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临床多用注射器抽气方法治疗自发性气胸(交通性或开放性),在胸腔有500ml左右积液时易感染难奏效。水封瓶胸腔闭式引流,体位及生活受限。本文介绍用自制细弯导管闭式引流排气,初步效果介绍如下。 方法:1.器械制作:选用一次性输液塑胶管或输血管长60～80cm,粗细恰能通入Y型穿刺针,在预定置入位置用酒精灯烤弯成30°～40°弧,煮沸消毒备用。消毒避孕套两只,分别于每个套的不同部位剪两个1cm口,两套重叠套入,套口与细弯导管末端连接捆绑结扎后置入200ml消毒的敞口空瓶内,瓶子用绷带悬挂于胸前备容引流液用。2.操作使用:穿刺部位选患侧腋前线第5、6肋间,定位后常规消毒,局麻,皮切口0.5cm,Y型穿刺
Clinical multi-purpose syringe suction method for the treatment of spontaneous pneumothorax (traffic or open), in the chest when there is about 500ml effusion difficult to work. Closed water bottle closure thoracic drainage, body position and life constraints. This article describes the use of homemade curved catheter drainage drainage, the initial effect is described below. Methods: 1. Equipment: Selection of disposable plastic tubes or transfusion tube length 60 ~ 80cm, the thickness of just access to Y-type puncture needle, placed in a predetermined position into the alcohol lamp bent into a 30 ° ~ 40 ° arc, boiled Disinfection spare. Disinfection condoms two, respectively, in each set of different parts cut two 1cm mouth, two sets of overlapping sets, sets of mouth and thin bend catheter end connection bundled ligation into 200ml sterilized open bottles, the bottle with Bandage hanging in the chest prepared for fluid drainage. 2. Operation and use: Select the puncture site ipsilateral axillary line 5,6 intercostal, conventional disinfection positioning, local anesthesia, skin incision 0.5cm, Y-type puncture