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Introduce processing technique of venous of a few kinds of difficult puncture as follows now, offer reference only.
Vein infusion has very important place in clinical cure, it is commonly used clinical operation is mixed give one of formulary ways importantly. Be in especially the place in urgent rescue patient is more prominent. To raise venipuncture successful rate, establish vein channel as soon as possible, give rescue gain time, reduce patient anguish, introduce processing technique of venous of a few kinds of difficult puncture as follows now, offer reference only.
One, do not show vein
1, oedema patient vein often not apparent, should walk along the dissection of travel by vein the position, oppress with finger local, with breaking up temporarily hypodermic water is divided, puncture goes again after showing vein had better.
2, the vein of fat patient is deeper not apparent also, but fixedder, not slip, feel after allowing receive an injection greatly with 30 ° bevel again, after answering blood, instigate syringe needle a bit send can succeed inside blood-vessel.
2, flimsy vein
Use up blood-vessel of sexual disease patient chronically flimsier, should choose to receive an injection from the side other blood-vessel, when penetrate into, syringe needle direction and blood-vessel are parallel, when the needle enters blood-vessel, cannot have exerted oneself to do sth. fierce, the principle is Ning Man not fast, hold a needle to want firm.
3, empty vein
Massive haemorrhage or the person that break fluid, because hematic capacity decreases, make vein empty, flat shrivelled, undertake this kind venipuncture when want special caution. Should adopt instigate into stitch, namely a layer of attentive flesh of blood-vessel of syringe needle penetrate into, put the pin smooth, syringe needle instigates a little, make hemal around wall detached, make pinpoint slip with oblique plane there is the feeling that break block inside blood-vessel, although do not have a blood, the needle also entered blood-vessel, can inject.
4, the activity spends big vein
Can choose keener pinhead, with left hand big toe and forefinger, secure blood-vessel respectively two end, go up in blood-vessel by receive an injection with 30 degrees of bevel, after answering blood, syringe needle instigates a bit, enter a few down blood-vessel can.
5, express shallow petty vein
The vein of female patient and children is pettier, when puncture relatively difficult, come up against this kind of circumstance to be able to choose the pinhead with proper small inclined plane, and the preparation before doing good puncture works, method of usable hot compress makes hemal plentiful, outspread, with benefit puncture.
6, adult head bone seams vein
Do not have in limb venipuncture when, can choose head vein, adult head vein is very unidentified show, can press anatomize the position, feel accurate bone to seam scalp needle slow seam vein of central penetrate into to often succeed down bone, but clinical use less.
7, children head vein
Children head vein is fine, together with children does not deserve to close, often succeed not easily, this asks we are familiar with venipuncture commonly used place, make the preparation before good inject, the choice is straighter as little as bifurcate vein, show afferent direction puncture, when the operation meticulous gentleness, needle cant up, the angle of the needle almost as parallel as scalp, slow arrive directly at syringe needle tubal antrum.
After be like penetrate into vein, do not have a blood, and the feeling that obstruction disappear estrangement enters cavity pipeline, but liquid of infuse a few, and did not see the strut other syringe needle, prove penetrate into vein namely, can secure, principle of this kind of vein is Ning Jian not deep, ning Man not fast, fixed and reliable.
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