Tsanangudzo yepamusoro China Peripherally Inserted Central Picc Line

Isu tinofunga zvinofungwa nevatengi, iko kukurumidza kwekukurumidza kuita kubva kune zvinofarirwa nemutengi chinzvimbo chemusimboti, zvichibvumira hukuru hwepamusoro, kuderedza mitengo yekugadzira, mitengo yemitengo inonzwisisika, yakahwina tarisiro itsva uye yevakuru kutsigirwa uye kusimbiso yeKutsanangurwa Kwepamusoro China Peripherally Inserted Central.PiccMutsara, Uine huwandu hwakasiyana, hwemhando yepamusoro, kubhadharisa kwakaringana uye madhizaini anoyevedza, zvinhu zvedu zvinoshandiswa zvakanyanya pamaindasitiri aya nemamwe maindasitiri.
Isu tinofunga zvinofungwa nevatengi, iko kukurumidza kwekukurumidza kuita kubva kune zvinofarirwa nemutengi chinzvimbo chemusimboti, zvichibvumira hukuru hwepamusoro, kuderedza mitengo yekugadzira, mitengo yemitengo inonzwisisika, yakahwina tarisiro itsva uye yevakuru kutsigirwa uye kusimbiso.China Picc Line, Picc, Takatarisana nehupenyu hwehuwandu hwepasi rose hwekubatanidzwa kwehupfumi, tine chivimbo nezvigadzirwa zvedu zvepamusoro uye sevhisi yemwoyo wose kune vatengi vedu uye tinoshuva kuti tinogona kushanda pamwe newe kuti tigadzire ramangwana rakanaka.

Vhidhiyo

Product Detail

MUPOROFITA
Iyo CATHTONG ™ II PICC Catheter inoitirwa kwenguva pfupi kana yenguva refu yeperipheral kusvika kune yepakati venous system yekupinza, intravenous therapy, sampling yeropa, jekiseni resimba rekusiyanisa midhiya, kutonga kwemvura, mishonga uye zvinovaka muviri, uye inobvumira yepakati venous pressure monitoring. Iyo CATHTONG ™ II PICC Catheter inoratidzwa kwenguva yekugara ipfupi kana kupfuura mazuva makumi matatu.

SIMBA KUBAYA
Iyo CATHTONG ™ II Catheter yakagadzirwa neSimba jekiseni kugona. Simba jekiseni rinobvumira jekiseni rekusiyanisa midhiya pamwero we5.0 mL/sec. Ichi chinobvumira mutsetse wePICC kuti ushandiswe kuContrast-Enhanced CT (CECT) Imaging.

DUAL LUMEN DESIGN
Iyo mbiri mbiri lumen dhizaini inobvumira kushandiswa kwemhando mbiri dzekurapa panguva imwe chete pasina kuisa akawanda catheter. Pamusoro pezvo, CATHTONG ™ II inoratidzira akasiyana lumen madhayamita kuti ipe huwandu hwakasiyana hwekuyerera.

Features

Parameter

PICC KIT Inosanganisira

• PICC Line
• Catheter Stabilization Device
• Ruzivo rwekushandisa (IFU)
• IV Catheter w/ Tsono
• Scalpel, kuchengeteka
• Introducer Tsono
• Micro-Access neDilatator
• Guidewire
• MicroClave®

Pamusoro pePICC

Kana ukashandisa PICC, unofanirwa kuchenjerera kuti usafambisa maoko ako zvakanyanya kana kuti zvakasimba panguva yekushandiswa kudzivirira catheter kubva pakudonha kana kuputsika; uyezve, geza chubhu uye shandura membrane kamwe pavhiki (nemukoti), uye edza kushandisa shawa pakugeza. Iyo yakasununguka membrane inofanira kuchinjwa nenguva kudzivirira catheter kubva pakuvharwa kana kutapukirwa kweganda nemidziyo yeropa panzvimbo iyo catheter inoiswa. Kana PICC yakachengetedzwa zvakanaka, inogona kushandiswa kwenguva inopfuura 1 gore, iyo yakakwana kuchengetedza kusvika pakupera kwechemotherapy.

