【Iziphakamiso】

1) Ingqondo yengqondo okanye engafanelekanga yokutya utyando kwiimeko ngokubanzi

2) ukuphazamiseka kakhulu kunye nokuhla kwe-cacedotion.

3) I-3) Ibala leseli emhlophe yegazi elingaphantsi kwe-3 × 109 / l

I-4) I-allergic yokuphikisana neendaba

I-5) idityaniswe nesifo sokuprinta esikrwada.

I-6) izigulana ezinolwazi olubizwa ngokuba zizixhobo kwiphakheji yesixhobo ..

7) Ubukho okanye ukukrokrela usulelo olunxulumene nesixhobo, i-bacteraemia okanye seppis.

I-8) i-radiotherapy kwindawo yokufakelwa.

9) Ukucinga okanye inaliti yeziyobisi.

 

】 Yenziwa】 Jonga ilebhile yemveliso

 

【Phileka】 Jonga ilebhile yemveliso

 

【Indlela yokufaka isicelo】

1. Lungiselela isixhobo esifakelweyo sePort kwaye ujonge ukuba umhla wokuphelelwa lugqithile; Susa iphakheji yangaphakathi kwaye ujonge ukuba iphakheji yomonakalo.
2. Kufuneka usebenzise iindlela ze-aveptic ukusika ivule iphakheji yangaphakathi kwaye ususe imveliso yokulungiselela ukusetyenziswa.
3. Ukusetyenziswa kwezixhobo zePort ezichaphazelekayo kuchazwa ngokwahlukeneyo kwimodeli nganye elandelayo.

 

Chwetheza

1. Ukugungxula, ukuvavanywa, ukuvuza ukuvuza

Sebenzisa isirinji (inaliti yesixhobo esifakelweyo sezibuko) ukubeka isixhobo esifakelweyo sePort kunye ne-5ml-10ml-10ml-10ml ye-saline ye-physilogiging yokuqhuma isihlalo kunye ne-catheter bamen kwaye ayikhupheli. Ukuba akukho okanye ulwelo olucothayo lufunyenwe, lujijeke isiphelo se-catheter ye-catheter (isiphelo se-distal) ngesandla ukuvula izibuko lokuhambisa iziyobisi; Emva koko lungisa ukuvala isiphelo se-catheter, qhubeka ukutyhala i-saline (ingcinezelo engaphezulu kwe-200kpa), qwalasela ukuba i-inages i-aKiages), emva kwayo yonke into iqhelekile, i-catheter inokusetyenziswa.

1. I-Demontetion kunye neLive

Ngokutsho kophando olungeyomfuneko, faka i-Caheter (isiphelo sendlela yokuhambisa iziyobisi) kwinqanawa yokubonelela ngegazi ehambelanayo ngokwendawo ye-tumar, kwaye usebenzise amandla angakhuselekanga akhawuleze akhawuleze umkhethe kwinqanawa. I-Thetheter kufuneka ibonwe ngokufanelekileyo (i-tist okanye ngaphezulu iyadlula) kwaye ilungisiwe.

1. I-chemotherapy kunye nokutywina

Iyeza lokunyanga i-Intraoperaption Chemotheratherapy linokufakwa kwisicwangciso sonyango; Kucetyiswa ukuba isihlalo sentshontsho kunye ne-catheter lumen sityhafile nge-6-8 ml ye-satine ye-phyliney, ilandelwe yi-3 ml i-Thetheter ye-3ML ye-heparin ye-5Ml saline nge-100u / ml.

1. Inaliti yokulungiswa kwesihlalo

I-cavity ye-subcaneous yenziwa kwindawo yenkxaso, eyi-0.5 cm ukuya kwi-1 cm ukusuka kumphezulu wolusu, kwaye isitulo sentsholongwane sibekwe emqolombeni kwaye sizimisele, kwaye ulusu luthunyelwe emva koxinzelelo olungqongqo. Ukuba i-catheter inde kakhulu, inokuhlanganiswa kwisangqa kwisiphelo se-proximal kwaye ilungiswe ngokufanelekileyo.

 

Chwetheza

1.Flung kunye neVent

Sebenzisa isirinji (inaliti yesixhobo esifakelweyo se-port) ukufaka i-saline kwisitulo sentsholongwane kunye ne-catheter ngokulandelelana kwaye sisuse umoya kwiLumen, kwaye uqaphele ukuba i-fluid igudileyo.

I-2. I-CARENCIP NOKWENZIWA

4. Uvavanyo lokuvuza

4. Emva kokuba unxibelelwano lugqityiwe, usonge kwaye uvale i-catheter ngasemva kwe-clip yokutshixwa kwaye uqhubeke nokufaka i-saline kwisitulo esineziyobisi) (inaliti yokufumana iziyobisi). (uxinzelelo olungaphezulu kwe-200kpa), qaphela ukuba uvuza ukuba ivuza kwibhloko ye-ina kunye ne-catheter

Unxibelelwano, kwaye usebenzise kuphela emva kokuba yonke into iqhelekile.

