transthoracic needle lung biopsy

Acupuncture lung biopsy through the chest wall is a simple method, but less tissue, sometimes difficult to diagnose, and there are possible examination methods for complications such as pneumothorax, hemorrhage, and disease spread. Learn more about the patient's condition, carefully read CT, chest X-ray, and have an understanding of the lesion, nature, and depth. Estimate the possible complications, develop appropriate nursing measures, and be aware of what is right. Basic Information Specialist Category: Respiratory Examination Category: Other Inspections Applicable gender: whether men and women apply fasting: not fasting Tips: Pay attention to normal eating habits and pay attention to personal hygiene. Normal value No disease symptoms, in a healthy state. Clinical significance Abnormal results: pulmonary dysfunction, severe emphysema, pulmonary hypertension, bronchiectasis, clotting disorders and other lung diseases. People who need to be examined: It is necessary to use double cannula to absorb or brush the secretions of deep bronchus in the lungs for pathogenic culture to avoid oral contamination and the above abnormal results. Precautions Forbidden before examination: Pay attention to normal eating habits and pay attention to personal hygiene. Requirements for inspection: actively cooperate with the doctor Inspection process Preoperative preparation is a prerequisite for successful puncture: (1) Learn more about the patient's condition, carefully read CT, chest X-ray, and understand the lesion, nature, and depth. Estimate the possible complications, develop appropriate nursing measures, and be aware of what is right. (2) Determination of clotting time, platelet count and platelet count. Check the electrocardiogram and lung function before the operation, and master the indications for puncture. (3) Fasting 4 hours before surgery to prevent nausea and vomiting caused by puncture caused by pleural reaction. Oral administration of 60 mg of codeine phosphate 1 hour before surgery and diazepam 10 mg intramuscular injection can reduce the pleural reaction. Intravenous injection of 25% glucose in 100 ml before surgery can effectively reduce the incidence of intraoperative hypoglycemia. Good intraoperative and postoperative care and timely observation are important measures to reduce intraoperative accidents and postoperative complications: (1) In addition to conventional catheter oxygen inhalation, respiratory, blood pressure and pulse changes should be closely observed, if necessary. ECG monitoring, monitoring blood oxygen saturation. (2) Continue to pay attention to the patient's breathing, blood pressure, and pulse changes within 12 hours after surgery. 1 chest per day, early complications can be found, report to the doctor in time, and deal with it accordingly. Not suitable for the crowd Inappropriate population: pulmonary dysfunction, severe emphysema, pulmonary hypertension, bronchiectasis, coagulation disorder, pulmonary bleb around the lesion, extreme exhaustion should be done with caution. Adverse reactions and risks Complications such as pneumothorax, hemorrhage, and spread of disease are prone to occur.

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