骨髓穿刺术及护理

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穿刺局部处理
保持穿刺局部干燥,及时更换被血液或 汗液浸湿的纱布。穿刺后3日内禁止沐浴。
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骨髓穿刺术及护理
环境准备
环境清洁、消毒、无尘,室温不低于 200C。注意遮挡。
医务人员准备
洗手、带口罩、帽子。
病人准备
解释骨穿目的、过程、注意事项,消除 病人恐惧心理;家属签字同意;做普鲁 卡因皮试;查血小板、出凝血时间等。
物品准备
常规消毒物品、无菌骨穿包、手套、局麻 药、载玻片、推片等。
髂前上棘穿刺仰卧位
安置穿刺体位
髂后上棘穿刺俯卧位
③胸骨穿刺点,位 于胸骨柄或胸骨体 上相当第一、二肋 间隙部位。病人体 位:仰卧位。
胸骨穿刺仰卧位
棘突穿 刺坐位
髂后上棘穿刺侧卧位
确定穿刺点
髂前上棘穿刺点
髂后上棘穿刺点
胸骨穿刺点
棘突穿刺点
常规消毒穿刺点
戴手套、铺洞巾
局麻
护士将已消毒瓶塞的麻药瓶瓶塞面对术者, 术者用5ml注射器抽取麻药进行局醉。
检查骨穿物品
穿刺
将骨髓穿刺针固定在一定长度,向骨面垂 直缓慢钻刺。
抽吸
穿刺针进入骨质后拔出针芯,接干燥的 20ml注射器,抽吸骨髓液0.1~0.2ml
涂片
骨髓液滴于载玻片上,涂片,迅速送检。
拔针
消毒、盖纱布
协助病人平卧
整理百度文库物、记录
护理
术后平卧休息4小时
拔针后局部加压1~2min
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