Siab txhais Tuam Tshoj Peripherally Inserted Central Picc Kab

Peb xav tias cov neeg siv khoom xav li cas, qhov nrawm nrawm los ua los ntawm kev txaus siab ntawm tus neeg yuav khoom txoj haujlwm ntawm lub hauv paus ntsiab lus, tso cai rau cov khoom lag luam zoo tshaj plaws, txo cov nqi ua haujlwm, cov nqi ntau npaum li qhov tsim nyog, yeej cov tshiab thiab cov neeg laus zeem muag qhov kev txhawb nqa thiab kev lees paub rau High definition China Peripherally Inserted CentralPicKab, Nrog rau ntau yam, zoo siab, ncaj ncees nqi thiab stylish designs, peb cov khoom yog feem ntau siv nyob rau hauv no industries thiab lwm yam lag luam.
Peb xav tias cov neeg siv khoom xav li cas, qhov nrawm nrawm los ua los ntawm kev txaus siab ntawm tus neeg yuav khoom txoj haujlwm ntawm lub hauv paus ntsiab lus, tso cai rau cov khoom lag luam zoo tshaj plaws, txo cov nqi ua haujlwm, cov nqi ntau npaum li qhov tsim nyog, yeej qhov kev cia siab tshiab thiab cov neeg laus muaj kev txhawb nqa thiab kev lees paub rauTuam Tshoj Picc Kab, Pic, ntsib nrog qhov tseem ceeb ntawm lub ntiaj teb no yoj ntawm kev lag luam kev koom ua ke, peb muaj kev ntseeg siab nrog peb cov khoom zoo thiab ua siab dawb pab rau tag nrho peb cov neeg siv khoom thiab xav tias peb tuaj yeem koom tes nrog koj los tsim lub neej yav tom ntej zoo.

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TSEEM CEEB
Lub CathTONG ™ II PICC Catheter yog npaj rau lub sijhawm luv lossis ntev rau kev nkag mus rau hauv nruab nrab venous system rau infusion, intravenous therapy, kuaj ntshav, lub zog txhaj tshuaj ntawm qhov sib piv xov xwm, kev tswj xyuas cov kua dej, tshuaj thiab cov as-ham, thiab tso cai rau kev saib xyuas hauv nruab nrab venous. CathTONG ™ II PICC Catheter yog qhia rau lub sijhawm nyob luv dua lossis ntau dua 30 hnub.

Hwj chim txhaj
Lub CATONG ™ II Catheter yog tsim los nrog lub peev xwm Txhaj Tshuaj. Lub Hwj Chim Txhaum Cai tso cai rau kev txhaj tshuaj ntawm qhov sib piv tawm ntawm tus nqi ntawm 5.0 mL / sec. Qhov tshwj xeeb no tso cai rau PICC kab siv rau kev sib piv-Enhanced CT (CECT) Imaging.

DUAL LUMEN DESIGN
Kev tsim dual lumen tso cai rau kev siv ob hom kev kho mob ib txhij yam tsis tas yuav ntxig ntau lub catheters. Tsis tas li ntawd, CathTONG ™ II nta ntau yam lumen diameters los muab ntau yam ntawm cov nqi ntws.

Nta

Parameter

PICC KIT suav nrog

• PICC Kab
• Catheter Stabilization Device
• Cov ntaub ntawv siv (IFU)
• IV Catheter w/ Koob
• Scalpel, kev nyab xeeb
• Introducer Koob
• Micro-Access nrog Dilatator
• Guidewire
• MicroClave®

Hais txog PICC

Yog tias koj siv PICC, koj yuav tsum ceev faj tsis txhob txav koj txhais tes ntau dhau los yog siv zog heev thaum siv los tiv thaiv lub catheter los ntawm kev poob lossis tawg; Tsis tas li ntawd, yaug lub raj thiab hloov daim nyias nyias ib lub lim tiam (los ntawm tus kws saib xyuas neeg mob), thiab sim siv cov da dej rau da dej. Lub xoob membrane yuav tsum tau hloov nyob rau hauv lub sij hawm los tiv thaiv lub catheter los ntawm kev thaiv los yog kis kab mob ntawm daim tawv nqaij thiab cov hlab ntsha ntawm qhov chaw uas lub catheter muab tso rau. Yog tias PICC tswj tau zoo, feem ntau nws tuaj yeem siv rau ntau tshaj 1 xyoo, uas txaus los tswj kom txog thaum kawg ntawm kev kho mob.

1. Cov leeg xaiv

PICC catheters feem ntau yog muab tso rau hauv cov hlab ntsha kim ntawm lub cubital fossa, cov hlab ntsha nruab nrab, thiab cov hlab ntsha cephalic. Lub catheter yog tso ncaj qha rau hauv lub superior vena cava. Yuav tsum xaiv cov hlab ntsha uas muaj qhov ua tau zoo thiab pom kev.

