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1.材料和方法全组40例,33例大肠癌,7例胃癌,均行根治术,共行腹穿置管240例次(每例患者多接受6次)。选用单腔深静脉穿刺导管、消毒后可重复使用。基本操作:患者平卧、消毒铺巾、局麻,穿刺入腹腔,置入导引钢丝、退出穿刺针;通过钢丝引入皮肤扩扩张器、退出扩张器、经纲丝置入静脉导管、探约15~20cm,拨除纲丝,固定并检验是否通畅,5天疗程结束,第6天拨管,有关化疗药物及疗程间隔按卿氏法。 2.穿刺技项及注意事项:①穿刺点选择:胃癌术后可选左或右下腹;右半结肠癌术后可选左下腹;左半
1. Materials and Methods In the whole group of 40 cases, 33 cases of colorectal cancer, and 7 cases of gastric cancer, radical resection was performed. 240 cases of abdominal perforation were performed (6 cases per patient). A single-cavity deep vein puncture catheter is selected and can be reused after disinfection. Basic operations: patient supine, disinfection, toweling, local anesthesia, puncture into the abdominal cavity, insertion of guide wire, and withdrawal of the puncture needle; introduction of the skin through the wire to expand the dilator, exit the dilator, through the cannula to insert the venous catheter, probe about 15 ~ 20cm, remove the wire, fixed and check whether the smooth, 5 days course of treatment, the first 6 days dialing, the chemotherapeutic drugs and treatment interval by Qing Shi method. 2. Puncture techniques and precautions: 1 puncture point selection: stomach cancer after surgery can be left or right lower abdomen; right colon cancer can be selected after the left lower abdomen; left half