神经介入手术相关流程.ppt

Click to edit Master title stylemfdk,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,This document is intended for internal educational use only and shall not be distributed outside of Boston Scientific.Confidential-For Internal Use Only-Do Not Copy or Distribute.,This document is intended for internal educational use only and shall not be distributed outside of Boston Scientific.Confidential-For Internal Use Only-Do Not Copy or Distribute.,Click to edit Master title stylemfdk,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,This document is intended for internal educational use only and shall not be distributed outside of Boston Scientific.Confidential-For Internal Use Only-Do Not Copy or Distribute.,*,Click to edit Master title stylemfdk,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,This document is intended for internal educational use only and shall not be distributed outside of Boston Scientific.Confidential-For Internal Use Only-Do Not Copy or Distribute.,This document is intended for internal educational use only and shall not be distributed outside of Boston Scientific.Confidential-For Internal Use Only-Do Not Copy or Distribute.,Click to edit Master title stylemfdk,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,This document is intended for internal educational use only and shall not be distributed outside of Boston Scientific.Confidential-For Internal Use Only-Do Not Copy or Distribute.,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,This document is intended for internal educational use only and shall not be distributed outside of Boston Scientific.Confidential-For Internal Use Only-Do Not Copy or Distribute.,*,神经血管介入治疗,设备,&,过程,设备,Equipment,造影床,控制器,&,监视器,颅内造影的头部固定垫,Equipment,床旁控制器,Equipment,放射保护,放置在医生和影像增强器之间,与影像增强器之间的安全距离为,8,英尺,(20cm),Equipment,腰围如下部位的铅防护,Equipment,Equipment,麻醉机,强力注射器,Equipment,控制面板,Equipment,控制室,Equipment,透明铅玻璃,Equipment,无菌工作台,Equipment,洗手槽,Equipment,铅衣/甲状腺领圈,寄存铅衣的适合措施挂起来!,Equipment,不要这样放铅衣,!,Equipment,危险锐利物品废物箱,Equipment,过程,腹股沟消毒准备穿刺,Vascular Access,触摸到股动脉搏动，确定穿刺部位,红色头的是鞘管，可以连接冲洗设备。,Vascular Access,利多卡因局麻，麻醉腹股沟部位,Vascular Access,左手找到搏动部位，右手用中空的,20g,针头穿刺股动脉,Vascular Access,穿刺成功后动脉血返流,Vascular Access,导丝顺着穿刺针放置到血管中，移走穿刺针，手按住穿刺点，直到放置鞘管,Vascular Access,鞘管顺着导丝移动,(,白色的是鞘管,蓝色的是扩张器,),Vascular Access,鞘管放置到动脉中,Vascular Access,鞘管连接到肝素冲洗系统中,Vascular Access,建立血管通路：持续灌注装置,单向阀,高压冲洗,Y,阀,导引导管,Y,阀,高压冲洗,股动脉鞘,三通,高压冲洗,注射器,微导管,可解脱弹簧圈,连接加压冲洗系统,加压袋不是无菌的，不过造影床上的连接管是无菌的,护士或这技师要观测加压袋防止断流,Vascular Access,Flush System,监视器,:,上面的看前后位和侧位,下面,:,路图的固定影像或者是地标作用的原始影像,每台监视器都按角度配有第二位置，可轻松回放,Vascular Access,Monitoring,透视看片灯箱,Vascular Access,介入材料,货品渠道,手术信息,确认手术备货,跟台,