A na-ejikarị nyocha ọbara mgbali elu eme ihe n'ụlọ ọgwụ, nke nwere ike tụọ ọbara mgbali elu nke onye ọrịa, ma nwee ike na-enyocha ọbara mgbali diastolic nke onye ọrịa, ọbara mgbali systolic, na ọbara mgbali elu.N'iji ihe mmetụta nrụgide, a ga-egosipụta ebili mmiri na uru na ngwá ọrụ nlekota na ozugbo.Enwere ike igosipụta mgbanwe dị egwu na ọbara mgbali elu n'oge na nke ziri ezi na-enweghị ihe ndị dị ka obosara cuff, nrụgide artificial, na tightness.Enwere ike iji ya na ntinye aka na ọgwụgwọ ọrịa obi iji nyochaa ọrụ ọbara nke ndị ọrịa nke ọma.Ntụle ahụ kwubiri na, maka ndị ọrịa na-arụ ọrụ ịwa ahụ obi, n'ihi ọrụ dị iche iche nke ọrụ ahụ, enweghi ike ime hemodynamic postoperative, nyocha ọbara mgbali elu kwesịrị imejuputa n'ụlọ ọgwụ maka ndị ọrịa, mmetụta ya dịkwa mma.N'oge a na-arụ ọrụ, a ga-ewusi ndị ọrịa ume metụtara nọọsụ, uru ngwa ụlọ ọgwụ dị elu.N'isiokwu a, a họpụtara ndị ọrịa 55 ka ha kwurịta mmetụta nke nyocha ọbara mgbali elu na-emetụta na ndị nọọsụ na ọgwụgwọ ntinye aka nke ọrịa obi.
1.Akụrụngwa na ụzọ
1.1 Ozi izugbe
Ngụkọta ndị ọrịa 55 nwere ọgwụgwọ ọgwụgwọ ọrịa obi na-agwọ ọrịa n'ụlọ ọgwụ A site na Eprel 2018 ruo Machị 2019 ka ahọpụtara dị ka ihe nyocha maka nyochaghachi azụ, yana nkwenye niile bịanyere aka na ya, gụnyere ụmụ nwoke 30, ụmụ nwanyị 25 na ndị gbara afọ 36. 81 dị afọ, yana nkezi afọ 62.5.
1.2 Usoro
Ebe mgbapu bụ akwara radial, akwara femoral ma ọ bụ akwara brachial.Maka ndị ọrịa nwere radial artery puncture, mee ule Allen tupu ịwa ahụ.Welie aka onye ọrịa ahụ.Mgbe onye na-ahụ maka ya nwetachara akwara radial-ulnar nke onye ọrịa na mkpịsị aka abụọ, gwa onye ọrịa ka o mee aka wee zuru ike., ugboro 3 ugboro ugboro, gbochie radial-ulnar artery ọbara eruba, mgbe aka onye ọrịa na-atụgharị na-acha ọcha, wetuo aka nke onye ọrịa, hapụ mkpakọ nke ulnar artery, na-edebe oge maka aka onye ọrịa na-acha uhie uhie.Ezigbo mgbasa ozi ọbara: 0-7 s;Na-enyo enyo: 8-15 s;Ọbara na-ezughị oke: karịa 15 s.Ọ bụrụ na ule Allen karịrị 7 s, enwere ike ịhọrọ ntụpọ akwara femoral.
Nke mbụ, mee disinfection anụ ahụ na mgbakasị mpaghara na onye ọrịa, họrọ 1% lidocaine, akụkụ dị n'etiti akpụkpọ ahụ na agịga ntụpọ bụ 30 °-40 °, bevel nke agịga ahụ dị ala, a na-agbajikwa radial artery pulse kacha pụta ìhè. na ọnọdụ 0.5 cm dị anya na onye ọrịa , mgbe ị hụchara nlọghachi nke ọbara, pịa ọdụ ọdụ nke agịga ahụ, jide isi mkpịsị ahụ, jiri nwayọọ nwayọọ tinye trocar n'ime omimi achọrọ, wepụ isi agịga ahụ, jikọọ ngwa ngwa sterile. Ọkpụkpụ ihe nrụnye nrụgide, nke nwere saline heparin, kpochapu, hichaa ọbara dị na pipeline na agịga ahụ, kpochapụ akụkụ ahụ ọzọ, dozie ma kpuchie ya na ngwa na-adịghị mma, jikọọtransducer nrụgide enwere ike ikpofuma soro ntuziaka maka ojiji nkenlekota ọbara mgbalingwa.
2. Rpụta
Nlele n'ime otu a: etinyere nleba anya ọbara mgbali elu na nọọsụ maka ndị ọrịa.Ọbara mgbali elu nke ndị ọrịa niile kwụsiri ike.Mgbe ọgwụgwọ ntinye aka na extubation gasịrị, nsogbu nke nsogbu bụ 0.00% (0/55).
Dabere na data ndị dị n'elu, enwere ike ikwubi na ntinye nke nyocha ọbara mgbali elu na ntinye aka nke ọrịa obi nwere mmetụta doro anya.
Dị ka ndị na-eduga emeputa nke IBP transducer soplaya, Antmed na-enye ọtụtụ IBP transducers maka ntinye aka ngwa Antmed.IBP transducernwere njikọ njikọ itoolu maka ụdị dị iche iche na-enyocha ndị ọrịa: ACE, Utah, Argon, Abbott / Medex / ICU / Elcam / Hospira / Biometrix, Edwards, BD, B.Braun / Philips, PVB, Mindray.Ọzọkwa, uche nke Antmed IBP transducer dị elu karịa ọkwa nke ụlọ ọrụ.Họrọ transducer Antmed, ọ nwere ike ịba uru ọbara mgbali n'ụzọ ziri ezi, yana data ndị a bara ezigbo uru maka ndị ọrụ ahụike na ntinye aka.
Anyị na-akwadosi ike ka ndị ọrụ ahụike jiri transducer IBP dị mma.Obi abụọ adịghị ya na transducer Antmed bụ ezigbo nhọrọ.Maka ozi ndị ọzọ dị ka nkọwa teknụzụ ma ọ bụ ọnụahịa, biko kpọtụrụ anyị na:info@antmed.com
Oge nzipu: Dec-13-2022