsum tau txhaj tshuaj intravenously. Mob plab. Yuav siv tau rau kev kuaj ntshav biopsy (saib Liver biopsy). Lub raum puncture. Siv ib rab koob 9-10 ntsuas lub lumbar puncture koob, puncture lub raum nyob rau hauv qis ciam teb ntawm lub kaum ob tav, 6-6.5 cm ntawm ib sab ntawm lub dorsal midline, thiab muab ib tug biopsy. Rau qhov tsis paub meej thawj glomerulonephritis, pyelonephritis, nephrotic syndrome, ntau yam myeloma nrog rau lub raum, lub raum qog, nephrosclerosis, thiab lwm yam. Cov neeg mob uas los ntshav, ntshav siab, perirenal abscess thiab lub raum tuberculosis yuav tsum tsis txhob puncture. Cystocentesis. Lub zais zis yog punctured saum nruab nrab ntawm lub pubis rau cov neeg mob uas tso zis tso zis vim loj prostate thiab tsis ua haujlwm ntawm catheterization. Hysterocentesis. Lub tsev menyuam yog punctured saum cov pob txha pubic, thiab cov kua dej amniotic raug tshem tawm los ntsuas cov lecithin / nitrophospholipid ratio (L / s), uas yuav pab tau txiav txim siab txog kev loj hlob ntawm tus menyuam hauv plab, seb puas yuav raug kev txom nyem los ntawm hyaline membrane kab mob tom qab yug me nyuam, thiab los kwv yees lub sijhawm zoo tshaj plaws thiab txoj kev xeeb tub zoo tshaj plaws. Cov pob txha pob txha muaj xws li iliac puncture, spinous txheej txheem puncture thiab sternal puncture. Rau kev kuaj ntshav, qee yam kab mob parasitic xws li kala-azar. Cov pob txha pob txha aspiration yog txwv tsis pub rau cov uas los ntshav. Lymph ntawm puncture yog siv los puncture cov lymph ntawm cov tsis paub, thiab cov kua dej tuaj yeem muab rho tawm rau kev sim tshuaj thiab pathological. Txawm li cas los xij, cov qog nqaij hlav qog nqaij hlav thiab cov qog ntshav sib sib zog nqus yuav tsum tsis txhob punctured. Arthrocentesis muaj lub xub pwg sib txuas kab noj hniav, lub luj tshib kab noj hniav, lub dab teg sib koom kab noj hniav, lub duav sib koom kab noj hniav, hauv caug sib koom kab noj hniav thiab pob taws pob qij txha kab noj hniav. Tom qab puncture, kua tuaj yeem kos rau kev kuaj, thiab kev ntsuas huab cua thiab kev kho tshuaj kuj tuaj yeem txhaj tshuaj. Arthrocentesis yuav tsum nruj me ntsis kom tsis txhob kis kab mob. Nws yog tsim rau cov kab mob uas tsis tau piav qhia, cov kab mob sib koom ua ke, thiab lwm yam. Vascular puncture Feem ntau xws li femoral artery puncture, femoral vein puncture thiab subclavian vein puncture. Lub hom phiaj yog kev kuaj ntshav, muab ntshav, tso kua dej (nrog rau kev tso catheter kom khaws cov kua), thiab tso catheter rau angiography. Peb cov hlab ntsha tuaj yeem raug punctured los kos ntshav. Tom qab cov hlab ntsha subclavian tuaj yeem raug punctured, lub catheter tuaj yeem muab tso thiab khaws cia rau kev kho mob ntshav qab zib hypernutrient. Txhaum cov hlab ntsha femoral thiab tso lub catheter rau plawv thiab cerebral angiography. Cerebral angiography. Cov hlab ntsha femoral tau punctured, thiab lub catheter raug xa mus rau hauv lub TV screen rau qhov qhib ntawm lub aortic arch, ntau carotid artery los yog vertebral artery los ntawm Seldinger txoj kev, thiab tus neeg sawv cev zoo sib xws tau txhaj nyob rau hauv lub siab. Phase cerebral vascular imaging los kuaj xyuas cov qog supratentorial thiab vascular lesions. Angiography ntawm tus txha caj qaum. Lub catheter tau muab tso rau hauv cov hlab ntsha femoral los ntawm Seldinger txoj kev, thiab xa mus rau vertebral artery lossis spinal cag artery nyob rau hauv X-ray screen rau lub ncauj tsev menyuam qaum qaum thiab qaum thoracic spinal artery angiography. Lub catheter raug xa mus rau hauv paus hlab ntsha ntawm 4 mus rau 7th intercostal hlab ntsha rau nruab nrab-thoracic spinal arteriography. Lub catheter raug xa mus rau 9th mus rau 12th intercostal hlab ntsha thiab cov hlab ntsha radicular ntawm 1 mus rau 2nd lumbar hlab ntsha, thiab ib qho qis thoracic lossis lumbar spinal arteriography tau ua. Rau kev kuaj mob ntawm tus txha caj qaum vascular malformations, intramedullary hlav, occlusive spinal cord vascular kab mob, thiab lwm yam. Nws yog feem ntau muaj kev nyab xeeb thiab cov teeb meem tsis tshua muaj. Sab laug plawv thiab coronary angiography. Los ntawm cov hlab ntsha femoral puncture, catheter raug xa mus rau aorta, sab laug plawv angiography yog ua los yog catheter xa mus rau sab laug thiab sab xis coronary ostia los ntawm Juakin txoj kev, thiab tus neeg sawv cev sib txawv yog txhaj, thiab coronary angiography yog ua. Haum rau congenital mob plawv, coronary infarction, rheumatic lub plawv valve kab mob, syphilitic aortic valve kab mob, myocarditis, endocarditis, ua kom tiav cov pob txha, plawv tsis ua hauj lwm, pulmonary hypertension. Contraindicated nyob rau hauv cov neeg mob nrog iodine allergy. Intravenous catheter angiography. Los ntawm femoral vein puncture, mus rau hauv lub catheter, los ntawm sab nraud iliac leeg, iliac leeg rau txhaj tshuaj zoo sib xws 25 ~ 40ml, nruam filming, do spinal venography, rau kev kuaj mob ntawm tus txha caj qaum venous malformation, tus txha caj qaum thiab lateral intervertebral disc herniation. Cov kab mob jugular feem ntau tuaj yeem raug punctured, thiab lub catheter tuaj yeem xa mus rau qhov zoo tshaj vena cava, txoj cai atrium, txoj cai ventricle, thiab pulmonary hlab ntsha rau txoj cai catheterization. Rau kev kuaj mob ntawm cov kab mob hauv lub plawv xws li atrial lossis ventricular septal defect, patent ductus arteriosus, tetralogy of Fallot, pulmonary valve stenosis, rheumatic valve disease, thiab lwm yam Contraindications nrog sab laug plawv angiography

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 txhaj tshuaj, koob tshuaj tiv thaiv kab mob, 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!

Please contact us if you need: zhang@sz-manners.com