1. Kusarudzwa kwetsinga

PICC catheter inowanzoiswa mutsinga dzinodhura dze cubital fossa, yepakati cubital vein, uye cephalic vein. Iyo catheter inoiswa zvakananga mupamusoro vena cava. Inoda kusarudza tsinga yeropa nekushanduka kwakanaka uye kuonekwa.

2. Zviratidzo zvePICC intubation

(1) Avo vanoda kwenguva refu intravenous infusion, asi chimiro cheperipheral chepamusoro tsinga hachina kunaka uye hazvisi nyore kubudirira kupinza;
(2) Izvo zvinodiwa kuti udzokorore kuisa zvinodhaka zvinokurudzira, senge chemotherapy mishonga;
(3) Kupinza kwenguva refu kwemishonga ine kukwirira kwepamusoro kana yakakwira viscosity, yakadai seshuga, mafuta emulsion, amino acids, nezvimwewo;
(4) Avo vanoda kushandisa dzvinyiriro kana kuti pombi dzakatsikirirwa nokuda kwokukurumidza kupinza, zvakadai sepombi dzinopinza;
(5) Kuwedzerwa kudzokororwa kwezvinhu zvinogadzirwa neropa, zvakadai seropa rose, plasma, maplatelet, zvichingodaro;
(6) Vaya vanoda kuongororwa ropa mutsinga kakawanda pazuva.

3. Izvo zvinopesana zvePICC catheterization

(1) Mamiriro emuviri wemurwere haakwanise kutsungirira kuvhiyiwa kwemukati, senge blood coagulation mechanism chipingamupinyi, uye avo vasina immunosuppressed vanofanira kuishandisa nekuchenjerera;
(2) Avo vanozivikanwa kana kuti vanofungidzirwa kuva allergic kune zvikamu zviri mu catheter;
(3) Nhoroondo yeradiotherapy panzvimbo yakarongwa intubation munguva yakapfuura;
(4) Nhoroondo yekare yephlebitis uye venous thrombosis, nhoroondo yekushungurudzika, uye nhoroondo yekuvhiyiwa kwevascular panzvimbo yakarongwa intubation;
(5) Matishu emunharaunda anokanganisa kugadzikana kana patency ye catheter.

4. Nzira yekushanda

Murwere anotora nzvimbo yepamusoro uye anoyera urefu hwemurwere kubva panzvimbo yepuncture kusvika kune yepamusoro vena cava ine tepi yekuyera. Iyo inowanzo 45 ~ 48cm. Mushure mekunge nzvimbo yepuncture yasarudzwa, iyo tourniquet inosungirirwa uye inogara ichiitwa disinfected. Iyo PICC catheter venous puncture inoitwa zvinoenderana nemirairo, uye inochengetwa zvinoenderana nemamiriro emurwere. Kureba kwecatheter, X-ray firimu mushure mekuputika, inogona kushandiswa mushure mekusimbisa kuti iri mupamusoro vena cava.

Zvakanakira zvePICC

(1) Nemhaka yokuti nzvimbo yekupinza iri mutsinga yeperipheral painopinzwa PICC, hapazovi nenjodzi dzinotyisa dzakadai seropa pneumothorax, tsinga huru yeropa, utachiona, mweya embolism, nezvimwewo, uye kusarudzwa kwetsinga dzeropa kwakakura, uye chiyero chekubudirira kwepuncture yakakura. Kufamba kwemakumbo panzvimbo yepuncture hakubvumirwi.
(2) Inogona kuderedza marwadzo anokonzerwa nevarwere nekuda kwekudzokorora venipuncture, nzira yekushanda iri nyore uye iri nyore, uye haibvumirwi nenguva uye nzvimbo, uye inogona kushandiswa zvakananga muwadhi.
(3) Iyo PICC catheter zvinhu inogadzirwa neyakakosha polyurethane, ine yakanaka histocompatibility uye kutevedzera. Iyo catheter yakanyanya kupfava uye haifanirwe kuputswa. Inogona kusiiwa mumuviri kwemwedzi mitanhatu kusvika kugore rimwe. Hupenyu humiro hwevarwere mushure me catheterization hausi kuzokanganiswa.
(4) Nokuti catheter inogona kupinda zvakananga muvhena cava yepamusoro, uko kuyerera kweropa kwakakura, inogona kukurumidza kuderedza mvura osmotic pressure kana marwadzo emunharaunda, necrosis, uye phlebitis inokonzerwa nemishonga yechemotherapy.
Varwere vanotanga intubation havazombosangana nekukuvara kwe venous panguva yechemotherapy, kuve nechokwadi chekuti pane yakanaka venous ndima panguva yechemotherapy uye chemotherapy inogona kupedzwa zvinobudirira. Yakave nyore, yakachengeteka, inokurumidza uye inoshanda yekupinda mutsinga yekugara kwenguva refu intravenous kudya kunovaka muviri uye mushonga kune vanorwara zvakanyanya uye chemotherapy varwere.

