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经皮肺活检:场地设置

时间:2022-05-29 22:14来源:www.ynjr.net 作者:杨宁介入医学网
Whereas some hospitals have machines that offer continuous CT fluoroscopy that enables the radiologist to watch the needle while advancing it in real-time (while radiating his or her own hand), many do not. 虽然一些医院可以有提供连续CT透视
Whereas some hospitals have machines that offer continuous CT fluoroscopy that enables the radiologist to watch the needle while advancing it in real-time (while radiating his or her own hand), many do not.
虽然一些医院可以有提供连续CT透视的功能,但让介入放射科医生能够方便在实时观察推进针的位置,同时对自己的手“放疗”,勉为其难。
 
 
Although numerous papers have been written advocating the use of a particular type of needle, there remain many variations among radiologists regarding preferred needle size and needle tip shape.
虽然已经有许多论文作者提倡使用一种特定类型的针,但介入放射科医生对于首选的针的大小和针尖形状仍然有许多差异。
 
 
Patient and Room Set-UpAll patients should be outfitted with the following (at a minimum):A monitor that can detect blood pressure, cardiac rhythm, oxygen saturation, carbon dioxide waveformsA working intravenous (IV) lineThese are necessary because of (1) the rare but occasionally dramatic occurrence of vasovagal episodes that require immediate sedation or delivery of medications without interrupting the procedure or moving the patient, and (2) lung biopsy patients often have serious coexistent medical problems, such as heart disease, that may need emergency medication.
 
病人和房间设置
 
- 所有病人应该配备以下(至少):
  • 监控器可以检测血压、心律、氧饱和度、二氧化碳波形
  • 有效静脉(IV)通道,这是因为(1)罕见但偶尔发生的血管迷走神经反应,需要立即镇静或持续药物治疗过程或移动病人,和(2)肺活检患者经常有严重的医疗问题,如心脏病,可能需要紧急药物治疗。
The following should be available 
 
以下应提供:
  • 吸氧设备 :Oxygen
  • 负压吸引 Suction equipment
  • 气管插管设备 Artificial airway and intubation equipment
  • 带阀门面罩 A bag valve mask
  • 抢救车 A resuscitation cart


气胸处理应包括以下设备:
  • seldinger 针或套管针技术用于胸引流管引入
  • 胸引流管有或没有导丝(4F足够引流空气,而14法F可能需要引流血液);应用阀门引流管是有用的(可以用三通制作)
  • Heimlich 阀用于紧急治疗张力性气胸
  • 墙壁负压
  • 胸腔引流系统用于长期治疗气胸/胸水/血胸
  • 连接单通和引流管管

对于病变定位,非增强CT通常是足够的,因为肺和结节之间的密度差异可以作为自然对比。偶尔,在手术过程中可能需要静脉注射造影剂,如以确定预期的针头路径中的血管结构或纵隔结构。
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