Dab tsi yuav tsum tau ceev faj ua ntej kev mob plab pob txha?

Tam sim no, feem ntau siv cov pob txha pob txha pob txha qhov chaw yog ilium (anterior superior iliac spine, posterior superior iliac spine), tus txha caj qaum, sternum, thiab tibia (tsuas yog rau cov menyuam yaus hnub nyoog qis dua 2 xyoos).

anterior superior iliac spine puncture: tus neeg mob muab tso rau hauv lub supine txoj hauj lwm, thiab puncture point yog hais txog 1-2 cm nyob rau hauv lub sab saum toj ntawm lub anterior superior iliac qaum.

Posterior superior iliac spine puncture: tus neeg mob pw ntawm ib sab (tus me nyuam yog nquag), posterior superior iliac qaum feem ntau protruding ntawm lub pob tw, los yog nws muaj peev xwm nias ntawm tes ntawm qib tsib lumbar vertebra, txog. 3 cm deb ntawm sab, thiab nws yog ib tug blunt voj voog Puncture ntawm lub protrusion.

Sternocentesis: Tus neeg mob yog supine (nrog lub hauv ncoo tshem tawm), thiab qhov nruab nrab ntawm lub sternum raug coj mus, thiab sab sauv kawg ntawm lub sternum nyob rau theem ntawm qhov chaw intercostal thib ob yog qhov chaw puncture.

Spinacentesis: Tus neeg mob pw ntawm nws sab nrog nws txhais tes tuav hauv caug; los yog zaum pem hauv ntej ntawm lub rooj zaum nrog ob txhais caj npab ntawm lub nraub qaum ntawm lub rooj zaum thiab lub taub hau so ntawm caj npab. Siv lub 3rd thiab 4th lumbar vertebrae ua qhov taw tes puncture, thiab puncture vertically ntawm sab los yog nruab nrab ntawm cov txheej txheem spinous.

Tibial puncture: Xaiv lub anterior medial tibia 1cm hauv qab ntawm tibial tubercle dav hlau (los yog kev sib tshuam ntawm sab sauv thiab nruab nrab 1/3 ntawm tibia) ua qhov taw tes.

Cov kev ceev faj:

① Explain the necessity and safety of the puncture examination to the patient before the operation, and explain the examination method to obtain cooperation.

② Pay attention to aseptic operation and check whether the instruments used are matched.

③Choose the right part and operate gently. The whole puncture process should be done quickly. After the needle reaches the periosteum through the skin, the needle should be perpendicular to the bone surface, and the needle should be rotated slowly. Do not use excessive force or the tip of the needle slips on the bone surface.

④ The negative pressure should be slowly increased when taking the bone marrow smear. When blood is seen in the syringe, the suction should be stopped immediately to avoid bone marrow dilution. At the same time, those who do other inspections should first take a small amount of bone marrow smear, and then take the bone marrow to send for other inspections (not to be done at the same time). When removing the syringe, insert the needle back quickly to prevent the marrow fluid from spilling out.

⑤ When puncturing the sternum, the puncture angle must be parallel to the manubrium (or the needle handle is inclined at a 75 degree angle to the upper abdomen) to prevent the needle tip from slipping or piercing the posterior cortex of the manubrium.

⑥ When the puncture fails once and needs to be re-punctured, if the puncture needle is stained with blood, the puncture needle should be replaced. Do not rub the needle core on gauze or cotton balls or insert the needle core back and forth into the puncture needle. It is recommended to go to the hospital to find a related, professional doctor for a detailed examination or consultation! To prove the drug ah! !

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!

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