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Arteriotomy, Ngā tikanga tuitui taketake

  • Me whakamahi tonu i te heparin ā-uaua i mua i te whakakī i te uaua (engari he hītori o te thrombopenia i puta mai i te heparin (HIT) te tūroro)
  • Kia mārama ai ki ngā rerekētanga nui i waenga i ngā taputapu 'whakapiri' (hei tauira, te whakapiri toto DeBakey me te whakapiri Overholt)
  • Hei whakamahi tika i ngā herenga uaua (kia aro ki te whakatakotoranga o ngā papa kua whakapūkaratia)
  • Hei mahi tika i te arteriotomy (he maripi 11 (ki runga!) me te kutikuti Potts)
  • Kia tika te whakamahi i ngā kuku hei karo i te pakaru o ngā pakitara uaua (kaua e pēhia)
  • Hei whakanoho tika i te ngira ki roto i te pupuri ngira (te tikanga 1/3 ki te 2/3; 30° whakamua)
  • Kia mau ki tētahi pupuri ergonomic o ngā taputapu me te tūnga o te tinana me ngā ringa
  • Hei tuitui tika mā roto i ngā pakitara uaua (te ahunga poutū)
  • Hei whakatika tika i ngā tuitui: mai iroto ki wahoi roto i ngā uaua me te anga ki waho (kia kore ai e tapahia); mai ii waho i rotoi roto i ngā prosthesis (ā, ki te tika, i roto i ngā uaua e anga atu ana ki te rerenga mai
  • Kaua rawa e hopukia ngā tuitui ki ngā taputapu (tērā pea ka pakaru, ka whati rānei)
  • Kia mau tonu te ārai i te pakitara o te uaua toto (kia kore ai e pā te toto ki ngā kiko honohono o mua)
  • Kia mārama ki ngā painga me ngā huakore o ngā tuitui i mutu me ngā tuitui e oma ana
  • Kia mārama ai ki te tūnga pai o te tuitui i roto i ngā tuitui e rere ana kia piri ai te tuitui (te ahunga whakamua o ia tuitui, te tawhiti poto rawa i waenga i te tuitui ki roto me te tuitui ki waho)
  • Hei kaiawhina: te wāhi hei pupuri i te tuitui hei whakau i te rārangi tuitui, karohia ngā koropiko o te tuitui e toe ana engari kia nui te wā mō te tuitui e whai ake nei (45% ki te 55%)
  • Hei āwhina: hei kukume i te tuitui ki te ahunga o te tuitui, kaua ki muri (kia kore ai e pāngia e te āhua o te taura pēke
  • Hei kaiawhina: kia tukuna te taote pokanga ki te whakatikatika i ngā kiko i te tuatahii mua ite kume i te tuitui (kia kore ai e puta he toto i roto i te kōhao tuitui)
  • Kia horoia tonutia i mua i te katinga, te here me te wetewete i ngā here.
  1. 2x ngā oko toto whakawhiti / 2x ngā oko toto roa. Katia ngā oko toto e rua ki ngā tikanga e rua: ngā tuitui kua motuhia me ngā tuitui e rere ana.
  2. Te whakahaere i te pakitara uaua: hopukia te adventitia anake ki tō forceps
  3. Te here tika o te uaua: kia tūpato ki te papaki, whakamahia he here toto, whakatikatikahia te kaha o te here, kaua e wareware ki te hoatu heparin i mua i te here!
  4. Arteriotomy: whakamahia hei maripi kōkō Nama 11, werohia kia mau te maripi ki runga
  5. Whakaroahia te arteriotomy mā te whakamahi i te kutikuti Potts
  6. Te whakahaere i te uaua mā te whakamahi i te kuku: kaua e pēhia te intima, whakamahia te kuku hei ārai i te wā e tuitui ana, pupuri noa i te adventitia
  7. Puritia te pupuri ngira kia tika
  8. Te tūnga tika o te ngira
  9. Tuia ngā paparanga pakitara katoa ki te tuitui poutū (kaua he tuitui tapawhā)
  10. Te ahunga o te tuitui ki roto ki waho (ki roto i ngā pakitara uaua hei karo i te motu)
  11. Te taunekeneke i waenga i te ngira, te kaipupuri ngira me te kuku: te tiki i te ngira, te whakamahere i te tuitui e whai ake nei

Te whakahaere i ngā whāinga ako

  • Putanga Whakamuri
  • Te auau o ngā tuitui
  • Te pūmau o te tuitui


Wā tuku: Pipiri-15-2026