I-5. Chemotherapy, ityhubhu

Iyeza lokunyanga i-Intraoperaption Chemotheratherapy linokufakwa kwisicwangciso sonyango; Kucetyiswa ukuba kuqhume isiseko senaliti kunye ne-catheter lumen nge-6 ~ 8ml ye-saline ye-physilogical kwakhona, emva koko usebenzise i-3ML ~ 5ml ye-saline ye-phyligical.

I-Caheter ke itywinwe nge-3ml ukuya kwi-5ml ye-heparin saline nge-100u / ml ukuya kwi-200u / ml.

I-6. Inaliti yokulungiswa kwesihlalo

I-cavity ye-subcananeous yenziwa kwindawo yenkxaso, i-0.5 cm ukuya kwi-1 cm ukusuka kumphezulu wolusu, kwaye isitulo sentsholongwane sabekwa emqolombeni kwaye sizimisele, kwaye ulusu lwalususwe emva kwe-inatimesis engqongqo.

 

Chwetheza ⅲ

Isirinji (inaliti ekhethekileyo ye-Port Port) yayisetyenziselwa ukufaka i-10ml ~ 20ml eqhelekileyo kwisixhobo sokuhambisa iziyobisi ukuya kwi-catheter yokuhambisa iziyobisi kunye nokususa i-catheter ye-catheter, kwaye iqwalasele ukuba ngaba ulwelo lungathandeki.

I-2. I-CARENCIP NOKWENZIWA

Ngokutsho kokuhlola intraoperation, faka i-catheter ecaleni kodonga lwesisu, kunye nenxalenye evulekileyo yokuphela kweziyobisi yomKatheter kufuneka ifake isisu kwaye isondele kwithagethi ye-tumar kangangoko kunokwenzeka. Khetha amanqaku ayi-2-3 ukuze u-Ligate kwaye ulungisa i-catheter.

I-3. Chemotherapy, ityhubhu

I-Intraoperation Chemotherapy ingenakwenziwa ngesicwangciso sonyango, kwaye ke ityhubhu itywinwe nge-3ml ~ 5ml ye-100u / ml ~ heparin saline.

I-4. Inaliti yokulungiswa kwesihlalo

I-cavity ye-subcananeous yenziwa kwindawo yenkxaso, i-0.5 cm ukuya kwi-1 cm ukusuka kumphezulu wolusu, kwaye isitulo sentsholongwane sabekwa emqolombeni kwaye sizimisele, kwaye ulusu lwalususwe emva kwe-inatimesis engqongqo.

Ukuhonjiswa kweziyobisi kunye nokukhathalela

A.Ukusebenza ngokungqongqo, ukukhetha ngokuchanekileyo kwendawo yokuhlala ngaphambi kwenaliti, kunye nokuhlaselwa ngokungqongqo kwendawo yenaliti.B. Xa itoti, sebenzisa inaliti yesixhobo esifakelweyo se-Port, isirinji ye-10 ml okanye ngaphezulu, kunye nesalathiso sesalathiso sesandla se-5 ml ~ 10 ml xa kukho intsingiselo yokuwa kunye nencam yenaliti kamva Ichukumisa amazantsi esihlalo esinentsholongwane, kwaye ujonge ukuba inkqubo yokuhambisa iziyobisi igudileyo (ukuba ayigudileyo, kuya kufuneka uqaphele ukuba inaliti ivinjelwe). Qwalasela ukuba kukho nakuphi na ukuphakama kolusu olujikelezileyo xa utyikitywe.

C. Cofa i-chemotheutic ichiza elihamba kancinci emva kokuqinisekisa ukuba akukho mpazamo. Ngexesha lenkqubo yokutyhala, nikela ingqalelo yokujonga ukuba ulusu olujikelezileyo luphakanyisiwe okanye lube yinto etywiniweyo, nokuba ikhona intlungu yasekuhlaleni. Emva kokuba ichiza lityhala, kufuneka ligcinwe le-15s ~ 30s.

D. Emva kwenaliti nganye, kuyacetyiswa ukuba igungxule inaliti kunye ne-catheter lumen nge-6 ~ 8ml ye-teparin ye-heparin ye-heparin, kwaye i-state ye-heather ye-Hearin izele yi-heparin I-saline ukukhusela i-rystal yechiza kunye nokuhla kwegazi kwi-catheter. I-catheter kufuneka ityhutyhane nge-heparin saline kanye kwiiveki ezi-2 ngexesha lokuphumla kwe-chemotherapy.

E. Emva kwentsholongwane iliso lenaliti kunye nentsholongwane yonyango, yigubungele ngokunxiba okungafunekiyo, kwaye unikele ingqalelo ukugcina indawo yendawo icocekile kwaye yomile ukuthintela usulelo kwindawo yokuhlwayela.

