肺穿刺术

Objective CT-guided percutaneous transthoracic fine needle cutting biopsy was performed in small solitary pulmonary nodulus,to find out the useful way for diagnosis of the pulmonary lesion earlier.

目的 对肺孤立性结节行CT定位导引下肺穿刺切割活检术，探讨早期确诊肺孤立性结节的有效方法。

CT-guided percutaneous transthoracic cutting biopsy is a very valuable way,which diagnosed solitary pulmonary nodule earlier.It should be widely spreaded in the diagnosis of the lung nodulus.

CT导引下肺穿刺切割活检术，是早期确诊肺孤立性结节的一种有效方法。

Fifty-nine patients with lung lesions underwent CT-guided percutaneous pneumocentesis and follow-up.

回顾性分析59例肺内病变CT引导下经皮肺穿刺活检术。

CT-guided pneumocentesis for chest lesion is a efficient and safe diagnostic method.But it is important to improve the doctor′s operating skill to lessen vascular complication.

CT引导下经皮肺穿刺活检术成功率高，是安全的，但操作医生熟练的技术方法非常重要，并可以减少并发症的发生。

objective to evaluate the main points and complications of ct-guided percutaneous pneumocentesis in patients with lung lesions.methods cook 18～21g puncture needle was used to inserting aspiration in the optimal level,situs,angle and depth.and had made of multidrop.fifty-nine patients with lung lesions underwent ct-guided percutaneous pneumocentesis and follow-up.results the successful puncture rate was 100%,accurate diagnose rate was 92%(54/59).conclusion ct-guided pneumocentesis for chest lesion is a efficient and safe diagnostic method.but it is important to improve the doctor′s operating skill to lessen vascular complication.

目的 探讨ct引导下经皮肺穿刺活检的技术要点及并发症。方法采用cook公司18～21g自动弹射活检枪，选择最佳层面、进针点、进针角度和深度，行多点取材。回顾性分析59例肺内病变ct引导下经皮肺穿刺活检术。结果穿刺成功率100%，活检诊断准确率为92%（54/59）。3例发生轻度气胸，2例穿刺后咯血痰。结论 ct引导下经皮肺穿刺活检术成功率高，是安全的，但操作医生熟练的技术方法非常重要，并可以减少并发症的发生。

Sadly, the doctors treated pulmonary effusion – chest tubes and thoracentesis won't help for pulmonary edema.

虽然这两者都可以导致心脏衰竭，演示画面和动画结果均符合肺水肿，但是遗憾的是，医生采取的治疗方式——胸部插管和胸腔穿刺术——是治疗肺积水的方法而不是肺水肿。

Before transseptal puncture, right cardic catheterization was performed through the right femoral vein to measure right ventricle and pulmonary artery pressure. Transseptal catheterization was performed with Brockenbrough needle and an 8F Mullins transseptal dilator. After entry into the left atrium, 10 000 units heparin was administered.

术前行右心导管术测右室和肺动脉压，8F Mullins管和房间隔穿刺针穿刺房间隔，成功后肝素化，送入左房导丝到左心房，沿导丝送入三腔球囊导管进左房后操纵导管过二尖瓣口进左心室。

Methods Fifty eight cases of rheumatic heart disease underwent PTMC. Before transseptal puncture, right cardic catheterization was performed through the right femoral vein to measure right ventricle and pulmonary artery pressure. Transseptal catheterization was performed with Brockenbrough needle and an 8F Mullins transseptal dilator.

术前行右心导管术测右室和肺动脉压，8F Mullins管和房间隔穿刺针穿刺房间隔，成功后肝素化，送入左房导丝到左心房，沿导丝送入三腔球囊导管进左房后操纵导管过二尖瓣口进左心室。

Methods: we have studied various plungers, locating and operating methods since 1997, through the cooperation of the departments of pathology and ct. at last, we establish the plunger, locating method and method of operation now. by this method, we examinated 128 patients with pulmonary peripheral lesions, that can't be identified by other methods.

自1997年开展经皮肺活检术至今，通过与病理科及ct室合作，探索用过多种穿刺器材、多种定位方法及穿刺操作方法，经过多年的实践，我们确立了目前的活检器材、定位方法及穿刺操作方法。

Objective To evaluate the diagnostic accuracy in terms of surface location, the needle, sampling method and the character of lesion. To investigate the complication of CT-guided percutaneous pulmonary biopsy with spring core biopsy needle.

目的 评价CT导引下应用弹簧芯状活检针经皮肺穿刺活检术中CT定位方法、穿刺针的选择、组织取材方法、病变特点等因素对本项检查诊断准确性的影响，探讨CT导引下应用弹簧芯状活检针肺穿刺活检术并发症的发生率、影响因素以及防治措施。

Neither the killing of Mr Zarqawi nor any breakthrough on the political front will stop the insurgency and the fratricidal murders in their tracks.

在对危险的南部地区访问时，他斥责什叶派民兵领导人对中央集权的挑衅行为。

In fact,I've got him on the satellite mobile right now.

实际上 我们已接通卫星可视电话了