【Contraindications】

1) Kev puas siab puas ntsws lossis lub cev tsis haum rau kev phais hauv cov xwm txheej

2) Kev mob hnyav los ntshav thiab coagulation teeb meem.

3) Cov qe ntshav dawb suav tsawg dua 3 × 109 / L

4) Allergic rau kev sib piv xov xwm

5) Ua ke nrog cov kab mob ntsws loj heev.

6) Cov neeg mob uas paub lossis xav tias ua xua rau cov ntaub ntawv hauv pob khoom ..

7) Muaj los yog xav tsis thoob ntawm cov cuab yeej hais txog kab mob, bacteraemia lossis sepsis.

8) Kev kho hluav taws xob ntawm qhov chaw ntawm qhov xav tau ntxig.

9) Kev thaij duab lossis txhaj tshuaj embolic.

 

【Manufacturedate】 Saib cov khoom npe

 

【Expirydate】 Saib daim ntawv lo khoom

 

【Txoj kev ntawm kev thov】

1. Npaj lub implantable port device thiab xyuas seb lub hnub tas sij hawm yog tshaj;tshem lub pob puab thiab xyuas seb lub pob puas puas lawm.
2. Yuav tsum siv cov txheej txheem aseptic los txiav qhib lub pob sab hauv thiab tshem tawm cov khoom los npaj siv.
3. Kev siv cov khoom siv implantable portable yog piav qhia nyias rau txhua tus qauv raws li hauv qab no.

 

Hom Ⅰ

1. Flushing, venting, leak test

Siv lub koob txhaj tshuaj (koob rau cov khoom siv cog qoob loo) txhawm rau txhawm rau cov khoom siv cog qoob loo thiab txhaj tshuaj 5mL-10mL ntawm lub cev ntsev kom yaug lub rooj txhaj tshuaj thiab catheter lumen thiab tsis suav nrog.Yog tias tsis pom cov kua dej qeeb, ntswj qhov kawg ntawm lub catheter (qhov kawg kawg) ntawm tes qhib qhov chaw xa tshuaj;Tom qab ntawd Fold kaw cov tshuaj xa mus rau qhov kawg ntawm lub catheter, txuas ntxiv thawb saline (siab tsis tshaj 200kPa), saib seb puas muaj cov pa tawm los ntawm lub rooj zaum txhaj tshuaj thiab catheter txuas, tom qab tag nrho cov qub Tom qab txhua yam zoo, lub catheter tuaj yeem siv tau.

1. Cannulation thiab ligation

Raws li kev tshawb nrhiav intraoperative, ntxig lub catheter (tshuaj xa tshuaj kawg) rau hauv cov hlab ntsha sib txuas raws li qhov chaw ntawm cov qog, thiab siv cov sutures uas tsis yog nqus tau los ua kom zoo ligate lub catheter rau lub nkoj.Lub catheter yuav tsum tau ligated zoo (ob los yog ntau dua) thiab tsau.

1. chemotherapy thiab sealing

Intraoperative chemotherapy tshuaj tuaj yeem txhaj ib zaug raws li txoj kev kho mob;Nws raug pom zoo tias lub rooj zaum txhaj tshuaj thiab catheter lumen yuav tsum tau yaug nrog 6-8 mL ntawm physiological saline, tom qab ntawd los ntawm 3 mL ~ 5 mL Lub catheter yog muab kaw nrog 3mL mus rau 5mL ntawm heparin saline ntawm 100U / mL rau 200U / mL.

1. Txhaj lub rooj fixation

Lub subcutaneous cystic kab noj hniav yog tsim nyob rau ntawm qhov chaw ntawm kev txhawb nqa, uas yog 0.5 cm mus rau 1 cm ntawm daim tawv nqaij nto, thiab lub rooj zaum txhaj tshuaj yog muab tso rau hauv kab noj hniav thiab tsau, thiab daim tawv nqaij yog sutured tom qab nruj hemostasis.Yog hais tias lub catheter ntev dhau lawm, nws tuaj yeem coiled rau hauv lub voj voog ntawm qhov kawg thiab kho kom zoo.

