Contraindications】

1) ukungakwazi ukusebenza kwengqondo noma ukungacabangi ngokomzimba kokuhlinzwa ezimeni ezijwayelekile

2) ukopha kakhulu kanye nokuphazamiseka kwama-coagation.

I-3) I-White Cell Cell Count engaphansi kuka-3 × 109 / l

4) I-allergic yokuqhathanisa imidiya

5) Kuhlanganiswe nesifo esinamandla esingama-pulmonary isifo.

6) Iziguli ezinolwelelo ezaziwayo noma ezisolisayo ezintweni zokwakha kwiphakheji yedivayisi ..

7) Ukuba khona noma ukusolwa kokutheleleka okuhlobene nedivayisi, i-bacteriamia noma i-sepsis.

8) I-radiotherapy esizeni sokufakwa okuhlosiwe.

9) Ukucabanga noma ukujova kwezidakamizwa ezibolayo.

 

【Ukwenza ukubhala】 Bona ilebula yomkhiqizo

 

【Ukuphelelwa yisikhathi】 Bona ilebula yomkhiqizo

 

【Indlela Yesicelo】

1. Lungiselela idivaysi ethekwini elingenakufakele bese ubheka ukuthi usuku lokuphelelwa isikhathi ludluliwe; Susa iphakethe elingaphakathi bese uhlola ukuthi iphakethe lingonakaliso yini.
2. Kufanele usebenzise amasu we-asuptic ukusika ukuvula iphakheji yangaphakathi bese ususa umkhiqizo ukuze ulungiselele ukusebenzisa.
3. Ukusetshenziswa kwamadivayisi etheku angenakufakelwa kuchazwa ngokwahlukana ngemodeli ngayinye ngale ndlela elandelayo.

 

Typeⅰ

1. Ukufushanisa, ukuphuma, ukuhlolwa okuvuzayo

Sebenzisa isirinji (inaliti yedivaysi ebonakalayo ehleliwe) ukubhoboza idivaysi ebonakalayo ebonakalayo bese ujova i-5ml-10ml ye-saline yomzimba ukuze ushaye isihlalo somjovo kanye ne-catheter lumen futhi ungafaki. Uma kungekho noma uketshezi oluncane lutholakala, kusonta ukuphela kwezidakamizwa ukuphela kwe-catheter (isiphetho se-distal) ngesandla ukuvula imbobo yokulethwa kwezidakamizwa; Bese ugoqa ukuvalwa kwezidakamizwa ukuphela kwe-catheter, qhubeka nokucindezela i-saline (ingcindezi engaphezu kuka-200KPA), bheka ukuthi ngabe kukhona ukuvuza esihlalweni somjovo kanye nokuxhumeka konke okujwayelekile, i-catheter ingasetshenziswa.

1. I-Cannconn and Motation

Ngokusho kophenyo lwangaphakathi, faka i-catheter (ukuphela kwezidakamizwa) ku-vessel ehambisanayo yokunikezela ngegazi ngokuya ngendawo yesimila, futhi usebenzise ama-suture angabonakali ukuze akhulise i-catheter emkhunjini. I-catheter kufanele ifakwe kahle (ama-pass amabili noma ngaphezulu) futhi ahleliwe.

1. chemotherapy nokubekwa uphawu

I-Intraoperative Chemotherative Chemotherapy Drug ingafakwa kanye ngohlelo lokwelashwa; Kunconywe ukuthi isihlalo somjovo kanye ne-catheter lumen kudonswe ngo-6-8 ml we-sali yemvelo, kulandelwa yi-3 ml ~ 5 ml i-catheter ifakwe ku-5ml e-herparin usawoti ku-100U / ML kuya ku-200U / ML.

