脐血管导管术的临床应用

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脐血管导管术分脐动脉及脐静脉两种,前者可用于取血,测血压、输液,交换输血等,后者除用于交换输血外,很少应用.生后立即进行插管是最容易的,5~7天后能否成功插入导管取决于脐根部的情况.如保持一定长度,清洁,无菌,切掉于燥部分仍能看清动、静脉者则可应用.1 脐动脉导管术1.1 适应证(1)危重患儿或极低出生体重儿须多次取血作血气分析者.(2)须直接监测血压、输液及交换输血者.1.2 用具:脐血管导管(3.5FG,5.0FG),手术刀、剪,眼科弯镊,细镊、齿钳、缝针、丝线、扎脐绳,三通开关,输液泵,注射器,胶带,消毒用品等. Umbilical artery catheterization of umbilical artery and umbilical vein two, the former can be used for blood, blood pressure, infusion, exchange of blood transfusion, the latter except for the exchange of blood transfusion, rarely used. Intubation immediately after birth is the easiest , 5 to 7 days after the successful insertion of the catheter depends on the situation of the umbilical root.If maintain a certain length, clean, sterile, cut off in the dry part can still see the move, the vein can be applied.1 Umbilical artery catheterization 1.1 Indications (1) critically ill children or very low birth weight infants must be taken multiple blood for blood gas analysis. (2) to be directly monitored blood pressure, transfusion and exchange of blood transfusion .1.2 appliances: umbilical vascular catheter (3.5FG, 5.0 FG), scalpel, scissors, eye tweezers, fine tweezers, forceps, stitches, silk, tie umbilical cord, three switches, infusion pumps, syringes, tape, disinfection supplies.
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