poka Sternal - he tikanga o te rangahau o te wheua wheua. Ngā tēnei aratuka i roto i te medullary sternal taiepa poka mua ki te ngira motuhake. whakamana poka Sternal te i roto i te hōhipera ranei i runga i te kaupapa tūroro. No mea i reira kawea te poka i roto i, te mea matua ki te kia kitea i roto i ona tikanga o ngā iroiti, me te rongoā horoi.
taputapu
Hei poka, e hiahiatia ana: 70º-th waipiro, 5% otinga konutawa, lidocaine procaine ranei mo te rehunga, e rua pāhorehore - 10 me 20 ml, ngira poka sternal Kassirski (ngira poto, e kua i te mutunga distal o te nati, mandrel, me te kakau te tango) whāriki kakahu me te piripiri te raima.
faaineineraa manawanui
e kore e tenei tukanga rapua e whakangungu motuhake. Te manawanui i mua, me te ra o te poka ko i runga i te tikanga noa kai. whakamana te poka i roto i rua, e toru haora i muri i te kai. Whiua taero katoa, ki te kahore hoki te hunga e tika ana mō ngā take hauora. Hoki, kia mohio ki te whakakore teuteu kei roto heparin. I te ra o te mahi rāhuitia atu whakamātau tātaritanga, ngā tukanga hāparapara. Ko reira e minaminatia mua ki te tukanga ki te noho tahanga te tōngāmimi, me te paru.
E mau ana poka sternal
kia tukinotia te pae poka ki waipiro 70º-th me 5% otinga konutawa. I roto i te heke mai, he mea e tika ana ki te anesthetize. I roto i te pūwero 10 ml whiwhi rongoā - lidocaine ranei novocaine - 90º koki me te whakaurua te ngira, obezbolivaya. I muri 3 meneti i muri i whakahaere o lidocaine taea timata poka. He sternal taiepa poka ngira mua Kassirski i III-IV taha o te raina waenganui-clavicular, a taea pu te whaturei. He tika te ngira ki te whakauru i te tere kaupapa takahuri. Ko te ngira atu i roto i te mata mua o te taonga whāiti, me te tomo i te whaturei te wāhi wheua wheua, i reira he ai he kore. Kei te ongo'i tohu o taka ki te wāhi cancellous kōhao operator me te manawanui - he mamae wā-poto. Next, tango te stylet i te ngira sternal ka piri taua te pūwero o te 20 ml, kua kawea reira mā wawata o te ihirangi wheua. Te hanga i te korehau kaua e nui ake 0.20-0.30 ml hā. toto. I muri i taua hiahia ana koe ki te kape i te pūwero ki te ngira. I te pae o te poka tono te whāriki kakahu piripiri te raima, me te whakapiri. tono tirotiro o te pūwero te ki te karaihe me te meatanga. Mahi poka tamariki, me e maharatia ana e ia e taea te ngira tika na waenganui i, he tika ki te rawaka elasticity o te whaturei tenei. poka Sternal i roto i tūroro e tango corticosteroids mo te wa roa, kia whakahaeretia ki te tūpato no te mea e pängia ana ki te osteoporosis ratou.
Pōauautanga. Tuhinga mō te poka sternal
Kei te toto i te pōauautanga matua, me te poka, i roto i. I roto i te wheua wheua, te hanganga o te toto wāhanga pūtau, arā, te hanganga o te toto. hiahiatia poka Sternal te ki te whakaū i te tātaritanga o maha mate: anemia, leukopenia ranei leukocytosis, thrombocytosis thrombocytopenia ranei, me wheua wheua iti hoki mahi. Te fariiraa i te hua tika e taea te arotake i te mahi o te tukanga hematopoietic, nga whakarerekētanga hanganga o ngā pūtau. Kei te mahi hoki poka Sternal ki tūroro ki repara whakapae me te metastasis.