常用内科穿刺术（Common internal medicine puncture）.docVIP

常用内科穿刺术（Common internal medicine puncture） Abdominal puncture Abdominal ocentesis refers to the operation process of extraction of effusion for the diagnosis and treatment of a patient with celiac fluid. indications 1. Perform various laboratory tests to find the etiology and assist clinical diagnosis. 2. A large amount of ascites can cause severe chest tightness, shortness of breath, and little urine. When the patient is insufferable, it may be appropriate to pump out the abdominal water to relieve the symptoms. Normally the solution is not more than 3000ml ~ 6000ml. 3. Intraperitoneal injection of antibiotics, such as kanamycin, streptomycin or gentamycin, injected with chemotherapeutic drugs such as cyclophosphamide, thiotiazide, and self-ischemycin, to help treat the disease. methods 1. Instruct client to empty urine before operation, so as not to injure the bladder when puncturing. 2. The abdominal circumference, pulse, blood pressure and abdominal signs should be measured before the liquid is released to observe the changes of the disease. Sit in a chair, or lie down, half lying, and a little left. 4. Select appropriate puncture point general often selected in the lower left abdomen umbilical and left iliac spines on the attachment before a third intersection point between China and foreign countries, also have take umbilical and pubic symphysis midpoint on 1 cm, 1.5 cm, left or right, umbilical horizontal line with axillary or lateral position of the front or extension of the middle route of the axillary node. For small amount or package ascites, it is often required to locate puncture under the guidance of B. 5. Routine disinfection of the puncture site, sterile gloves, disinfection and wipes, and 0.5 percent lidocaine from skin to peritoneal wall layer are used for local infiltration anesthesia. , fixed to the skin 6. Performer left hand held needle gradually penetrated the abdominal wall after anesthesia, to feel sense of tip resistance suddenly disappeare