Yuav ua li cas rho cov pob txha pob txha los ntawm rab koob aspiration

1. Selection of puncture site ① Anterior superior iliac spine: The puncture point is usually 1 to 2 cm behind and above the anterior superior iliac spine, where the bone surface is relatively flat, easy to fix, and the operation is convenient and safe; ② Anterior and posterior superior spine: It is located on the two sides of the sacral vertebra. The bony protruding part on the side and above the buttocks; 3. Manubrium: the bone marrow is rich here. When the puncture of the above-mentioned parts fails, the manubrium can be punctured. Because of the danger of penetration, it is less used; ④ Spinous process of lumbar spine: it is located at the protrusion of the spinous process of lumbar spine, and it is rarely used.

2. Posture Lub supine txoj hauj lwm raug coj thaum lub sternum thiab anterior superior iliac qaum raug punctured. Lub lateral decubitus txoj hauj lwm yuav tsum tau noj thaum lub sij hawm puncture ntawm posterior superior iliac qaum. Cov txheej txheem lumbar spinous tau punctured nyob rau hauv ib tug zaum los yog lateral txoj hauj lwm.

3. Txhua zaus tshuaj tua kab mob ntawm daim tawv nqaij, hnav cov hnab looj tes tsis muaj menyuam, nteg ib daim phuam uas tsis muaj menyuam, thiab siv 2 feem pua ​​​​lidocaine rau kev siv tshuaj loog hauv zos kom txog thaum lub periosteum.

4. Kho cov pob txha pob txha puncture koob fixer ntawm qhov ntev (kwv yees li 1.5cm rau iliac puncture, qhov ntev tuaj yeem tsim nyog rau cov neeg mob rog rog, thiab txog 1.0cm rau sternum puncture), kho daim tawv nqaij ntawm qhov chaw puncture nrog tus ntiv tes xoo thiab ntiv tes ntiv tes ntawm sab laug tes, thiab tuav rab koob ntawm sab tes xis. Perpendicularly nkag mus rau hauv cov pob txha nto (nyob rau hauv cov ntaub ntawv ntawm manubrium puncture, puncture koob thiab pob txha nto yuav tsum tau punctured ntawm ib tug kaum sab xis ntawm 30 mus rau 40 degree), thaum lub puncture koob kov cov pob txha, tig nws sab laug thiab sab xis, thiab maj mam tho. cov pob txha. Thaum qhov kev tawm tsam ploj mus thiab cov koob txhaj tshuaj tau kho nyob rau hauv cov pob txha, nws qhia tau hais tias nws tau nkag mus rau hauv cov pob txha kab noj hniav.

5. Nrog rau 20ml syringe qhuav, tshem tawm lub plug sab hauv los ntawm 1cm, rub tawm lub koob tseem ceeb, txuas lub syringe, thiab maj mam nqus nrog lub zog tsim nyog, me me ntawm cov kua dej liab liab tuaj yeem pom nkag mus rau hauv lub syringe. syringe, thiab tus nqi ntawm cov kua hauv lub cev yog 0.1-0.2ml. Yog tias tsim nyog, tshem cov syringe, thawb cov pob txha pob txha ntawm lub khob swb, thiab ua kom sai li 5 mus rau 6 smears los ntawm tus pab cuam, thiab xa lawv mus kuaj cov cell morphology thiab cytochemical staining.

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