Swan-Ganz - txoj cai catheterization

Swan-Ganz catheterization (tseem hu ua lub plawv txoj cai catheterization lossis pulmonary artery catheterization) yog txoj kab uas hla ntawm txoj hlab nyias nyias (catheter) mus rau sab xis ntawm lub plawv thiab cov hlab ntsha ua rau lub ntsws. Nws yog ua los soj ntsuam lub plawv ua haujlwm thiab cov ntshav txaus thiab nias hauv lub plawv.

Qhov sim tuaj yeem ua tiav thaum koj tseem pw hauv ib lub tsev kho mob hnyav (ICU) ntawm tsev kho mob. Nws tseem tuaj yeem ua nyob rau hauv cov txheej txheem tshwj xeeb xws li lub plawv ntsuas ntsuas lub plawv ntsuas.

Ua ntej kev sim pib, koj tuaj yeem raug muab tshuaj (sedative) kom pab koj so.

Koj yuav tau pw ntawm lub rooj padded. Koj tus kws kho mob yuav ua rau cov leeg ntshav ze ntawm puab tais lossis hauv koj txhais caj npab, lossis caj dab. Lub raj siv tau yooj yim (catheter lossis sheath) tso rau ntawm lub tshuab puncture. Qee zaum, nws yuav muab tso rau hauv koj txhais ceg lossis koj sab caj npab. Koj yuav tsaug zog thaum hauv cov txheej txheem.

Ib txoj raj ntev me me yog tso rau. Nws yog tom qab ntawd ua tib zoo txav mus rau hauv chav sab saud ntawm sab xis ntawm lub plawv. Yuav siv cov duab xoo hluav taws xob los pab rau tus kws saib xyuas kev noj qab haus huv kom pom tias tus kws kho raj dej tso rau qhov twg.

Cov ntshav yuav raug tshem tawm ntawm tus catheter. Qhov ntsuas ntshav no yog ntsuas kom ntsuas cov pa oxygen hauv cov ntshav.

Lub sijhawm ua cov txheej txheem, koj lub plawv atherosclerosis yuav raug saib tas li siv ib qho electrocardiogram (ECG).

Koj yuav tsum tsis txhob noj lossis haus dab tsi rau 8 teev ua ntej qhov kev xeem pib. Koj yuav tsum tau nyob hauv tsev kho mob hmo ua ntej kev ntsuam xyuas. Txwv tsis pub, koj yuav mus rau hauv tsev kho mob thaum sawv ntxov ntawm kev kuaj mob.

Koj yuav hnav ib lub tsho tshaj sab hauv tsev kho mob. Koj yuav tsum kos npe rau daim ntawv tso cai ua ntej kev xeem.Koj tus kws khomob yuav piav qhia rau tus txheej txheem thiab nws cov kev pheej hmoo.

Koj yuav tau muab tshuaj kom pab koj so ua ntej kev ua. Koj yuav tsaug zog thiab tuaj yeem ua raws cov lus qhia thaum lub sijhawm kuaj.

Koj tuaj yeem hnov ​​zoo li tsis xis nyob thaum IV tso rau hauv koj txhais caj npab. Koj tuaj yeem hnov ​​zoo qee qhov siab nias ntawm lub vev xaib thaum lub catheter tau tso. Hauv cov neeg uas muaj mob hnyav, tus catheter yuav nyob hauv ob peb hnub.

Koj yuav hnov ​​zoo li tsis xis nyob thaum thaj chaw ntawm txoj hlab ntshav loog nrog loog.

Cov txheej txheem yog ntsuas los ntsuas seb cov ntshav khiav mus los li cas (cov pa hauv) rau cov neeg uas muaj:

• Kev ntxhov siab hauv lub plawv cov hlab ntsha
• Hlawv
• Congenital mob plawv
• Lub plawv tsis ua hauj lwm
• Mob raum
• Leaky lub plawv zoo
• Teeb meem ntsws
• Poob siab (mob ntshav siab heev)

Nws kuj tseem tuaj yeem soj ntsuam kom paub qhov mob ntawm lub plawv nres. Nws tseem pom tias cov tshuaj kho lub plawv ua haujlwm zoo npaum li cas.

Swan-Ganz catheterization tseem tuaj yeem siv los kuaj ntshav ntws tsis zoo ntawm ob thaj chaw ntawm lub plawv uas tsis txuas nrog.

Cov xwm txheej uas tseem tuaj yeem kuaj tau lossis ntsuas nrog Swan-Ganz catheterization suav nrog:

• Mob Lub Hlwb
• Congenital mob plawv
• Pulmonary tawg
• Kev kho plawv mob kom ntau lossis mob ntxiv

Cov txiaj ntsig tau rau qhov kev ntsuas no yog:

• Ntsuas daim ntawv ntsuas yog 2.8 txog 4.2 litres ib feeb twg ntawm cov square meter (ntawm lub cev sab hauv cheeb tsam)
• Mob ntsws pulmonary systolic siab yog 17 rau 32 millimeters ntawm cov mercury (hli Hg)
• Mob ntsws pulmonary txhais tau tias siab yog 9 rau 19 hli Hg
• Pulmonary diastolic siab yog 4 rau 13 hli Hg
• Pulmonary capillary npoo npoo siab yog 4 txog 12 hli Hg
• Txoj cai atrial siab yog 0 txog 7 hli Hg

Qhov ntsuas tsis zoo yuav yog vim:

• Ntshav teeb meem, xws li lub plawv tsis ua haujlwm lossis poob siab
• Mob plawv valve
• Mob ntsws
• Cov teeb meem teeb meem nrog lub plawv, xws li lub shunt los ntawm atrial lossis ventricular septal defect

Kev phom sij ntawm cov txheej txheem suav nrog:

• Nqaij tawv ncig thaj chaw uas tus kav raj ntxig tau ntxig
• Kev raug mob rau txoj leeg ntshav
• Cem rau lub ntsws yog hais tias siv caj dab lossis hauv siab cov leeg, ua rau mob ntsws (pneumothorax)

Tsis tshua muaj teeb meem suav nrog:

• Mob arrhythmias yuav tsum tau kev kho mob
• Mob Lub Hlwb
• Embolism tshwm sim los ntawm cov ntshav txhaws ntawm qhov taub ntawm cov catheter
• Kab mob
• Cov ntshav siab qis

Lub plawv catheterization zoo; Catheterization - txoj cai lub plawv

• Swan Ganz catheterization

Hermann J. Cardiac catheterization. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 19.

Kapur NK, Sorajja P. Txoj Kev Hemodynamics. Hauv: Sorajja P, Lim MJ, Kern MJ, eds. Kern's Cardhe Catheterization Phau Ntawv QhiaCov. 7 tus ed. Philadelphia, PA: Elsevier; 2020: chap 4.

Shreenivas SS, Lilly SM, Herrmann HC. Kev pab cuam hauv cardiogenic poob siab. Hauv: Topol EJ, Teirstein PS, eds. Phau Ntawv Qhia Txog Kev Xiam Hlwb CardiologyCov. 8 tus ed. Philadelphia, PA: Elsevier; 2020: chap 22.