1. Ukulungiswa kwesihlalo somlingo

I-cycutaneous cysic cavity idalwe endaweni yokusekelwa, okuyi-0.5 cm kuya ku-1 cm ukusuka endaweni yesikhumba, bese isihlalo somjovo sibekwe emgodini futhi sihleliwe, futhi isikhumba sisusiwe ngemuva kwe-hemostasis eqinile. Uma i-catheter yinde kakhulu, ingahlanganiswa ibe umbuthano ekugcineni kwe-proximal futhi ilungiswe kahle.

 

Typeⅱ

1.flushing kanye nokuphuma

Sebenzisa isirinji (inaliti yedivaysi ebonakalayo ebonakalayo) ukujova usawoti esihlalweni somjovo kanye ne-catheter ngokulandelana ukuze ushaye futhi ususe umoya ku-lumen, bese ubona ukuthi uketshezi lwe-conduction bushelelezi.

2. I-Canken and Motation

4. Ukuhlolwa okuvuzayo

4. Ngemuva kokuthi uxhumano luphelile, songa futhi uvale i-catheter ngemuva kwesiqeshana sokukhiya bese uqhubeka nokufaka usawoti esihlalweni somjovo esihlalweni somjovo (inaliti yedivaysi yokulethwa kwezidakamizwa efakiwe). (ingcindezi engaphezu kuka-200KPA), bheka ukuthi ngabe kukhona ukuvuza kusuka ku-imjolobhu block kanye ne-catheter

Ukuxhumana, futhi usebenzise kuphela ngemuva kokuthi yonke into ijwayelekile.

I-5. I-Chemotherapy, i-Caving Tube

I-Intraoperative Chemotherative Chemotherapy Drug ingafakwa kanye ngohlelo lokwelashwa; Kunconywa ukuthi ushayele isizinda somjovo kanye ne-catheter lumen nge-6 ~ 8ml ye-saline ye-physiological futhi, bese usebenzisa i-3ml ~ 5ml ye-soline yomzimba.

I-catheter ivalwa nge-3mL kuya ku-5ml ku-5ML we-herparin saline ku-100U / mL kuya ku-200U / ML.

6. Ukulungiswa kwesihlalo somjovo

I-cycutaneous cystic cavity yadalwa endaweni yokusekelwa, 0.5 cm kuya ku-1 cm ukusuka endaweni yesikhumba, bese kuthi isihlalo somjovo sibekwe emgodini futhi sihleliwe, futhi isikhumba sasivuthiwe ngemuva kwe-hemostasis eqinile.

 

Thayipha ⅲ

Isirinji (inaliti ekhethekile yedivaysi ebonakalayo ebonakalayo) yayisetshenziselwa ukujova i-10ml ~ 20ml usawoti ojwayelekile kwidivaysi yokulethwa kwezidakamizwa efakayo ukuze ushayele isihlalo somjovo, bese ususa umoya emgodini, bese usula ukuthi ngabe uketshezi lwalungenakuvezwa.

2. I-Canken and Motation

Ngokusho kokuhlola okuhlangene, faka i-catheter eduze kodonga lwesisu, futhi ingxenye evulekile yokuphela kwezidakamizwa kwe-catheter kufanele ingene emgodini wesisu kufanele isondelene nethagethi yesimila ngangokunokwenzeka. Khetha amaphuzu ama-2-3 ukuze uhlele futhi ulungise i-catheter.

3. I-Chemotherapy, i-Caling Tube

I-Intraoperative Chemotherative Chemotherapy Drug ingafakwa kanye ngokohlelo lokwelashwa, bese ithubhu livalwe nge-3ml ~ 5ml ye-100U / ml ~ 200u / ml heparin saline.

4. Ukulungiswa kwesihlalo somjovo

I-cycutaneous cystic cavity yadalwa endaweni yokusekelwa, 0.5 cm kuya ku-1 cm ukusuka endaweni yesikhumba, bese kuthi isihlalo somjovo sibekwe emgodini futhi sihleliwe, futhi isikhumba sasivuthiwe ngemuva kwe-hemostasis eqinile.

