胸穿整理（Chest wear finishing）.docVIP

胸穿整理（Chest wear finishing） I. indication 1. A large amount of pleural effusion or qi, puncturing the fluid or gas to relieve the pressure on the lungs or large vessels, improving respiratory or circulatory disorders. 2. Take out the pus when the chest is septic and reduce the intoxication, prevent further development of the abscess, and can check the abscess such as culture and drug sensitive test to guide the treatment. 3. Extract pleural effusion for assay to clarify its nature to assist in diagnosis and differential diagnosis. 4. Inject drugs (antibiotics, anti-tumor drugs, adhesions, etc.) into the pleural cavity through the pleural cavity puncture. contraindications 1. There are serious and coagulant tendencies, and platelets are significantly reduced or used for anticoagulant therapy with heparin or double vanilla bean. 2. Hemoptysis, severe tuberculosis and emphysema; 3. Patients who cannot cooperate are also contraindicated, which can be used to puncture the pleural cavity after a sedative or basic anesthesia. 3. Preoperative preparation 1. The subject should have physical examination and preparation of puncture articles. The skin disinfectant, sterile gloves, anesthesia medicines, medication and breast implants were carried to the operating site. Chest wear package contains general requirements with rubber tube pleural puncture needle (16 or 18), vascular clamp, gauze, curved plate, towel, 7 needles, 10 ml and 50 ml syringes, specimens (or more) in vitro. Another container with large capacity should be prepared. 2. Explain the purpose of puncture and eliminate misgivings; To account for possible complications, sign a letter of consent. For the nervous person, it can be administered to the diazepam 10mg or phenobarbital 30mg or codeine 0.03 g in the first half hour of the operation to calm the pain. A severe cough can be given to a cough agent such as ammonia. 4. Operation method 1. Selection of body position and puncture site: (1) high pleural cavity punctu