Npaj rau lub raum puncture:

Kev npaj rau lub raum puncture yog ib feem tseem ceeb ntawm kev txo cov teeb meem. Cov haujlwm hauv qab no yuav tsum tau ua ua ntej kev phais:

(1) Piav qhov tsim nyog, kev nyab xeeb thiab muaj teeb meem ntawm lub raum biopsy rau cov neeg mob thiab lawv tsev neeg, thiab tau txais kev pom zoo los ntawm cov neeg mob thiab lawv tsev neeg. Piav qhia txog kev ua haujlwm rau lub raum rau tus neeg mob, txo tus neeg mob qhov kev ntshai, thiab tau txais tus neeg mob txoj kev koom tes. Cia lawv xyaum tuav lawv ua pa (rau lub sij hawm luv luv thaum lub raum puncture) thiab tso zis hauv txaj (rau 24 teev tom qab lub raum puncture), thiaj li yuav koom tes zoo.

(2) Kev sim kuaj, lub sij hawm coagulation, platelet suav thiab lub sij hawm prothrombin kom paub seb puas muaj ntshav los.

(3) Tshawb xyuas creatinine clearance npaum li cas, ntshav creatinine thiab ntshav urea nitrogen kom nkag siab txog lub raum ua haujlwm, tshawb xyuas isotope renogram kom nkag siab txog lub raum ua haujlwm, thiab ua B-ultrasound kom nkag siab lub raum loj, qhov chaw thiab kev ua haujlwm.

⑷ Txheeb xyuas hom ntshav, npaj cov ntshav, thiab ua tib zoo ntxuav cov tawv nqaij ntawm lub raum ua ntej kev phais.

⑸ Qhov ncauj lossis intramuscular txhaj ntawm vitamin K 2 mus rau 3 hnub ua ntej kev phais.

(6) Ua ntej lub raum puncture nyob rau hauv cov neeg mob uas mob raum tsis ua hauj lwm, ntxiv rau lub sij hawm kuaj prothrombin, lub sij hawm thromboplastin ib nrab ntawm cov av nplaum dawb yuav tsum tau ntsuas. Ntxiv nrog rau kev kuaj xyuas cov platelets, platelet muaj nuj nqi (kev sib sau ua ke, adhesion thiab tso tawm ua haujlwm) yuav tsum tau kuaj xyuas tsis tu ncua. Tej yam txawv txav uas pom yuav tsum tau kho ua ntej kev phais. Yog tias platelet suav thiab kev ua haujlwm tsis zoo, cov platelets tshiab tuaj yeem hloov pauv rau hnub ntawm kev sib tsoo. Lub sijhawm los ntshav ntev tuaj yeem kho tau los ntawm kev txhaj tshuaj ntawm cov khoom muaj txiaj ntsig cryoprecipitate. Rau cov neeg mob uas lub raum tsis ua haujlwm hnyav, nws yog qhov zoo tshaj los ua hemodialysis ob peb zaug ua ntej lub raum puncture, tso tseg 24 teev ua ntej lub raum puncture, thiab muab protamine rau neutralize heparin thaum kawg ntawm kev lim ntshav. nyhuv ploj.

⑺ Tshem lub zais zis ua ntej kev phais. Lub raum biopsy feem ntau muab faib ua peb pawg: (1) percutaneous renal biopsy, uas yog dav lees paub thiab siv hauv kev kho mob; (2) phais qhib lub raum biopsy; (3) lub raum vein biopsy.

Puncture point qhov chaw: xaiv cov ciam teb sab nraud ntawm qib qis ntawm lub raum sab xis. Cov txheej txheem ntawm localization yog: (1) anatomical localization ntawm lub cev nto; (2) X-ray localization; (3) isotopic raum scan localization; (4) B-ultrasound localization, uas yog feem ntau siv thiab kuj muaj kev nyab xeeb txoj kev tam sim no.

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!

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