Central venous puncture(国外英文资料).docVIP

Central venous puncture(国外英文资料) This should remind surgeons to open the pleura after splitting the sternum and deal with the broken lungs. 2. Hemothorax in subclavian puncture into the road, if too deep into the needle easily injured subclavian artery, then immediately from the needle and supraclavicular oppression hemostasis, if worn out at the same time the pleura is bound to cause hemothorax. The surgeon should be prompted to open the pleura in time and suture blood from the chest when necessary. The internal jugular vein puncture is particularly vulnerable to the artery, as long as the puncture of the needle in time is 3 ~ 5 minutes to stop the bleeding. To change the puncture point or to puncture the subclavicular vein. The fluid is inserted into the chest, which is then entered into the chest cavity, when the fluid is inserted into the chest, whether it is the internal or the subclavicular vein. Its performance has the following: The paper was invalidated from the road to the drug (anesthetic, muscle relaxant). The negative pressure (negative pressure should not occur before the extracorporeal circulation) is present in the measurement center. The transfusion was smooth but there was no return of blood. If the above phenomena should be confirmed by the catheter in the thoracic cavity, the path should not be used again and the tube shall be punctured separately. The original catheter should not be removed at the time, should be opened, should be monitored by the surgeon to remove the original catheter, and sewn the blood from the chest when necessary. 4. Air embolism Puncture not the patients first low, such as the patient is in a state of low blood volume, when wear in vein once syringe and atmosphere are interlinked, removed due to cardiac diastolic heart in air. Of acquired heart disease patients (centerless shunt) into a small amount of air does not cause serious consequences, but inside the heart shunt congenital heart disease patients (especially the pur