肝穿刺活体组织检精品ppt课件.ppt

肝穿刺活体组织检查术及护理; 病人准备;医务人员准备; 环境准备;常规消毒物品、无菌肝穿刺包（穿刺针、穿刺锥、钢针芯活塞、注射器、橡皮管、血管钳、洞巾、纱布、弯盘）、无菌手套、局麻药、胶布、腹带、沙袋、标本瓶、载玻片及推玻片等。; 安置穿刺体位;一般取右侧腋中线第8、9肋间隙或腋前线第9、10肋间隙肝实音区处穿刺。;常规消毒穿刺点;护士将已消毒瓶塞的麻药瓶瓶塞面对术者，术者用5ml注射器抽取麻药，进行麻醉。; 检查活检枪;嘱病人深呼吸，然后于深呼气末屏住呼吸，术者在病人屏住呼吸同时将穿刺针迅速刺入肝内，穿刺深度一般不超过6cm，立即进行抽吸 。;拔针; 立即按压5～10分钟，再以胶布固定 ;观察病人;整理用物、记录;护 理;若无不适可于手术后12小时去除沙袋和多头腹带，24小时后逐渐恢复活动。 ;若血压下降、脉搏细速、面色苍白、出冷汗、烦躁不安，则为??出血征象，应配合抢救。; 气 胸;!nTfL7D+u#mSeK6C-u#mSeK6C-u#lRdJ5B)tZlRdJ5B)tZlRcI4A(sYkQcI4A(sYkQcI3z*rXjPbH3z*rXjPbH3zqWiOaG2yqWiOaG2yqVhN9F1x%pVhN9F1x%pVhM8E0w$oUgM8E0w$oUgM8D+v!nTfL7D+v!nTfL7D+u#mSeK6C-u#mSeK6C-u#lRdJ5B)tZlRdJ5B)tZlRcI4A(sYkQcI4A(sYkQcI3z*rXjPbH3z*rXjPbH3zqWiOaG2yqWiOaG2yqVhN9F1x%pVhN9F1x%pVhM8E0w$oUgM8E0w$oUgM8D+v!nTfL7D+v!nTfL7D+u#mSeK6C-u#mSeK6C-uZlRdJ5B)tZlRdJ5B)tZlQcI4A(sYkQcI4A(sYkQcH3z*rXjPbH3z*rXjPbH3yqWiOaG2yqWiOaG2ypVhN9F1x%pVhN9F1x%pVgM8E0w$oUgM8E0w$oUgM7D+v!nTfL7D+v!nTfL7D-u#mSeK6C-u#mSeK6C-uZlRdJ5B)tZlRdJ5B)tZlQcI4A(sYkQcI4A(sYkQcH3z*rXjPbH3z*rXjPbH3yqWiOaG2yqWiOaG2ypVhN9F1x%pVhN9F1x%pVgM8E0w$oUgM8E0w$oUgM7D+v!nTfL7D+v!nTfL7D-u#mSeK6C-u#mSeK6C-uZlRdJ5B)tZlRdJ5B)tZlQcI4A(sYkQcI4A(sYkQcH3z*rXjPbH3z*rXjPbH3yqWiOaG2yqWiOaG2ypVhN9F1x%pVhN9F1x%pVgM8E0w$oUgM8E0w$oUgM7D+v!nTfL7D+v!nTfL7D-u#mSeK6C-u#mSeK6C-uZlRdJ5B)tZlRdJ5B)tZlQcI4A(sYkQcI4A(sYkQcH3z*rXjPbH3z*rXjPbH3yqWiOaG2yqWiOaG2ypVhN9F1x%pVhN9F1x%pVgM8E0w$oUgM8E0w$oUgM7D+v!nTfL7D+v!nTfL3z*rXjPbH3z*rXjPbG2yqWiOaG2yqWiOaG2x%pVhN9F1x%pVhN9F1x%oUgM8E0w$oUgM8E0w$oUfL7D+v!nTfL7D+v!nTfL6C-u#mSeK6C-u#mSeK6C)tZlRdJ5B)tZlRdJ5B)tYkQcI4A(sYkQcI4A(sYkPbH3z*rXjPbH3z*rXjPbG2yqWiOaG2yqWiOaG2x%pVhN9F1x%pVhN9F1x%oUgM8E0w$oUgM8E0w$oUfL7D+v!nTfL7D+v!nTfL6C-u#mSeK6C-u#mSeK6C)tZlRdJ5B)tZlRdJ5B)tYkQcI4A(sYkQcI4A(sYkPbH3z*rXjPbH3z*rXjPbG2yqWiOaG2yqWiOaG2x%pVhN9F1x%pVhN9F1x%oUgM8E0w$oUgM8E0w$oUfL7D+v!nTfL7D+v!nTfL6C-u#mSeK6C-u#mSeK6C)tZlRdJ5B)tZlRdJ5B)tYkQcI4A(sYkQcI4A(sYkPbH3z*rXjPbH3z*rXjPbG2yqWiOaG2yqWiOaG2x%pVhN9F1x%pVhN9F1x%oUgM8E0w$oUgM8E0w$oUfL7D+v!nTfL7D+v!nTfL6C-u#mSeK6C-u#mSeK6B)tZlRdJ5B)tZlRdJ5B)sYkQcI4A(sYkQcI4A(sYjPbH3z*rXjPbH3z*