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目的用一次性注射器胸骨穿刺诊断小儿血液病。方法患儿仰卧位,充分暴露前胸,局部常规消毒,铺洞巾,取胸骨角部位(即第二肋骨对应处),用左手指置于胸骨上窝,食指与拇指沿胸骨两缘绷紧皮肤,右手持5mL一次性注射器(呈握笔状)以与胸骨角45°刺入,有落空感,即同时抽取骨髓液0.1~0.2mL后连同注射器针头拔出,速将骨髓液推在玻片上,风干送检。针刺部位敷以无菌纱布固定后按压30min。结果93%一次穿刺成功,5%二次穿刺成功,2%穿刺失败。结论用一次性注射器行胸骨穿刺无需局麻,安全可靠,痛苦小,成功率高。
Objective To diagnose pediatric hematological diseases with a disposable syringe sternum puncture. Methods The supine position was fully exposed in the supine chest. Local disinfection was performed by local routine. The sternum was placed at the angle of the sternum (corresponding to the second rib) with the left finger on the suprasternal fossa. The index finger and thumb were tightened along the sternum Skin, the right hand hold 5mL disposable syringe (pen-shaped) to pierce with the sternal angle of 45 °, there is a sense of loss, that is, while taking bone marrow 0.1 ~ 0.2mL syringe needle together, the speed of bone marrow fluid pushed in the glass On-chip, air-dried submission. Acupuncture site deposited sterile sterile gauze press 30min. The results of a successful puncture 93%, 5% successful second puncture, puncture failure 2%. Conclusion With a disposable syringe for sternal puncture without local anesthesia, safe, reliable, less painful and high success rate.