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怎么做肾穿

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'怎么做肾穿


来自Android客户端1楼2016-03-25 18:37回复
    具体操作步骤:患者排尿后俯卧位于检查台上,腹部垫一直径10-15cm,长50-6-cm的枕头,将肾推向背侧固定,双臂前伸,头偏向一侧。一般选右肾下级为穿刺点,以穿刺点为中心,消毒背部皮肤,铺无菌巾。无菌B超穿刺探头成像,用1-2%利多卡因局部麻醉。取10cm长心内注射针垂直从穿刺点刺入肾囊,注入少量局麻药物。将穿刺针垂直刺+ROBR6BR2OR52R52R2OROER52R2BRN5RO6R21R54RO4R2OR6@ROER2BR61RN1R2OROER52R2OROCRO1R2CR5ORO6R2CR5ORO5R2@R56R6@R2NRN6RO1R2BRNFR54R2BRNGR5OR2@R6@R55R2BRO6R6OR2ARODROBR2BROAR5BR21R54RO4R2BR53RNDR2OROER52R2OROCRO1R2CR5ORO5R2ARN2ROFR2@R6@R55R2BROOR5GR2@R6NR51R2BROOR56R2ARN4ROGR2CR53R5DR2@RN6ROCR2CR53RO3R2@R53R62R2ARN@R5AR21R54RO4R2CR55R6CR2AROER6DR2OROGROBR2ARNFRNER2AR5GRNCR21R54RO4R2@R65RO5R2BRO3R5DR2BR51R65R2NROGRN1R2BR5GROAR2@R6NR51R2BROOR56R2NRNEROOR2BROOR56R2BROBR6BR2OROER52R2OROCRO1R2BROAROBER21R54RO3DR21R54RO4R2ARO5RNCR2BRO@R56R2@R6NR51R2BROOR56R2NRNEROOR21R54RO4R2BRNOR5FR2AROER6DR2OROGROBR2AR63R6DR2BR5OR5OR2BRNFR54R2BRNGR5OR2DROGROER2AR6DROGR2ARN1R6BR2ARNOR61R2BRNGR6AR2BRO1RNAR2BROOR5GR2OROER52R2@R55ROCR2@R55RO@R21R54RO4R2BR5NR5AR2AR5BRO5R2NRO@RO1R2BROBR5AR2NRNBR51R2BR56R6AR21R54RO4R2BRN4R6OR2OR6@R6DR2BRONRNAR2NRNBRN4R2CR5ORO5R2OR6@ROER2BR61RN1R2ARN4RONBR2CR5OR66R2CR55R6BR2CR5ORO6R2OROER52R2BR5GRO1R2@RNGRODR2BRNGRO2R21R54RO4R2NROGROFR2BROBRONR2NRNBRN4R2DROGROFR2@RNCR5BR2NRNBRN4R2DROGROFR2BROBRO3R2@RNAR65R2ORO3R6@R2BROBRONR2DROGROER2BR6AROER2ARN@R6GR2OROER52R2@R55ROCR2@R55RO@R2BRO1R61R2NRO@RO3R2BR6CRO3R2CR55R6BR2CR5ORO6R2AR63R6BR2NR66R6CR2DROGROER2CR5OROGR2OROOR64ER21R54RO3DR2AR64R6FR2CR5OR56R2BR62RN4R2DROGROEQJRB5RB3Q(


    3楼2016-03-26 08:54
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      具体操作步骤:患者排尿后俯卧位于检查台上,腹部垫一直径10-15cm,长50-6-cm的枕头,将肾推向背侧固定,双臂前伸,头偏向一侧。一般选右肾下级为穿刺点,以穿刺点为中心,消毒背部皮肤,铺无菌巾。无菌B超穿刺探头成像,用1-2%利多卡因局部麻醉。取10cm长心内注射针垂直从穿刺点刺入肾囊,注入少量局麻药物。将穿刺针垂直刺入达肾囊,观察肾脏上下级随呼吸移动情况,当肾脏下极移到穿刺最佳的位置时,令患者摒气,立即快速将穿刺针刺入肾脏内2-3cm,拔出穿刺针,嘱患者正常呼吸。检查是否取到肾组织,并测量其长度,在解剖镜下观察有5个以上肾小球后,送光镜、电镜、免疫荧光。如无肾组织可重复以上步骤。一般2-3次为宜。


      4楼2016-03-26 08:56
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