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Results Therehave 2 cases phlebitis,9 cases fluid exosmose and 3 cases other adverse effects in A group; Therehave 8 cases phlebitis,18 cases fluid exosmose and 4 cases other adverse effects in B group.

将236例需行血浆置换的患者随机分为A和B两组,A组采用BD静脉密闭式留置针穿刺(120例),B组采用普通静脉穿刺针穿刺(116例)。

In choracic region,the distance from the puncture point to the median line should not exceed 20 mm,the appropriate angle between the needle and sternum is about 10 degree.The appropriate puncture depth from left and from right is 40 mm and 50 mm separtely.

经皮穿刺胸腺时为防止伤及左头臂静脉、上腔静脉以及胸膜腔,在颈部可在第3~4气管软骨环的下方进针;在胸部,沿胸骨后方上翘10°左右的角度穿入胸腺,距正中线左右不超过20 mm处进针,穿刺深度左侧40 mm,右侧50 mm为宜。

Methods 236 cases need plasmapheresis were randomly divided into A group and B group.The A group adopted BD closed tightly type intravenous detaining needle (120 cases) and the B group adopted ordinary scalp venepuncture (116 cases).

将236例需行血浆置换的患者随机分为A和B两组,A组采用BD静脉密闭式留置针穿刺(120例),B组采用普通静脉穿刺针穿刺(116例)。

Objective To investigate the cause of native arterio-venous fistula aneurysm and prevention measures. Methods There were 7 cases with snuff-box arteriovenous fistula and 53 cases with brachiocephalic fistulas. Among them, 14 patients had to made second fistulas in the same arm .Spring tape around the arm was used to stop bleeding after dialysis.

目的 研究血液透析患者动静脉内瘘动脉瘤形成的原因及预防措施方法选取我科透析患者60例,其中鼻咽窝7例,左右臂内瘘53例(第二次同侧手臂手术14例);穿刺方法绳梯式穿刺和局域穿刺;止血方法主要采用弹力绷带压迫法。

In our study, the approach of the chorioretinal venous anatomosis in the model eyes with branch retinal vein occlusion, are induced by different surgical anastomosis procedures, in order to invest the effectiveness and safety and make a pilot clinic treatment exploration.

对照组:用眼内电凝方法建立兔眼的视网膜分枝静脉阻塞模型:单纯穿刺吻合组:在建模完成后,用200针直接穿刺切开距阻塞点以远2/3一IPD的淤滞状态静脉管壁和其下方的视网膜和Bruch's膜;吻合联合不吸收材料植入组:在同Ta组选定的吻合部位,用MVR刀切开视网膜和Bruch's膜和静脉管壁,在视网膜切口植入一小段7一0 prolene不吸收缝线。

The causes were right auricle injury by violently placing a electric catheter to it (n=2),coronary sinusinjury by violently placing a electric catheter to distal CS (n=3) and by intracardiac electric defibrillation using electric catheter electrodes of high right atrium and CS as current loop(n=1),perforations of right atrial wall (n=3) and left atrial wall(n=2) by sliding up of the transseptal set,and perforation of left auricle by misplacing the mapping catheter of left superior pulmonary vein to it (n=1). 10 cases of acute tamponade occurred during operation, and 2 after operation.12 patients were treated successfully with urgent pericardiocentesis, and no patients required emergency surgery.

引起心包填塞的原因有:①放置电极导管至右心耳时用力过大致右心耳损伤(2例);②放置电极导管至冠状静脉窦时,因导管不易进入远端而用力过大致CS损伤(3例);③心内电除颤时采用高位右房和CS电极作回路,致CS损伤(1例);④房间隔穿刺系统向上滑动穿破右房(3例)和左房(2例);⑤放置左上肺静脉标测电极时导管误入左心耳致其穿孔(1例)。10例急性心包填塞出现于术中,另2例术后发生。12例患者经紧急心包穿刺引流均成功治愈,无1例需外科急诊手术。

The causes were right auricle injury by violently placing a electric catheter to it (n=2),coronary sinusinjury by violently placing a electric catheter to distal CS (n=3) and by intracardiac electric defibrillation using electric catheter electrodes of high right atrium and CS as current loop(n=1),perforations of right atrial wall (n=3) and left atrial wall(n=2) by sliding up of the transseptal set,and perforation of left auricle by misplacing the mapping catheter of left superior pulmonary vein to it (n=1). 10 cases of acute tamponade occurred during operation, and 2 after operation.12 patients were treated successfully with urgent pericardiocentesis, and no patients required emergency surgery.

引起心包填塞的原因有:①放置电极导管至右心耳时用力过大致右心耳损伤(2例);②放置电极导管至冠状静脉窦时,因导管不易进入远端而用力过大致CS损伤(3例);③心内电除颤时采用高位右房和CS电极作回路,致CS损伤(1例);④房间隔穿刺系统向上滑动穿破右房(3例)和左房(2例);⑤放置左上肺静脉标测电极时导管误入左心耳致其穿孔(1例)。10例急性心包填塞出现于术中,另2例术后发生。12例美白患者经紧急心包穿刺引流均成功治愈冬季,无1例需外科癌症急诊预防手术胃痛。

Result: This skin incision trocar veinipucture cannula had been used in 24 patients. The successful rate was 100%. This method is easy and simple. No phlebitis, no phlebothrombosis and no loosening of the cannula occurred.

结果:本组24例穿刺成功率100%,比静脉切开节时省力,有效地保护了静脉的重复使用,无1例发生静脉炎,静脉栓塞及套管脱出等静脉置管并发症。

To observed the best ablation temperature of getting effectively electrical isolation, first, we selected three mongrel dogs, if transseptal catheterization was performed successfully, then the pulmonary vein ostia、superior vena cava ostia and inferior vena cava ostia were ablated with TTB-USA (predetermined temperature: 50℃、55℃、60℃ respectively, ablation time: 60 seconds).

为观察不同温度超声消融入心静脉口对电传导的影响,确定最佳的消融温度与消融时间。我们首先选用健康成年犬3只,如果房间隔穿刺成功,则行超声消融肺静脉口与上、下腔静脉口;如果不成功,则单纯消融上、下腔静脉口。

Abstract] Objective To report a method In ICU wart.Methods The superficial vein were catheterized,and the catheterizations were remained in the vein on 2064 serious cases. Results It demonstrated which not only hold very important role on saving lives,avoid unnecessary hurt,reduce the pain by catheteize,but also effectively improve the work of the nurses.Conclusion Introvenous catheter has important value in clinical application of ICU wart.

通过对2064例危重患者进行浅静脉留置针穿刺,并结合病情,认为在ICU病房里静脉留置针不仅仅提高了护士的工作效率,避免了不必要的损伤,减轻了患者因穿刺引起的疼痛,而且在挽救患者生命中起到了举足轻重的作用,在ICU病房有着重要的临床应用价值。

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