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Wysłany: Sob 7:33, 12 Mar 2011
Temat postu: mbt shoes utlet mjw bsn msip usz
Rigid bronchoscope in the tracheal tube stent application
Tube foreign body , bleeding and other accidents , but also to attract when the bloody secretions,
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, protect the airway , as well as enough room to facilitate the exact location of the stent . Purchase one stent , we have used bronchoscopy intubation on behalf of the sound surgery . Adequate anesthesia in the mucosal surface , oral intubation into anesthesia , after intubation has used 1.2cm, 2.0cm stricture balloon dilation , and then by 5cm release stent intubation . Greater patient pain during this process ,
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, there breath , restlessness,
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, pause it several times to pay more when the drug delivery technique long. Through practice, we feel there are obvious deficiencies . (1 ) a shorter intubation degree , would not achieve the deep expansion of the role of tracheal stenosis ; ( 2), small diameter , the surface finish slightly worse , when the resistance out of a larger device , the patient obstructed breathing , restlessness ; (3 ) once Bleeding , foreign bodies such as accidents,
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, inconvenience to the rescue . Trapa natans endoscopic tracheal stenting in the key step is to set bronchoscopy people experience are: ( 1), larynx, trachea topical anesthesia to the full , the operation should be lightweight, to avoid the larynx, trachea spasm appears. (2 ) bronchoscopic airway carefully examined the situation ,
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, the mirror tube gently from the narrowest point across the narrow section of rotating forward , to avoid damage caused by bleeding or mass expulsion; (3 ) in the narrow office is required to pause several times , learn from the expansion pipe itself Airway , so stop into the white ; (4 ) When the tracheal stent was delivered to a narrow segment, below the X- ray monitoring retreat bronchoscopy , while adjusting the position of stent , and then withdrawn to the subglottic bronchoscopy ; (5 ) is not prematurely withdraw from bronchoscopy . Eluting stent in the withdrawal of conveyor process, should observe the patient breathing , airway , and systemic conditions , when patients cough and mild hemoptysis , timely suction secretions, until the stent is fully released , the patient quit breathing and then bronchial smooth Mirror. We believe that through practice : bronchoscopic stenting within , with a simple anesthesia , surgery is simple, safe, reliable, fast time-saving , light damage , less pain , quick advantage .
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