What Is Diagnostic Peritoneal Lavage?

Dispensing should not be too fast or too much. Patients with liver cirrhosis generally do not dispense more than 3000ml at one time. Excessive fluid discharge can induce hepatic encephalopathy and electrolyte disturbance. If it is a diagnostic puncture, a small amount of ascites can be drawn for examination purposes; it can be removed if it is used for treatment, and the maximum is generally not more than 5000ml.

Peritoneal puncture

Right!

Dispensing should not be too fast or too much. Patients with liver cirrhosis generally do not dispense more than 3000ml at one time. Excessive fluid discharge can induce hepatic encephalopathy and electrolyte disturbance. If it is a diagnostic puncture, a small amount of ascites can be drawn for examination purposes; it can be removed if it is used for treatment, and the maximum is generally not more than 5000ml.

Chinese name

Peritoneal puncture

Classification

surgery

1 . What are the precautions for the amount and degree of ascites?

, The discharge speed should not be too fast, if the discharge volume is large, you can place a sandbag with the abdomen to prevent heart dysfunction caused by increased blood volume.

2. What are the methods to prevent ascites from leaking along the puncture needle?

Stray puncture; butterfly tape fixed to close the needle path; massage the area for 1 to 2 minutes after operation;

3. Why closely observe the condition when putting ascites?

After a large amount of ascites, it can lead to imbalance of water and salt metabolism, loss of plasma proteins, and even collapse, shock, and hepatic encephalopathy.

4. How to choose the puncture point?

the intersection of the left lower abdomen umbilical cord and the anterior superior iliac spine at the middle and outer 1/3 intersections, where it is not easy to damage the abdominal wall arteries; There are no important organs here and it is easy to heal; lateral position, where the horizontal line of the umbilicus intersects the anterior or mid-axillary line, is often used for diagnostic puncture; a small amount of effusion, especially with encapsulation, must be performed at the B Position the puncture under the guidance.

5. Diagnostic abdominal puncture, withdrawing a whole blood sample, how to distinguish between intra-abdominal bleeding, or bleeding caused by the puncture itself?

Intraperitoneal hemorrhage does not condense blood due to the defibrinating effect of the peritoneum. The whole blood sample liquid can be placed on a glass slide for observation. If the blood coagulates quickly, most of the puncture needles accidentally puncture the blood vessels. If it does not coagulate, it is intra-abdominal bleeding.