 

Hom Ⅱ

1.Flushing thiab venting

Siv lub koob txhaj tshuaj (koob rau cov khoom siv cog qoob loo) txhawm rau txhaj tshuaj ntsev rau hauv lub rooj zaum txhaj tshuaj thiab lub catheter raws li kom yaug thiab tshem tawm cov huab cua hauv lub lumen, thiab saib seb cov kua dej ua haujlwm zoo li cas.

2. Cannulation thiab ligation

4. Leak xeem

4. Tom qab kev sib txuas ua tiav, quav thiab kaw lub catheter nyob rau sab nraum qab ntawm lub kaw lus kaw thiab txuas ntxiv txhaj tshuaj saline rau hauv lub rooj zaum txhaj tshuaj nrog lub koob txhaj tshuaj (koob rau cov khoom siv tshuaj implantable) (siab tshaj 200kPa).(siab tsis tshaj 200kPa), saib seb puas muaj cov pa tawm los ntawm kev txhaj tshuaj thaiv thiab catheter

kev sib txuas, thiab siv tsuas yog tom qab txhua yam zoo li qub.

5. Tshuaj kho mob, sealing raj

Intraoperative chemotherapy tshuaj tuaj yeem txhaj ib zaug raws li txoj kev kho mob;Nws raug nquahu kom yaug lub hauv paus txhaj tshuaj thiab catheter lumen nrog 6 ~ 8mL ntawm physiological saline dua, thiab tom qab ntawd siv 3mL ~ 5mL ntawm physiological saline.

Tom qab ntawd lub catheter kaw nrog 3mL rau 5mL ntawm heparin saline ntawm 100U / mL txog 200U / mL.

6. Txhaj lub rooj fixation

Lub subcutaneous cystic kab noj hniav tau tsim nyob rau ntawm qhov chaw ntawm kev txhawb nqa, 0.5 cm mus rau 1 cm ntawm daim tawv nqaij nto, thiab lub rooj zaum txhaj tshuaj tau muab tso rau hauv kab noj hniav thiab kho, thiab daim tawv nqaij tau sutured tom qab nruj hemostasis.

 

Hom Ⅲ

Ib lub koob txhaj tshuaj (xws li koob tshwj xeeb rau cov khoom siv cog qoob loo) tau siv los txhaj 10mL ~ 20mL ib txwm saline rau hauv cov khoom siv cog qoob loo txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhaj tshuaj thiab cov kab noj hniav ntawm lub catheter, thiab tshem tawm cov huab cua hauv kab noj hniav, thiab saib seb cov kua dej yog tsis muaj teeb meem.

2. Cannulation thiab ligation

Raws li kev tshawb nrhiav intraoperative, ntxig lub catheter raws lub plab phab ntsa, thiab qhib ib feem ntawm kev xa tshuaj kawg ntawm lub catheter yuav tsum nkag mus rau hauv lub plab kab noj hniav thiab nyob ze rau lub hom phiaj qog li sai tau.Xaiv 2-3 cov ntsiab lus kom ligate thiab kho lub catheter.

3. Tshuaj kho mob, sealing raj

Intraoperative chemotherapy tshuaj tuaj yeem txhaj ib zaug raws li txoj kev kho mob, thiab tom qab ntawd lub raj raug kaw nrog 3mL ~ 5mL ntawm 100U / mL ~ 200U / mL heparin saline.

4. Txhaj lub rooj fixation

Lub subcutaneous cystic kab noj hniav tau tsim nyob rau ntawm qhov chaw ntawm kev txhawb nqa, 0.5 cm mus rau 1 cm ntawm daim tawv nqaij nto, thiab lub rooj zaum txhaj tshuaj tau muab tso rau hauv kab noj hniav thiab kho, thiab daim tawv nqaij tau sutured tom qab nruj hemostasis.

