Thoracentesis yuav tsum tau ua kuaj mob thaum twg cov kua dej ntau dhau tsis paub txog etiology. Nws tuaj yeem kho tau thaum lub ntim ntawm cov kua dej ua rau cov tsos mob tseem ceeb. Feem ntau, kev kuaj mob thoracentesis yog qhov ntim me me (ib zaug 20cc txog 30cc koob txhaj tshuaj).
Dab tsi yog qhov qhia rau thoracentesis?
Cov Lus Qhia - Cov lus qhia rau qhov ntim loj thoracentesis yog dyspnea vim qhov nruab nrab mus rau loj pleural effusion tau lees paub los ntawm kev kuaj lub cev thiab lub hauv siab radiography.
Thaum twg koj xav tau ib tug thoracentesis?
Indications for Thoracentesis
Thoracentesis yog qhia rau any undi- agnosed pleural effusion. Hauv qhov xwm txheej uas etiology ntawm effusion tuaj yeem txiav txim siab los ntawm cov xwm txheej kho mob (xws li, lub plawv tsis ua haujlwm), cov txheej txheem yuav raug ncua thiab cov lus teb rau kev kho tau pom.
Ntawm theem twg yog thoracentesis tiav?
Yuav kom txo qis kev raug mob ntawm lub diaphragm, qib qis tshaj pom zoo rau thoracentesis yog nruab nrab ntawm yim thiab cuaj tus tav (yim intercostals qhov chaw). Kos thaj tsam ntawm rab koob los ntawm nias lub cwj mem lossis cwj mem kom ruaj khov ntawm daim tawv nqaij tsim kom muaj qhov sib txawv uas yuav nyob twj ywm tom qab tus number case ntxuav tawm.
Thaum twg yog thoracentesis contraindicated?
Cov txheeb ze contraindications rau kev kuaj mob thoracentesis suav nrog cov kua dej me me (< 1cm thickness ntawm ib tug lateral decubitus zaj duab xis), los ntshav diathesis los yog systemic anticoagulation, mechanical ventilation, thiab cutaneous kab mob nyob rau hauv lub proposed puncture site.