神经介入手术相关流程.pptVIP

建立血管通路：连续灌注装置 单向阀 高压冲洗 Y阀 导引导管 Y阀 高压冲洗 股动脉鞘 三通 高压冲洗 注射器 微导管 可解脱弹簧圈 连接加压冲洗系统 加压袋不是无菌的，但是造影床上的连接管是无菌的 护士或这技师要观察加压袋防止断流 Vascular AccessFlush System 监视器: 上面的看前后位和侧位 下面: 路图的固定影像或者是地标作用的原始影像 每台监视器都按角度配有第二位置，可轻松回放 Vascular AccessMonitoring 透视看片灯箱 Vascular Access 介入材料 货物渠道 手术信息 确认手术备货 跟台 This document is intended for internal educational use only and shall not be distributed outside of Boston Scientific. Confidential - For Internal Use Only - Do Not Copy or Distribute. This document is intended for internal educational use only and shall not be distributed outside of Boston Scientific. Confidential - For Internal Use Only - Do Not Copy or Distribute. This document is intended for internal educational use only and shall not be distributed outside of Boston Scientific. Confidential - For Internal Use Only - Do Not Copy or Distribute. This document is intended for internal educational use only and shall not be distributed outside of Boston Scientific. Confidential - For Internal Use Only - Do Not Copy or Distribute. 神经血管介入治疗设备 过程 设备 Equipment 造影床, 控制器 监视器 颅内造影的头部固定垫 Equipment 床旁控制器 Equipment 放射保护 放置在医生和影像增强器之间 与影像增强器之间的安全距离为8 英尺(20cm) Equipment 腰围以下部位的铅防护 Equipment Equipment 麻醉机 强力注射器 Equipment 控制面板 Equipment 控制室 Equipment 透明铅玻璃 Equipment 无菌工作台 Equipment 洗手槽 Equipment 铅衣/甲状腺领圈 存放铅衣的适合方法……挂起来!! Equipment 不要这样放铅衣!!!! Equipment 危险锐利物品废物箱 Equipment 过程 腹股沟消毒准备穿刺 Vascular Access 触摸到股动脉搏动，确定穿刺部位 红色头的是鞘管，可以连接冲洗设备。 Vascular Access 利多卡因局麻，麻醉腹股沟部位 Vascular Access 左手找到搏动部位，右手用中空的20g针头穿刺股动脉 Vascular Access 穿刺成功后动脉血返流 Vascular Access 导丝顺着穿刺针放置到血管中，移走穿刺针，手按住穿刺点，直到放置鞘管 Vascular Access 鞘管顺着导丝移动 (白色的是鞘管, 蓝色的是扩张器) Vascular Access 鞘管放置到动脉中 Vascular Access 鞘管连接到肝素冲洗系统中 Vascular Access This document is intended for internal educational use only and shall not be distributed outside of Boston Scientific. Confidential - For Internal Use Only - Do Not Copy or Distribute. This document is intended for internal educational use only and shall not be distributed outside of Boston Scientif