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第79章 颈内静脉穿刺,现场教学学起来(2 / 2)

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身边能跟着这么多白大褂学习,最起码的,那也点是主治级别起步。

“现在开始颈内静脉穿刺!”

肖尧神色一正。

“李华,给患者去枕平卧,头低位,向后仰并转向对侧。”

“准备常规消毒,铺巾。”

接着肖尧的视线转向脸上露出笑容的33床患者,进行穿刺前的最后一次确认。

“33床,确认现在保持清醒状态吗?”

“确认!”

33床点头。

“现在开始局部麻醉。”

颈部麻醉针注射成功。

肖尧戴着无菌手套,拿起7号针注射器进行定位穿刺。

“针头要与皮肤呈45度角,针头指向同侧RT,边进针边回抽,如果回抽暗红色血液即表示穿刺成功。”

肖尧一边说着,一边用左手固定好穿刺点,右手换上正式穿刺针,沿相同方向刺入颈内静脉。

“颈内静脉穿刺,需要分别在胸锁R突肌的前中后三个方向进针。”

肖尧的手相当稳。

“注意我的手,左手的中指,食指在中线旁3厘米的位置,确认前缘中点,呈45度角,进针。”

“中路:找到胸锁R突肌三角,确认他们的中心位置,离锁骨上缘2~3指距离作为进针点,呈30度角,进针。”

“后路:在外侧缘,锁骨上2到3指作为进针点,要注意穿刺时肩部垫高,换着头尽量转向对策,针尖保持水平位置前进,进针!”

回抽有血后,肖尧取下注射器。

三路进针。

一气呵成!

身后的白大褂打出阵阵惊叹。

“这真的是人可以做到的吗?他的手为什么可以这么稳啊!”

这章没有结束,请点击下一页继续阅读!“卧槽,刚才吓得我大气都不敢喘一下,生怕一呼吸针歪了就麻烦了。”

“我也是,而且我前两天看宋师姐也做这个颈内静脉穿刺来的,但当时宋师姐她也可紧张了,全程一个字不说,生怕分散注意力。”

“也不知道是不是我的错觉,我总感觉肖尧似乎比宋师姐还要熟练一点,尤其是刚才三路进针的动作,真的帅到我了!”

与此同时。

肖尧这边的颈内静脉穿刺也来到了最重要的步骤。

“这里要用右手拿导丝,用较为柔软的一端插入针芯,预计达到15~20cm后,将穿刺针缓缓退出,这里要注意一定不要带动导引钢丝。”

随着穿刺针退出,肖尧的额头处出现细密汗滴,一旁充当助手的李华立刻用干净的纱布将汗水擦干。

“接下来,场面可能有点血腥,接受不了的,自动向后转。”

说完这话,肖尧也不管身后的实习生是什么反应,拿起一旁的手术刀,以刀尖挑开入口处皮肤0.5cm,然后将皮肤扩张器套在钢丝上,沿着导引钢丝送入皮下。

“嘶~”

实习生也不傻。

虽然眼前的这一幕让他们下意识地倒吸了口凉气,但这种现场观摩学习的机会来之不易,可千万不能放过。

再说了。

学医的,啥玩意儿没见过?

因此,这帮实习生一个个不仅没有背过身去,反而是纷纷凑上前,一个两个的瞪大眼睛仔细瞧着,生怕错过一丁点重要的环节。

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