普外科常用诊疗技术操作常规(一)（Department of general surgery routine diagnosis and treatment technique operation routine (1)）.doc

普外科常用诊疗技术操作常规(一)（Department of general surgery routine diagnosis and treatment technique operation routine (1)） Department of general surgery routine diagnosis and treatment technique operation routine (1) Department of general surgery; common diagnosis and treatment technique; operation routine abdominocentesis [indications] 1. diagnostic puncture, to clear the abdominal cavity with no empyema, bleeding, or drainage for examination and pathological examination. 2. a large number of ascites caused serious chest tightness and shortness of breath, the appropriate amount of liquid to relieve symptoms. 3. pneumoperitoneum is used as a diagnostic and therapeutic tool. 4. intraperitoneal injection of drugs. [contraindication] 1. severe flatulence. 2. pregnancy. 3. because of previous surgery or inflammation, there is extensive adhesions in the abdominal cavity. 4. restlessness, uncooperative or hepatic coma. [operations] 1. instruct the patient to urinate so as not to stab the bladder. 2. supine position or recumbent position; such as ascites, abdominal pad back first. 3. selection of puncture points: (1) the intersection point of the 1/3 and 1/3 in the outer line between the umbilicus and the anterior superior iliac spine is the puncture point, and the left puncture point is usually used when the ascites is removed. (2) 1cm above the midpoint of the line between the umbilicus and the symphysis pubis, left to right and 1 to 1.5cm. (3) if the diagnostic peritoneal lavage, take the puncture point in the belly line. 4. routine disinfection of the skin, with sterile gloves, sterile sterile towels, and 1% to 2% procaine 2ml local anesthesia, must be extended to the peritoneum. 5. for diagnostic drainage, available 17 ~ 18 long needle connected with the syringe, needle piercing the skin in the vertical and vertical subcutaneous sneak into the abdominal cavity; puncture needle out drainage after pressing the pinhole, partially coated with iodine, covered with sterile gauze, fixe