Apandisit operatsiyasi uchun behushlikning o'ziga xos operatsiyasi nima?

Appenditsit jarrohligi mahalliy infiltratsion behushlik, epidural anesteziya, umumiy behushlik va boshqalarni tanlashi mumkin; 1. Lokal infiltratsion behushlik. Operatsiyaning asosiy usuli: birinchi navbatda ignani jarrohlik kesma chizig'ining bir uchiga kiriting va terini ignaning qiya tomoni bilan pastga teshing. Ignani tortib oling, ignani birinchi pichuning chetiga yana kiriting va ikkinchi pichu hosil qilish uchun xuddi shunday qiling, shu bilan kesma chizig'ida pichu kamarini hosil qiling. Teri va teri osti to'qimasini teri tepasi orqali teri osti to'qimalariga mahalliy og'riqsizlantiruvchi vositani kiritish orqali kesish mumkin. Yuqoridagi protseduraning maqsadi bemorga faqat birinchi igna kiritilganda og'riqni his qilishdir. Chuqur to'qimalarga erishish uchun jarrohlik kabi sarkolemma va sarkolemma ostida AOK mumkin. Mushak ajratilgan bo'lsa, qorin parda infiltratsiyasi kerak. Shunday qilib, bir qatlamni infiltratsiya qiling va bir qatlamni kesib oling va aniq behushlikka erishish uchun navbatma-navbat shprits va skalpellardan foydalaning. Lokal behushlik bilan og'rigan bemorlar ongli va behushlik ta'siri yaxshi. 2. Epidural anesteziyaning operatsiya usuli quyidagicha:

(1) Yon tomonga yotib, tizza bo'g'imini ikkala qo'lingiz bilan quchoqlang va pastki jag'ni ko'kragiga bukilgan shaklda bosing.

(2) According to the requirements of the operation, select the intervertebral space between the 10th thoracic vertebrae to the 4th lumbar vertebrae, first perform local anesthesia, and puncture with a spoon-shaped puncture needle. There are two puncture methods: ① pierce into the epidural space perpendicular to the spine, which is called straight puncture; ② pierce obliquely from the paravertebral side, called lateral puncture.

(3) When puncturing, the level passed is mainly judged according to the change of resistance. When the ligamentum flavum is encountered, the resistance increases and it feels tenacious. At this time, take out the needle core, connect the syringe with a small amount of air (or normal saline), and continue to insert the needle carefully. "Empty feeling", use the negative pressure of the epidural cavity to suck the air in the syringe into the cavity, and observe the change of the liquid level at the head of the syringe. If it fluctuates with the change of the negative pressure, it means that it has entered the hard ridge. extramembranous space. If there is no negative pressure and other phenomena, continue to insert the needle. If cerebrospinal fluid is found, it means that it has passed through the epidural space and entered the subarachnoid space, and the puncture fails and should be abandoned.

(4) It has been proved that in the epidural space, the anesthetics are injected in stages. Commonly used anesthetics are 2 percent lidocaine (also known as xylocaine) or 2 percent dicaine, plus 0.1 percent epinephrine 0.1 0.2mL. Generally, the single dose of lidocaine for adults should not exceed 500 mg, and the single dose of dicaine should not exceed 60 mg. Continuous epidural anesthesia can be administered in divided doses according to surgical requirements. The whole process of anesthesia should pay close attention to the patient's response and changes in the level of anesthesia.

(5) Agar doimiy epidural behushlik zarur boʻlsa, avval qoshiq shaklidagi igna oʻlchamiga mos keladigan siydik kateterini- olib, uning toʻsiqsiz yoki yoʻqligini oldindan tekshirib, uzunligi va hajmini oʻlchab koʻring. Qoshiq shaklidagi igna qiyasini{2}} yuqoriga (yoki jarrohlik talabiga qarab pastga) qo'ying va siydik yo'l kateterini igna bo'shlig'idan epidural bo'shliqqa kiriting. Kateterni asta-sekin epidural bo'shliqqa olib borganda, ignani torting. Kateter epidural bo'shliqda 3 dan 5 sm gacha qoldirilishi mumkin, juda uzoq emas. Qoshiq shaklidagi ignani chiqarayotganda kateterni teshikdan-olmang va kateterdan 2 ml ga yaqin anestezikani oz miqdorda yuborishga harakat qiling. Nihoyat, tanadan tashqarida qoldirilgan kateter prolapsning oldini olish va burchakka egilishning oldini olish uchun to'g'ridan-to'g'ri orqa tomoniga yopishqoq lenta bilan o'rnatildi, bu kateterning o'tkazuvchanligini va operatsiya vaqtida qo'llanilishini ta'minlaydi. Epidural behushlik bilan og'rigan bemorlar ko'proq hushyor va bemorlarda behushlik tekisligida og'riq yo'q va ta'sir yaxshi. 3. Tibbiyotda umumiy behushlik umumiy behushlikning qisqartmasi hisoblanadi. Umumiy behushlik deganda nafas yo'llaridan anestetik dorilarni inhalatsiya yoki tomir ichiga yuborish orqali ongni qayta yo'qotish va og'riqni yo'qotish holati tushuniladi.

Agar sizda biron bir savol bo'lsa, biz bilan bog'laning. Bizning kompaniyamiz turli xil moslashtirilgan ignalar, tibbiy ignalar, ponksiyon ignalari, teri osti ignalari, biopsiya ignalari, vaktsina ignalari, in'ektsiya ignalari, shprits ignalari, veterinariya ignalari, qalam uchi ignalari, tuxum olish ignalari, orqa miya ignalari va boshqalarni ishlab chiqarishi mumkin. Agar sizga moslashtirilgan kerak bo'lsa. igna mahsulotlari, iltimos biz bilan bog'laning. Sizning so'rovingizni kutamiz! Zavodimizda ishlab chiqarilayotgan mahsulotlar sifati sizni albatta qoniqtiradi!

Agar kerak boʻlsa, biz bilan bogʻlaning: zhang@sz-manners.com