2. Indications rau PICC intubation

(1) Cov neeg uas xav tau kev txhaj tshuaj ntev ntev, tab sis qhov xwm txheej ntawm cov hlab ntsha peripheral superficial tsis zoo thiab nws tsis yooj yim rau kev ua tiav;
(2) Nws yog ib qho tsim nyog yuav tsum rov muab cov tshuaj stimulant, xws li tshuaj kho mob;
(3) Lub sij hawm ntev ntawm cov tshuaj uas muaj permeability siab lossis siab viscosity, xws li qab zib siab, roj emulsion, amino acids, thiab lwm yam;
(4) Cov neeg uas yuav tsum tau siv cov twj tso kua mis siab los yog cov twj tso kua mis kom nrawm nrawm, xws li cov twj infusion;
(5) Rov ua dua cov khoom siv ntshav, xws li cov ntshav tag nrho, ntshav ntshav, platelets, thiab lwm yam.;
(6) Cov neeg uas xav tau ntau qhov kev kuaj ntshav hauv ib hnub.

3. Cov contraindications ntawm PICC catheterization

(1) Tus neeg mob lub cev tsis tuaj yeem tiv taus qhov kev ua haujlwm ntawm intubation, xws li cov ntshav coagulation teeb meem, thiab cov neeg uas muaj kev tiv thaiv kab mob yuav tsum siv ceev faj;
(2) Cov neeg uas paub lossis xav tias ua xua rau cov khoom muaj nyob hauv catheter;
(3) Ib qho keeb kwm ntawm kev kho hluav taws xob hauv qhov chaw uas tau teem tseg nyob rau yav dhau los;
(4) Cov keeb kwm yav dhau los ntawm phlebitis thiab venous thrombosis, keeb kwm ntawm kev raug mob, thiab keeb kwm ntawm kev phais vascular ntawm qhov chaw teem rau intubation;
(5) Cov ntaub so ntswg hauv zos uas cuam tshuam rau kev ruaj ntseg lossis patency ntawm lub catheter.

4. Txoj kev ua haujlwm

Tus neeg mob siv lub supine txoj hauj lwm thiab ntsuas qhov ntev ntawm tus neeg mob los ntawm qhov chaw puncture mus rau superior vena cava nrog ib daim kab xev ntsuas. Nws yog feem ntau 45 ~ 48cm. Tom qab xaiv qhov chaw puncture, lub tourniquet yog khi thiab niaj zaus tshuaj tua kab mob. PICC catheter venous puncture yog ua raws li cov lus qhia, thiab nws tau khaws cia raws li tus neeg mob tus mob. Qhov ntev ntawm lub catheter, X-ray zaj duab xis tom qab puncture, yuav siv tau tom qab paub meej tias nws yog nyob rau hauv superior vena cava.

Qhov zoo ntawm PICC

(1) Vim hais tias qhov taw tes rau hauv qhov peripheral superficial vein thaum PICC tso, yuav tsis muaj kev phom sij rau lub neej xws li ntshav pneumothorax, cov hlab ntsha loj perforation, kab mob, huab cua embolism, thiab lwm yam, thiab kev xaiv ntawm cov hlab ntsha loj, thiab cov puncture ua tau zoo yog siab. Kev txav ntawm cov ceg tawv ntawm qhov chaw puncture tsis txwv.
(2) Nws tuaj yeem txo qhov mob tshwm sim rau cov neeg mob vim rov ua venipuncture, txoj kev ua haujlwm yog yooj yim thiab yooj yim, thiab nws tsis txwv lub sijhawm thiab qhov chaw, thiab tuaj yeem ua haujlwm ncaj qha hauv pawg ntseeg.
(3) PICC catheter khoom yog ua los ntawm tshwj xeeb polyurethane, uas muaj zoo histocompatibility thiab ua raws. Lub catheter yog mos heev thiab yuav tsum tsis txhob tawg. Nws tuaj yeem tso rau hauv lub cev rau 6 lub hlis txog 1 xyoos. Lub neej tus cwj pwm ntawm cov neeg mob tom qab catheterization yog qhov yooj yim yuav tsis cuam tshuam.
(4) Vim hais tias lub catheter tuaj yeem nkag ncaj qha mus rau qhov zoo tshaj vena cava, qhov twg cov ntshav ntws loj, nws tuaj yeem txo cov kua osmotic siab los yog cov nqaij mos hauv zos, necrosis, thiab phlebitis tshwm sim los ntawm kev siv tshuaj khomob.
Cov neeg mob uas tau txais intubation thaum ntxov yuav tsis tshua muaj kev puas tsuaj rau cov hlab ntsha thaum siv tshuaj khomob, kom ntseeg tau tias muaj cov kab mob venous zoo thaum siv tshuaj khomob thiab cov kws khomob tuaj yeem ua tiav. Nws tau dhau los ua ib qho yooj yim, nyab xeeb, ceev thiab siv tau cov kab mob hauv cov hlab ntsha mus ntev rau kev txhawb nqa kev noj haus thiab tshuaj rau cov neeg mob hnyav thiab kws khomob.