Ukufakwa kwezidakamizwa nokunakekelwa

A.Ukusebenza okuqinile kwe-aseptic, ukukhetha okulungile kwendawo yokuhlala esihlalweni somjovo ngaphambi komjovo, kanye negciwane eliqinile lendawo yokujova.B. Lapho ujova, sebenzisa inaliti ye-Port Polt ebonakalayo, isirinji ku-10 ml noma ngaphezulu ngomunwe wesandla sokulungisa isitebhisi ngenkathi kunomuzwa wokuwa kwenaliti Phansi kwesihlalo somjovo, bese ubheka ukuthi uhlelo lokulethwa kwezidakamizwa lubushelelezi (uma lungabushelelezi, kufanele uqale ubheke ukuthi ngabe inaliti ivinjiwe yini ukuthi ivinjelwe). Bheka ukuthi ngabe kukhona yini ukuphakama kwesikhumba esiseduze lapho kucindezela.

C. Phuma umuthi we-chemotherapeapeutic kancane ngemuva kokuqinisekisa ukuthi alikho iphutha. Ngesikhathi senqubo yokusunduza, unake ukubona ukuthi isikhumba esiseduze siphakanyisiwe noma siphaphathekile, nokuthi ngabe kukhona ubuhlungu bendawo. Ngemuva kokuthi umuthi ucindezelwe, kufanele ugcinwe ama-15s ~ 30s.

D. Ngemuva komjovo ngamunye, kunconywa ukuthi ushaye isihlalo somjovo kanye ne-catheter lumen nge-6 ~ 8ml ye-heaparin saline, bese kuthi unamathisele i-heraparin saline, futhi lapho uhlelo lokuqalisa lwe-100m lwe-Herparin lugcwele khona, futhi lapho uhlelo lwesingeniso lwezidakamizwa lugcwele i-herparin saline ukuze vimbela i-crystallization yezidakamizwa kanye nokugxuma kwegazi emgodini. I-catheter kufanele idonswe nge-herparin saline kanye njalo emavikini ama-2 ngesikhathi sokuphumula kwe-chemotherapy.

E. Ngemuva komjovo, magciwane iso lesinaliti ngesibulala-magciwane sezokwelapha, ukumboza ngokugqoka oyinyumba, bese unaka ukugcina indawo yendawo ihlanzekile futhi yomile ukuvikela ukutheleleka endaweni yokubhoboza.

F. Nakisisa ukusabela kwesiguli ngemuva kokuphathwa kwezidakamizwa futhi ubheke eduze ngesikhathi umjovo wezidakamizwa.

 

