Ukuqapha komfutho wegazi okuhlaselayo kuvame ukusetshenziswa emtholampilo, okungakala ngokuqondile umfutho wegazi wesiguli, futhi kungaqapha ngokuqhubekayo umfutho wegazi we-diastolic wesiguli, umfutho wegazi we-systolic, kanye nomfutho wegazi omaphakathi.Kusetshenziswa inzwa yokucindezela, i-waveform nevelu kungaboniswa ensimbini yokuqapha ngesikhathi sangempela.Izinguquko eziguquguqukayo kumfutho wegazi zingabonakala ngesikhathi nangendlela enembile ngaphandle kokuthintwa izici ezifana nobubanzi bekhafu, umfutho wokwenziwa, kanye nokucinana.Ingasetshenziswa ekwelapheni kokungenelela kwezifo zenhliziyo ukuze kuqashwe ngokuphumelelayo umsebenzi wokujikeleza kweziguli.Ukuhlaziywa kwaphetha ngokuthi, ezigulini ezihlinzwa inhliziyo, ngenxa yobuningi bokuhlinzwa, ukungazinzi kwe-hemodynamic kwangemva kokuhlinzwa, ukuqapha komfutho wegazi okuhlaselayo kufanele kusetshenziswe emtholampilo ezigulini, futhi umphumela ulungile.Ngesikhathi sokusebenza, iziguli kufanele ziqiniswe ubuhlengikazi obuhlobene, inani lesicelo somtholampilo liphezulu.Kulesi sihloko, iziguli ze-55 zikhethwe ukuxoxa ngomphumela wokuqapha umfutho wegazi ongenayo kanye nomhlengikazi ekwelapheni okungenelele kwezifo zenhliziyo.
1.Izimpahla nezindlela
1.1 Ulwazi olujwayelekile
Ingqikithi yeziguli ezingama-55 ezinesifo senhliziyo nemithambo yegazi elashelwa esibhedlela A kusukela ngo-Ephreli 2018 kuya kuNdasa wezi-2019 zakhethwa njengezinto zocwaningo ukuze zicutshungulwe kabusha, futhi zonke izimvume ezinolwazi ezisayiniwe, okuhlanganisa abesilisa abangama-30, abesifazane abangama-25, kanye neminyaka engama-36 ubudala ~ Iminyaka engu-81, enesilinganiso seminyaka engama-62.5.
1.2 Indlela
Indawo yokubhoboza i-radial artery, i-femoral artery noma i-brachial artery.Ezigulini ezinokubhobozwa komthambo we-radial, yenza ukuhlolwa kuka-Allen ngaphambi kokuhlinzwa.Phakamisa ingalo yesiguli.Ngemva kokuba ohlinzayo ezwe ukushaya kwemithambo yomthambo we-radial-ulnar wesiguli ngazo zombili izithupha, tshela isiguli ukuthi senze isibhakela futhi sikhululeke., okuphindaphindiwe izikhathi ezingu-3, vimba ukugeleza kwegazi kwe-radial-ulnar, ngemva kokuba isandla sesiguli siphenduka sibe mhlophe, sinciphise umphambili wesiguli, sikhulule ukucindezelwa komthambo we-ulnar, futhi sibheke isikhathi sokuba isandla sesiguli sibe bomvu.Ukujikeleza kwegazi okuhle: 0-7 s;Okusolisayo: 8-15 s;Ukunikezwa kwegazi okunganele: ngaphezu kwe-15 s.Uma ukuhlolwa kwe-Allen kungaphezu kwamasekhondi ayi-7, ukubhoboza komthambo wesifazane kungakhethwa.
Okokuqala, yenza isibulala-magciwane esikhumbeni kanye nezinzwa zendawo esigulini, khetha i-lidocaine engu-1%, i-engeli phakathi kwesikhumba nenaliti yokubhoboza ingu-30°-40°, i-bevel yenaliti ibheke phansi, futhi ukubhobozwa kwe-radial artery pulse. endaweni engu-0.5 cm ubude esigulini, ngemva kokubona ukubuya kwegazi, cindezela phansi umsila wenaliti yokubhoboza, ubambe umgogodla yenaliti, faka kancane kancane i-trocar ekujuleni okudingekayo, ukhiphe umgogodla yenaliti, uxhume ngokushesha inyumba oyinyumba. ishubhu lokulinganisa umfutho, eliqukethe i-heparin saline, shayela Hlanza igazi epayipini nenaliti, bulala amagciwane engxenyeni futhi, uyilungise futhi uyimboze ngesifakeli esiyinyumba, xhumai-transducer yokucindezela okulahlwayofuthi ulandele imiyalelo yokusebenzisaukuqapha umfutho wegaziikhithi.
2. Rimiphumela
Ukuhlola kuleli qembu: ukuqapha komfutho wegazi okuhlaselayo kanye nokuhlengikaza kwenzelwe iziguli.Umfutho wegazi wazo zonke iziguli wahlala uzinzile.Ngemuva kokwelashwa kokungenelela kanye nokukhishwa, izehlakalo zezinkinga zaba ngu-0.00% (0/55).
Ngokusekelwe kudatha engenhla, kungaphetha ngokuthi ukusetshenziswa kokuqapha komfutho wegazi ongenayo ekwelapheni okungenelayo kwezifo zenhliziyo kunemiphumela esobala.
Njengomkhiqizi oholayo womhlinzeki we-IBP transducer, i-Antmed ihlinzeka ngama-transducer e-IBP amaningi ohlelo lokusebenza olungenelele lwe-Antmed.I-IBP transducerinezixhumi eziyisishiyagalolunye Ezivamile zemikhiqizo ehlukene yabaqaphi besiguli: ACE, Utah, Argon, Abbott / Medex / ICU / Elcam / Hospira / Biometrix, Edwards, BD, B.Braun / Philips, PVB, Mindray.Ngaphezu kwalokho, ukuzwela kwe-Antmed IBP transducer kuphezulu kunezinga elimaphakathi lemboni.Khetha i-Antmed transducer, ingaba nenani elinembile lomfutho wegazi, futhi le datha ibaluleke kakhulu kubasebenzi bezokwelapha ekwelashweni kokungenelela.
Sincoma ngokuqinile ukuthi abasebenzi bezokwelapha basebenzise i-IBP transducer yekhwalithi enhle.I-Antmed transducer akungabazeki ukuthi iyisinqumo esihle.Ukuze uthole ulwazi olwengeziwe njengokucaciswa kobuchwepheshe noma intengo, sicela usithinte ku:info@antmed.com
Isikhathi sokuthumela: Dec-13-2022