胸腔穿刺术（Thoracic puncture）.docVIP

胸腔穿刺术（Thoracic puncture） Pleural cavity puncture (thoracentesis), referred to as chest wear, refers to patients with pleural effusion (or pneumothorax), in order to the needs of the diagnosis and treatment of disease by pleural puncture pumping a fluid or gas technology. The main function of the thoracic cavity puncture was to catalogue 1 2 indications 3 contraindicated 4 preoperative preparation 5 operation steps ? Position? Selective puncture point ? Operating procedures 6 postoperative treatment 7 precautions 8. Complications and principles of management ? pneumothorax ? Bleeding, hemothorax? Diaphragm injury, liver and other abdominal viscera injury ? Pleural reaction ? Thoracic infection ? Retentive pulmonary edema Safety guidelines for thoracic puncture 10 method improvement ? The pleural cavity puncture negative pressure drainage device ? The application of casing needle in thoracic cavity puncture ? The application of the drainage tube in the thoracic cavity piercing ? The application of central venous catheter 1. Main effects of pleural cavity puncture The pleural effusion was carried out for general character detection, chemical detection, microscope monitoring and bacteriological detection, and the properties of effusion were clarified and the causes of the effusion were sought. 2. Extract the effusion and accumulation of pleural cavity, reduce the pressure on the lung tissue by liquid and gas, and restore the lung tissue to relieve the patients respiratory difficulties and other symptoms; The abscess of the pleural cavity is pumped to the chest cavity to treat the abscess; The pleural cavity gives the drug a pleural effusion of antibiotics or anticancer drugs. 2 indications (1) diagnostic: the unexplained pleural effusion can be used as a diagnostic puncture, for chest water smear, culture, cytology and biochemistry to determine the cause of the disease and to check the lung condition. (2) therapeutic sex: symptoms such as a large amount of effusion in t