Rasa blockage

Kana pombi yePICC ikavharika nekusaziva, nzira yakaipa yekudzvanya inogona kushandiswa kubaya yakadirwa urokinase 5000u/ml, 0.5ml muPICC lumen, gara kwemaminetsi gumi nemashanu-20 wozobvisa nejekiseni. Kana ropa richibudiswa kunze, zvinoreva kuti thrombosis inobudirira. Kana pasina ropa rinobudiswa, kuvhiyiwa kuri pamusoro apa kunogona kudzokororwa kakawanda kuita kuti urokinase igare mucatheter kwenguva yakati kusvikira ropa rabudiswa. Izvo zvinofanirwa kucherechedzwa kuti iyo yakazara huwandu hweurokinase haifanirwe kudarika 15000u. Mushure mekunge catheter isina kuvharwa, bvisa 5ml yeropa kuti uone kuti mishonga yese nemagwamba zvabviswa.

General kuchengetedza

Kupfeka kunofanirwa kuchinjwa kwemaawa makumi maviri nemana ekutanga. Mushure mokunge ronda rapora zvakanaka uye pasina hutachiona kana kubuda ropa, shandura kupfeka kwemazuva manomwe oga oga. Kana jira rekupfeka rakasununguka uye rakanyorova, shandura chero nguva. Kana iyo nzvimbo yepuncture ine redness, rash, exudation, allergies uye mamwe mamiriro asina kujairika, nguva yekupfeka inogona kupfupikiswa, uye shanduko yenzvimbo inofanirwa kuramba ichicherechedzwa. Nyatsoita aseptic oparesheni pese panochinjika kupfeka. Iyo firimu inofanira kubviswa kubva pasi kusvika kumusoro, uye kutarisirwa kunofanira kubhadharwa kugadzirisa catheter kuti irege kudonha. Rekodha zuva mushure mekutsiva. Kana vana vachigeza, putira nzvimbo yekuboora nemaputi epurasitiki, uye chinja hembe mushure mekugeza.

Usati washandisa PICC infusion, shandisa iodophor cotton swab kupukuta heparin cap kwemasekonzi makumi matatu. Usati uye wapedza kurapwa, shandisa sirinji isingasviki 10ml kudhirowa munyu wakajairika kuti ugeze lumen. Mushure mekuisirwa zvinwiwa zvakanyanyisa zvakadai sezvigadzirwa zveropa uye zvinovaka muviri zvinogadziriswa, pulse flushing yechubhu ine 20ml yesaline yakajairika. Kana infusion rate ichinonoka kana kwenguva yakareba, chubhu inofanira kugezwa nesaline yakajairika panguva yekushandiswa kudzivirira chubhu kuvharika.

Isu tinofunga zvinofungwa nevatengi, iko kukurumidza kwekukurumidza kuita kubva kune zvinofarirwa nemutengi chinzvimbo chemusimboti, zvichibvumidza hukuru hwepamusoro, kudzikisira mitengo yekugadzira, mitengo yemitengo inonzwisisika, yakahwina tarisiro itsva uye yevakuru kutsigirwa uye kusimbiso yeKutsanangurwa Kwepamusoro China Peripherally Inserted Central Picc Line, Iine huwandu hwakasiyana, hwemhando yepamusoro, mibairo yakaringana uye dhizaini yakawandisa pane iyi dhizaini. maindasitiri.
Tsanangudzo yepamusoroChina Picc Line, Picc, Takatarisana nekusimba kwepasi rose rekubatana kwehupfumi, tine chivimbo nezvigadzirwa zvedu zvemhando yepamusoro uye sevhisi yechokwadi kune vese vatengi vedu uye tinoshuvira kuti tinogona kushandira pamwe newe kugadzira ramangwana rakajeka.