Tshem tawm qhov thaiv

Yog tias PICC cov raj xa dej tsis tuaj yeem raug thaiv, cov txheej txheem tsis zoo tuaj yeem siv los txhaj cov tshuaj urokinase 5000u / ml, 0.5ml rau hauv PICC lumen, nyob rau 15-20 feeb thiab tom qab ntawd tshem tawm nrog lub koob txhaj tshuaj. Yog tias cov ntshav tau tawm, nws txhais tau hais tias thrombosis tau ua tiav. Yog tias tsis muaj ntshav tawm, qhov kev ua haujlwm saum toj no tuaj yeem rov ua dua kom urokinase nyob hauv lub catheter rau qee lub sijhawm kom txog thaum cov ntshav tawm. Nws yuav tsum raug sau tseg tias tag nrho cov nyiaj ntawm urokinase yuav tsum tsis pub tshaj 15000u. Tom qab lub catheter tsis muaj kev cuam tshuam, tshem tawm 5ml ntawm cov ntshav los xyuas kom meej tias tag nrho cov tshuaj thiab cov hlab ntsha raug tshem tawm.

Kev saib xyuas dav dav

Kev hnav khaub ncaws yuav tsum tau hloov rau thawj 24 teev. Tom qab lub qhov txhab zoo zoo thiab tsis muaj kab mob los yog los ntshav, hloov khaub ncaws txhua 7 hnub. Yog tias cov ntaub qhwv lub qhov txhab xoob thiab ntub dej, hloov nws txhua lub sijhawm. Yog tias qhov chaw puncture muaj qhov liab liab, pob liab liab, exudation, kev ua xua thiab lwm yam kev txawv txav, lub sij hawm hnav khaub ncaws tuaj yeem raug luv, thiab cov kev hloov hauv zos yuav tsum tau soj ntsuam tas li. Ua haujlwm aseptic nruj me ntsis txhua zaus thaum hloov khaub ncaws. Cov yeeb yaj kiab yuav tsum tau muab tshem tawm hauv qab mus rau sab saum toj, thiab yuav tsum tau them nyiaj rau kho lub catheter kom tsis txhob poob. Sau hnub tim tom qab hloov. Thaum cov me nyuam da dej, qhwv qhov chaw puncture nrog yas qhwv, thiab hloov cov khaub ncaws tom qab da dej.

Ua ntej siv PICC infusion, siv iodophor paj rwb swab los so lub hau heparin rau 30 vib nas this. Ua ntej thiab tom qab kho cov hlab ntsha, siv lub koob txhaj tshuaj tsis pub tsawg tshaj 10ml los kos cov kua qaub ib txwm los yaug lub lumen. Tom qab hloov cov kua dej uas muaj cov ntsiab lus siab xws li cov khoom siv ntshav thiab cov khoom noj muaj txiaj ntsig, cov mem tes ntws tawm ntawm lub raj nrog 20ml ntawm ib txwm saline. Yog hais tias tus nqi ntawm infusion qeeb los yog ntev, lub raj yuav tsum tau yaug nrog cov ntsev ib txwm thaum siv los tiv thaiv lub raj los ntawm kev thaiv.

Peb xav tias cov neeg siv khoom xav li cas, qhov kev kub ntxhov ceev los ua los ntawm kev txaus siab ntawm tus neeg yuav khoom txoj haujlwm ntawm txoj cai, tso cai rau cov khoom zoo tshaj plaws, txo cov nqi ua haujlwm, cov nqi ntau npaum li tsim nyog, yeej cov tshiab thiab cov neeg laus zeem muag qhov kev txhawb nqa thiab kev lees paub rau High definition Tuam Tshoj Peripherally Inserted Central Picc Kab, Nrog rau ntau yam, siab zoo, kev ncaj ncees siv cov khoom no thiab cov khoom siv stylish. kev lag luam.
Siab txhaisTuam Tshoj Picc Kab, Picc, ntsib qhov tseem ceeb ntawm lub ntiaj teb nthwv dej ntawm kev lag luam kev koom ua ke, peb muaj kev ntseeg siab nrog peb cov khoom zoo thiab kev pabcuam siab dawb rau peb txhua tus neeg siv khoom thiab xav tias peb tuaj yeem koom tes nrog koj los tsim lub neej yav tom ntej zoo.