Tshuaj infusion thiab tu

A.Kev ua haujlwm aseptic nruj me ntsis, xaiv kom raug ntawm qhov chaw txhaj tshuaj ua ntej txhaj tshuaj, thiab nruj me ntsis tshuaj tua kab mob ntawm qhov chaw txhaj tshuaj.B. Thaum txhaj tshuaj, siv ib rab koob rau implantable portable syringe, ib tug syringe ntawm 10 mL los yog ntau tshaj, nrog rau sab laug tes taw tes ntiv tes kov lub puncture site thiab tus ntiv tes xoo tensing ntawm daim tawv nqaij thaum kho lub rooj zaum, nrog sab tes xis tuav lub koob txhaj tshuaj. vertically rau hauv rab koob, tsis txhob co los yog tig, thiab maj mam txhaj tshuaj saline 5 mL ~ 10 mL thaum muaj kev nkag siab ntawm qhov poob thiab lub taub ntawm rab koob tom qab kov lub hauv qab ntawm lub rooj zaum txhaj tshuaj, thiab xyuas seb qhov kev xa tshuaj puas zoo. (yog tias nws tsis du, koj yuav tsum xub xyuas seb lub koob yog thaiv).Saib seb puas muaj qhov siab ntawm daim tawv nqaij ib puag ncig thaum thawb.

C. Thawb cov tshuaj chemotherapeutic maj mam tom qab lees paub tias tsis muaj qhov yuam kev.Thaum lub sij hawm thawb, ua tib zoo saib seb cov tawv nqaij ib puag ncig yog siab lossis daj ntseg, thiab seb puas muaj mob hauv zos.Tom qab cov tshuaj raug thawb, nws yuav tsum tau khaws cia rau 15s ~ 30s.

D. Tom qab txhua qhov kev txhaj tshuaj, nws raug nquahu kom yaug lub rooj zaum thiab catheter lumen nrog 6 ~ 8mL ntawm physiological saline, thiab tom qab ntawd kaw lub catheter nrog 3mL ~ 5mL ntawm 100U / mL ~ 200U / mL ntawm heparin saline, thiab thaum kawg. 0.5mL ntawm heparin saline raug txhaj, cov tshuaj yuav tsum raug thawb thaum rov qab los, kom cov tshuaj qhia txog cov tshuaj tau sau nrog heparin saline los tiv thaiv cov tshuaj crystallization thiab ntshav coagulation hauv catheter.Lub catheter yuav tsum tau yaug nrog heparin saline ib zaug txhua 2 lub lis piam thaum lub sij hawm chemotherapy.

E. Tom qab txhaj tshuaj, tua cov koob qhov muag nrog tshuaj tua kab mob, npog nws nrog kev hnav tsis taus, thiab ua tib zoo saib xyuas cov cheeb tsam hauv zos kom huv si thiab qhuav kom tsis txhob kis kab mob ntawm qhov chaw.

F. Ua tib zoo saib xyuas tus neeg mob cov tshuaj tiv thaiv tom qab kev tswj hwm tshuaj thiab ua tib zoo saib xyuas thaum txhaj tshuaj.

 