【Ukuqapha, Isexwayiso nokuqukethwe okuvezayo】

1. Lo mkhiqizo ucwebezele yi-ethylene oxide futhi usebenza iminyaka emithathu.
2. Sicela ufunde incwadi yemiyalo ngaphambi kokuqinisekisa ukuphepha kokusetshenziswa.
3. Ukusetshenziswa kwalo mkhiqizo kumele kuhambisane nezidingo zamakhodi afanele wokuzilolonga nemibhalo yomkhakha wezokwelapha, kanye nokufakwa kwalawa madivayisi kufanele kuvinjelwe odokotela abaqinisekisiwe.
4. Yonke inqubo kumele yenziwe ngaphansi kwezimo ze-asuptic.
5. Hlola usuku lokuphelelwa yisikhathi komkhiqizo kanye nokupakishwa kwangaphakathi komonakalo ngaphambi kwenqubo.
6. Ngemuva kokusebenzisa, umkhiqizo ungadala izingozi zemvelo. Uyacelwa ukuthi ulandele umkhuba owamukelekayo wezokwelapha nayo yonke imithetho efanele nemigomo yokuphatha nokwelashwa.
7. Musa ukusebenzisa amandla amakhulu ngesikhathi sokufunga bese ufaka i-artery ngokunembile futhi ngokushesha ukugwema i-vasospasm. Uma i-Intubation inzima, sebenzisa iminwe yakho ukuvula i-catheter kusuka ngapha nangapha ngenkathi kufakwa ishubhu.
8. Ubude be-catheter elibekwe emzimbeni kufanele bube bufanele, kudala kakhulu ukunqamula endaweni, okuholela ekuvumeni komoya omncane, kufushane kakhulu lapho imisebenzi enobudlova yeziguli inethuba lokuya emkhunjini. Uma i-catheter imfushane kakhulu, ingahlehlisa emkhunjini lapho isiguli sinyakaza ngamandla.
9. I-catheter kufanele ifakwe esitsheni esinama-ligature angaphezu kwamabili kanye nokuqina okufanele ekuqinisekiseni umjovo wezidakamizwa okubushelelezi futhi ivikele i-catheter ukuthi ingashintshi.
10. Uma idivaysi yePort efakwe ngaphakathi inguhlobo II, ukuxhumana phakathi kwe-catheter nesihlalo somjovo kumele kuqine. Uma umjovo wezidakamizwa we-intraperative engadingekile, umjovo wokuhlola we-saline ojwayelekile kufanele usetshenziselwe ukuqinisekiswa ngaphambi kokunakekela isikhumba.
11. Lapho uhlukanisa indawo ephansi, kufanele kwenziwe i-hemostasis yokugwema ukwakheka kwe-hematoma yendawo, ukuqongelela uketshezi noma ukutheleleka kwesibili ngemuva kokuhlinzwa; Ukususwa kwe-vesicular kufanele kugweme isihlalo somjovo.
12. Izikhangiso zezokwelapha ze-α-Cyanoacryrlate zingadala ukulimala kwezinsiza zesisekelo somjovo; Musa ukusebenzisa adhesives yezokwelapha ye-α- cyanoacryrlives lapho uphatha i-incision yokuhlinzwa ezungeze isisekelo somjovo. Musa ukusebenzisa adhesives yezokwelapha ye-α-Cyanoacrylate lapho ubhekene nokufakwa kokuhlinzwa esiseleni somjovo.
13. Sebenzisa ukuqaphela ngokweqile ukugwema ukuvuza kwe-catheter ngenxa yokulimala ngengozi kusuka kumathuluzi wokuhlinza.
14. Lapho sivuswa, inaliti kufanele ifakwe ngokuqondile, isirinji esinomthamo we-10ml noma ngaphezulu kufanele isetshenziswe, isidakamizwa kufanele sifakwe kancane, futhi inaliti kufanele ihoxiswe ngemuva kokuphumula okufushane. Ingcindezi yokucindezela akufanele idlule i-200KPA.
15. Sebenzisa izinaliti ezikhethekile kuphela zamadivayisi wokulethwa kwezidakamizwa afeziwe.
16. Lapho kudingeka ukufakwa noma ukufakwa kwezidakamizwa, kufanelekile ukusebenzisa idivaysi yokulethwa kwezidakamizwa okusebenziseka kalula nge-hose inaliti ekhethekile yokumnika noma i-tee, ukuze kuncishiswe inani lama-punctures futhi kunciphise umthelela esigulweni.
17. Yehlisa inani lama-punctures, wehlise ukulimala kwizingxenye zesiguli kanye nezindawo zokuzibeka obala. Ngesikhathi sokuyekiswa komjovo wezidakamizwa, umjovo we-anticoagulant uyadingeka kanye njalo emavikini amabili.
18. Lo mkhiqizo uwukusebenzisa okukodwa, oyinyumba, ongewona owokuphamba, obhujiswe ngemuva kokusebenzisa, ukusebenzisa kabusha akuvunyelwe ngokuphelele.
19. Uma iphakethe elingaphakathi lilimele noma usuku lokuphelelwa yisikhathi komkhiqizo selidlulile, sicela ubuyisele kumenzi ukuze alahlwe.
20. Inani lama-punctures we-block ngayinye yomjovo akufanele lidlule ku-2000 (22ga). 21.
21. IVolumu Encane Ebuncane ingu-6ml