Puncture Technique Of Epidural Needle Anesthesia

1. Txhawm rau tiv thaiv thiab kho tus txha caj qaum, cov khoom siv tracheal intubation, cov khoom siv oxygen thiab lwm yam khoom siv thawj zaug yuav tsum tau npaj.

2. Siv tshuaj tua kab mob nruj.

3. Muaj ob hom puncture txoj hauj lwm: lateral txoj hauj lwm thiab zaum. Clinically, lub lateral txoj hauj lwm yog tsuas yog siv. Lub puncture point yuav tsum raug xaiv raws li qhov chaw phais, thiab cov txheej txheem spinous sib thooj nyob rau hauv qhov chaw ntawm qhov kev phais feem ntau yog xaiv. Feem ntau, lub cev nqaij daim tawv sab sauv yog nyob rau hauv lub thoracic 3 ~ 4 spinous txheej txheem chaw, lub plab mog sab sauv yog nyob rau hauv lub thoracic 8 ~ 10 spinous txheej txheem chaw, lub mid - plab hnyuv ua hauj lwm nyob rau hauv lub thoracic 9 ~ 11 spinous txheej txheem chaw, thiab kev ua haujlwm hauv plab plab yog nyob rau hauv lub thoracic 12 mus rau duav 2 spinous txheej txheem chaw. Kev phais qis qis yog ua nyob rau hauv lub lumbar 3 ~ 4 spinous txheej txheem chaw, thiab perineal phais yog ua nyob rau hauv lub lumbar 4 ~ 5 qhov chaw, thiab sacral tshuaj loog kuj siv tau. Txhawm rau txiav txim siab qhov chaw ua haujlwm spinous, feem ntau xa mus rau qhov chaw anatomical landmarks. Piv txwv li, cov txheej txheem tseem ceeb spinous nyob rau hauv lub caj dab yog inferior cervical spinous txheej txheem; txoj kab txuas ntawm scapular ridges ntawm ob sab ua tau raws li cov txheej txheem thoracic 3 spinous; txoj kab txuas ntawm cov kaum sab xis ntawm ob sab ua tau raws li cov txheej txheem thoracic 7 spinous; txoj kab txuas ntawm qhov siab tshaj plaws ntawm lub iliac crest ntawm ob sab sib tshuam Nyob rau hauv lub lumbar 4 spinous txheej txheem los yog lub lumbar 3 ~ 4 spinous txheej txheem chaw.

4. Muaj ob hom epidural puncture: txoj kev nkag ncaj qha thiab sab nkag. Cov txheej txheem spinous ntawm lub ncauj tsev menyuam, sab sauv qaum, thiab lumbar vertebrae yog sib npaug rau ib leeg, thiab qhov ncaj - hauv txoj hauv kev yog feem ntau tawm tswv yim. Hauv cov neeg laus uas muaj calcified supraspinous ligaments thiab txwv tus txha caj qaum, txoj kev nkag sab yuav tsum tau siv.

5. Qhov kev ntsuas siab tsis zoo tuaj yeem ua tiav los ntawm txoj kev dai hanging. Nws tsis pom zoo kom siv cua txhaj tshuaj los txiav txim seb nws puas tau nkag mus rau hauv qhov chaw epidural.

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 - yam ntxwv.com