【Ceev faj, ceeb toom thiab cov ntsiab lus qhia】

1. Cov khoom no yog sterilized los ntawm ethylene oxide thiab siv tau rau peb xyoos.
2. Thov nyeem phau ntawv qhia ua ntej siv kom muaj kev nyab xeeb ntawm kev siv.
3. Kev siv cov khoom no yuav tsum ua raws li cov kev cai ntawm cov cai ntawm kev coj ua thiab cov kev cai ntawm kev kho mob, thiab kev ntxig, kev ua haujlwm thiab tshem tawm cov khoom siv no yuav tsum txwv rau cov kws kho mob uas muaj ntawv pov thawj.Qhov kev ntxig, kev ua haujlwm thiab tshem tawm cov khoom siv no yog txwv rau cov kws kho mob uas muaj ntawv pov thawj, thiab kev saib xyuas tom qab lub raj yuav tsum tau ua los ntawm cov kws kho mob uas tsim nyog.
4. Tag nrho cov txheej txheem yuav tsum tau ua nyob rau hauv aseptic mob.
5. Tshawb xyuas hnub tas sij hawm ntawm cov khoom thiab lub ntim ntim rau kev puas tsuaj ua ntej txheej txheem.
6. Tom qab siv, cov khoom yuav ua rau muaj kev phom sij lom neeg.Thov ua raws li kev lees paub kev kho mob thiab tag nrho cov kev cai lij choj thiab cov cai tswj kev tuav thiab kho.
7. Tsis txhob siv lub zog ntau dhau thaum lub sij hawm intubation thiab ntxig cov hlab ntsha kom raug thiab nrawm kom tsis txhob vasospasm.Yog tias intubation nyuaj, siv koj cov ntiv tes tig lub catheter ntawm sab mus rau sab thaum ntxig lub raj.
8. Qhov ntev ntawm lub catheter muab tso rau hauv lub cev yuav tsum tsim nyog, ntev dhau lawm yog ib qho yooj yim rau curl rau hauv lub kaum sab xis, uas ua rau lub qhov cua tsis zoo, luv luv yog thaum tus neeg mob ua phem rau cov kev ua ub no muaj peev xwm ntawm dislodging los ntawm lub nkoj.Yog tias lub catheter luv dhau, nws tuaj yeem tawm ntawm lub nkoj thaum tus neeg mob txav mus los.
9. Lub catheter yuav tsum tau muab tso rau hauv lub nkoj uas muaj ntau tshaj li ob lub ligatures thiab tsim nyog nruj kom ntseeg tau tias kev txhaj tshuaj du thiab tiv thaiv lub catheter los ntawm slipping tawm.
10. Yog hais tias lub implantable chaw nres nkoj yog hom II, kev sib txuas ntawm lub catheter thiab lub rooj zaum txhaj tshuaj yuav tsum ruaj.Yog tias tsis tas yuav txhaj tshuaj intraoperative, kev txhaj tshuaj saline ib txwm yuav tsum tau siv rau kev pom zoo ua ntej suturing ntawm daim tawv nqaij.
11. Thaum sib cais thaj tsam subcutaneous, kaw hemostasis yuav tsum tau ua kom tsis txhob tsim cov hematoma hauv zos, cov kua dej sib xyaw lossis cov kab mob thib ob tom qab phais;lub vesicular suture yuav tsum zam lub rooj zaum txhaj tshuaj.
12. α-cyanoacrylate cov nplaum kho mob tuaj yeem ua rau muaj kev puas tsuaj rau cov khoom siv hauv paus;Tsis txhob siv α- cyanoacrylate cov nplaum kho mob thaum kho qhov phais phais nyob ib ncig ntawm lub hauv paus txhaj tshuaj.Tsis txhob siv α-cyanoacrylate cov nplaum kho mob thaum cuam tshuam nrog kev phais mob nyob ib ncig ntawm lub hauv paus txhaj tshuaj.
13. Siv ceev faj heev kom tsis txhob xau ntawm lub catheter vim raug mob los ntawm cov cuab yeej phais.
14. Thaum punctureing, rab koob yuav tsum tau muab tso rau hauv vertically, ib lub koob txhaj tshuaj uas muaj peev xwm ntawm 10mL los yog ntau tshaj, cov tshuaj yuav tsum tau txhaj maj mam, thiab rab koob yuav tsum tau muab tshem tawm tom qab ib ntus.Lub zog thawb yuav tsum tsis pub tshaj 200kPa.
15. Tsuas yog siv cov koob tshwj xeeb rau cov khoom siv tshuaj implantable.
16. Thaum yuav tsum tau txhaj tshuaj ntev dua lossis hloov tshuaj, nws yog qhov tsim nyog los siv ib qho kev siv tshuaj implantable xa khoom nrog hose tshwj xeeb infusion koob lossis tee, txhawm rau txo cov punctures thiab txo qhov cuam tshuam rau tus neeg mob.
17. Txo tus naj npawb ntawm punctures, txo qhov kev puas tsuaj rau tus neeg mob cov leeg thiab nws tus kheej-sealing elastic qhov chaw.Thaum lub sijhawm txwv tsis pub txhaj tshuaj, kev txhaj tshuaj anticoagulant yuav tsum tau txhaj ib zaug txhua ob lub lis piam.
18. Cov khoom no yog kev siv ib zaug, tsis muaj menyuam, tsis yog pyrogenic khoom, rhuav tshem tom qab siv, rov siv dua yog nruj me ntsis txwv.
19. Yog tias lub pob sab hauv raug puas los yog cov khoom siv tas sij hawm dhau mus, thov xa rov qab mus rau qhov chaw tsim khoom pov tseg.
20. Tus naj npawb ntawm punctures rau txhua qhov kev txhaj tshuaj yuav tsum tsis pub tshaj 2000 (22Ga).21.
21. Qhov tsawg kawg nkaus flushing ntim yog 6ml