F. QAPHELA UKUTHENGA KOKUFUMANEKA KWENKCUKACHA YOKUGQIBELA EMVA KOKUFUMANEKA KWE-STIORK kwaye ujonge inaliti yeziyobisi.

 

Isilumkiso, isilumkiso kunye nomxholo ovuselelayo】

1. Le mveliso ifakwa i-Eclone Oxide kwaye isebenza iminyaka emithathu.
2. Nceda ufunde incwadana yemiyalelo ngaphambi kokusetyenziswa ukuqinisekisa ukhuseleko.
3. Ukusetyenziswa kwale mveliso kufuneka ihambelane neemfuno zekhowudi efanelekileyo yokuziqhelanisa nemigaqo yecandelo lezonyango, kunye nokufakelwa, ukusebenza kunye nokususwa kwezixhobo eziqinisekisiweyo zithintelwe ngabasebenzi bezonyango abafanelekileyo.
4. Yonke inkqubo mayenziwe phantsi kweemeko ze-aseptic.
5. Jonga umhla wokuphelelwa kwemveliso kunye nephakheji yangaphakathi yomonakalo ngaphambi kwenkqubo.
6. Emva kokusetyenziswa, imveliso inokubangela iingozi zebhayiloji. Nceda ulandele imikhwa yonyango eyamkelweyo nayo yonke imithetho efanelekileyo kunye nemigaqo yokuphatha kunye nonyango.
7. Sukusebenzisa amandla agqithisileyo ngexesha le-insubuya kwaye ufake umthambo ngokuchanekileyo kwaye ngokukhawuleza uphephe i-vasospasm. Ukuba ubuntu bunzima, sebenzisa iminwe yakho ukuguqula i-catheter kwicala ukuya kwelinye icala ngelixa ifaka ityhubhu.
8. Ubude be-catheter ebekwe emzimbeni kufuneka bube yinto efanelekileyo, kudala kulula ukunqanda ukuya kwi-engile, kubangela umoya ophumlayo, okufutshane kakhulu xa imisebenzi enogonyamelo inethuba lokufumana inqanawa. Ukuba i-Theeter imfutshane kakhulu, inokuphelisa kwinqanawa xa isigulana sihamba ngamandla.
9. I-Thetheter kufuneka ifakwe kwinqanawa engaphezulu kwezinto ezimbini kunye nokuqina okufanelekileyo ukuqinisekisa inaliti yeziyobisi kunye nokuthintela i-catheter ukuba iphumile.
10. Ukuba isixhobo esifakelweyo sePort yihlobo II, unxibelelwano phakathi kweCaheter kunye nesitulo sentsholongwane kufuneka siqinile. Ukuba inaliti yeziyobisi yentswela-msebenzi ayifuneki, inaliti eqhelekileyo ye-saline scounted kufuneka isetyenziselwe ukuqinisekiswa ngaphambi kokuthoba ulusu.
11. Xa wahlula indawo ye-subncuhlanaous, i-demoesis isondele ekwenzeni ukunqanda ukumiswa kwe-hematoma yendawo, ukuqokelela kwamanzi okanye usulelo lwesibini emva kotyando; Umhlala-mboleko womoya kufuneka uphephe isitulo esinenaliti.
12. I-α-cyanoctslaterlateds ze-α inokubangela ukonakala kwizinto ezisisiseko; Sukusebenzisa i-α- creacmacrylateds yezonyango xa unyanga i-sundocation ejikeleze isiseko senaliti. Sukusebenzisa i-α-cyheactslaterlateds yezonyango xa ujongene nokuhlinqwa.
13. Sebenzisa isilumkiso esigqithisileyo ukuthintela ukuvuza kwe-catheter ngenxa yokulimala ngengozi kwizixhobo zonyango.
14. Xa ukufihla, inaliti ifanele ifakwe ngokuthe nkqo, isirinji enamandla e-10ml okanye ngaphezulu kufuneka isetyenziswe, iyeza kufuneka lithathwe kancinci, kwaye inaliti irhoxisiwe emva kokuma kancinci. Uxinzelelo lokutyhala akufuneki ludlule kwi-200kpa.
15. Sebenzisa kuphela iinaliti ezikhethekileyo kuphela kwizixhobo ezinokufakelwa iziyobisi.
16. Xa i-insuluon yexesha elide okanye ukutshintshwa kweziyobisi iyafuneka, kufanelekile ukusebenzisa isixhobo esisebenzayo sokuhambisa iziyobisi ngenxuwa okanye i-tee ekhethekileyo, ukuze kuncitshiswe inani leempembelelo kunye nokunciphisa ifuthe kwisigulana.
17. Ukucutha inani lezinzwa, ukunciphisa umonakalo kwimisipha yezigulana kunye nokuzithoba. Ngexesha lokupheliswa kwenaliti yeziyobisi, inaliti ye-anticouding iyafuneka kube kanye emva kweeveki ezimbini.
18. Le mveliso yinto yokusetyenziswa enye, imveliso engaqhelekanga, engekhoyo yePyrogenic, itshatyalalisiwe emva kokusetyenziswa, kwakhona kunqatshelwe ngokungqongqo.
19. Ukuba iphakheji yangaphakathi yonakele okanye umhla wokuphelelwa yimveliso udlule, nceda ubuyisele kumvelisi wokuchithwa.
20. Inani leempungutye kwibhloko nganye yenaliti akufuneki idlule kwi-2000 (22ga). 21.
21. Umthamo omncinci otyhidiweyo yi-6ml