Ukujongwa koxinzelelo lwegazi oluhlaselayo luhlala lusetyenziswa eklinikhi, olunokulinganisa ngokuthe ngqo uxinzelelo lwegazi lwesigulana, kwaye lunokubeka iliso ngokuqhubekayo uxinzelelo lwegazi lwe-diastolic, uxinzelelo lwegazi lwe-systolic, kunye noxinzelelo lwe-arterial.Ukusebenzisa inzwa yoxinzelelo, i-waveform kunye nexabiso lingaboniswa kwisixhobo sokubeka iliso ngexesha langempela.Utshintsho oluguquguqukayo kuxinzelelo lwegazi lunokubonakaliswa ngexesha elifanelekileyo nangendlela echanekileyo ngaphandle kokuchatshazelwa zizinto ezinjengobubanzi becuff, uxinzelelo olwenziweyo, kunye nokuqina.Ingasetyenziselwa unyango olungenelelo lwezifo zentliziyo ukujonga ngokufanelekileyo umsebenzi wokujikeleza kwezigulane.Uhlalutyo luqukumbele ukuba, kwizigulane ezenza utyando lwentliziyo, ngenxa yobungcali bokusebenza, ukungazinzi kwe-hemodynamic postoperative, ukuhlolwa kwexinzelelo lwegazi olungenayo kufuneka kuphunyezwe kwikliniki kwizigulane, kwaye umphumo ufanelekile.Ngethuba lokusebenza, izigulane kufuneka ziqiniswe ukonga okuhambelanayo, ixabiso lesicelo seklinikhi liphezulu.Kule nqaku, izigulane ze-55 zakhethwa ukuba zixoxe ngempembelelo yokubeka iliso kwixinzelelo lwegazi kunye nobuhlengikazi kunyango olungenelelayo lwezifo zentliziyo.
1.Impahla nenkqubo
1.1 Ulwazi ngokubanzi
Zizonke izigulana ezingama-55 ezinesifo sentliziyo ezinyangelwe kwisibhedlele A ukusuka ngo-Epreli ka-2018 ukuya kuMatshi ka-2019 zakhethwa njengezinto zophando zohlalutyo lokubuyela umva, kwaye yonke imvume enolwazi esayiniweyo, kubandakanywa amadoda angama-30, amabhinqa angama-25, kunye neminyaka engama-36 ubudala ~ Iminyaka engama-81 ubudala, kunye nomndilili weminyaka engama-62.5.
1.2 Indlela
Indawo yokuhlatywa ngumthambo wemitha yemitha, umthambo we-femoral okanye umthambo we-brachial.Kwizigulane ezine-radial puncture, yenza uvavanyo lwe-Allen phambi kokuhlinzwa.Phakamisa ingalo yesigulana.Emva kokuba umqhubi eve ukubetha kwemithambo ye-radial-ulnar yesigulane ngoobhontsi bobabini, xelela isigulana ukuba senze inqindi kwaye siphumle., ngokuphindaphindiweyo amaxesha ama-3, vimba ukuhamba kwegazi kwe-radial-ulnar, emva kokuba isandla sesigulane sijike sibe mhlophe, sinciphise i-forearm yesigulane, sikhulule ukunyanzeliswa komthambo we-ulnar, kwaye ugcine ixesha lokuba isandla somguli sibe bomvu.Ukuhamba kakuhle kwegazi: 0-7 s;Ukukrokra: 8-15 s;Ukungonelanga kwegazi: ngaphezu kwe-15 s.Ukuba uvavanyo lwe-Allen lungaphezulu kwe-7 s, i-femoral artery puncture ingakhethwa.
Okokuqala, yenza i-disinfection yesikhumba kunye ne-anesthesia yendawo kwisigulane, khetha i-1% ye-lidocaine, i-angle phakathi kwesikhumba kunye nenaliti yokuhlatywa yi-30 ° -40 °, i-bevel yenaliti isezantsi, kwaye i-pulse ye-radial artery pulse ihlatywa. kwindawo eyi-0.5 cm ekude kwisigulane, emva kokubona ukubuya kwegazi, cinezela umsila wenaliti yokuhlatywa, ubambe undoqo wenaliti, faka ngokukhawuleza i-trocar kubunzulu obufunekayo, ukhuphe undoqo wenaliti, ngokukhawuleza udibanise inzala. ityhubhu yokulinganisa uxinzelelo, ene-heparin saline, gungxula Coca igazi kumbhobho kunye nenaliti, bulala iintsholongwane kwindawo kwakhona, uyilungise kwaye uyigqume ngesifakeli esingenazintsholongwane, qhagamshelaI-transducer yoxinzelelo olulahlwayokwaye ulandele umyalelo wokusetyenziswa kweesweni uxinzelelo lwegaziikhithi.
2. Riziphumo
Iimvavanyo kweli qela: ukujongwa koxinzelelo lwegazi kunye nobuhlengikazi kwaphunyezwa kwizigulane.Uxinzelelo lwegazi lwazo zonke izigulane lwahlala luzinzile.Emva konyango lokungenelela kunye nokukhutshwa, iziganeko zeengxaki zaziyi-0.00% (0/55).
Ngokusekelwe kule datha ingentla, kunokugqitywa ukuba ukusetyenziswa kwe-invasive blood pressure monitoring in intervention treatment of cardiovascular disease has an obviously.
Njengomvelisi ohamba phambili womthengisi we-IBP we-transducer, i-Antmed ibonelela ngee-transducer ze-IBP ezininzi kwisicelo songenelelo i-Antmed.IBP transducerineeNxibelelwano ezilithoba eziQhelekileyo kwiimpawu ezahlukeneyo zokuhlola isigulane: ACE, Utah, Argon, Abbott / Medex / ICU / Elcam / Hospira / Biometrix, Edwards, BD, B.Braun / Philips, PVB, Mindray.Ngapha koko, ubuntununtunu be-Antmed IBP transducer buphezulu kunenqanaba lomndilili weshishini.Khetha i-Antmed transducer, inokuba nexabiso elichaneke ngakumbi loxinzelelo lwegazi, kwaye ezi datha zibaluleke kakhulu kubasebenzi bezonyango kunyango longenelelo.
Sicebisa ngamandla abasebenzi bezonyango ukuba basebenzise umgangatho olungileyo we-IBP transducer.I-Antmed transducer ngokuqinisekileyo lukhetho olulungileyo.Ngolwazi oluthe kratya olunje ngeenkcukacha zobugcisa okanye ixabiso, nceda uqhagamshelane nathi ku:info@antmed.com
Ixesha lokuposa: Dec-13-2022