Perawatan Jarum Tusukan Hati

Preoperative preparation Routinely check the prothrombin time, platelet count and clotting time before surgery to reduce the risk of hemorrhage during liver puncture. If there is any abnormality, it should be injected intramuscularly, vitamin K1, 10 mg, once a day, and re-examination after three days. If it is still abnormal, puncture should not be performed; blood pressure and pulse should be measured before puncture, and chest X-ray, electrocardiogram and abdominal B-ultrasound should be performed at the same time. Learn more about cardiopulmonary function, liver and ascites. When necessary, blood type should be checked and blood prepared; patients should be guided to carry out cooperative breathing training during liver puncture, and patients should be instructed to hold their breath at the end of deep exhalation, so as to avoid the failure of liver puncture and liver damage caused by random breathing during the operation. 2.2 Psychological care Because liver biopsy is a traumatic examination, most patients have insufficient understanding of this examination and are afraid. Before the operation, the purpose and operation method of liver biopsy should be explained clearly to the patient. Do a good job of preoperative breathing exercises to eliminate nervousness, improve the patient's emotional state, and make liver puncture successful in the patient's stable psychological state. 2.3 Intraoperative nursing actively cooperate with the operator to let the patient take the supine position, lean the right side of the body against the edge of the bed, lean slightly to the left, put the right hand behind the pillow, put a pillow on the back, place various items, carry out routine disinfection, local anesthesia, etc. . At the same time, comfort patients, divert their attention, eliminate their fears, and keep abreast of patients' self-feelings during surgery.

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