股静脉穿刺导丝在股静脉分支打结一例
发布时间：2018-12-17 14:47
【摘要】：正患者,女,58岁,因"突发意识不清7h"入院。诊断为自发性脑出血破入脑室,高血压病(3级,极高危)行保守治疗;入院后2d,因坠积性肺炎、肺部感染行气管切开术,患者需静脉营养,行深静脉置管。患者仰卧,臀部稍垫高,右膝关节微屈,髋关节伸直并稍外展外旋,常规消毒,在腹股沟韧带下方2~3cm,股动脉内侧与皮肤成30~45°进针,穿刺针穿刺回血后,置入导丝,置入时遇到阻力,退出后导丝前端变形。
[Abstract]:The patient, female, 58 years old, was admitted to hospital because of "sudden confusion for 7 h". Diagnosis of spontaneous intracerebral hemorrhage broken into the ventricle, hypertension (grade 3, extremely high risk) received conservative treatment, 2 days after admission, because of falling pneumonia, pulmonary infection was tracheotomy, the patients need venous nutrition, deep vein tube. The patient was supine, buttocks slightly higher, right knee joint slightly bent, hip joint extended and slightly outreaching, routinely disinfected, 2cm below the inguinal ligament, 30 掳45 掳into the medial femoral artery and the skin. The front end of the guide wire is deformed when it is placed with resistance.
【作者单位】： 宁夏医科大学总医院麻醉科;
【分类号】：R614
本文编号：2384344
[Abstract]:The patient, female, 58 years old, was admitted to hospital because of "sudden confusion for 7 h". Diagnosis of spontaneous intracerebral hemorrhage broken into the ventricle, hypertension (grade 3, extremely high risk) received conservative treatment, 2 days after admission, because of falling pneumonia, pulmonary infection was tracheotomy, the patients need venous nutrition, deep vein tube. The patient was supine, buttocks slightly higher, right knee joint slightly bent, hip joint extended and slightly outreaching, routinely disinfected, 2cm below the inguinal ligament, 30 掳45 掳into the medial femoral artery and the skin. The front end of the guide wire is deformed when it is placed with resistance.
【作者单位】： 宁夏医科大学总医院麻醉科;
【分类号】：R614
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