METHOD thoracic duct cannulation (3 variants)

摘要

1.method u043au0430u043du044eu043bu00a0u0446u0438u0438 thoracic duct, u0437u0430u043au043bu044eu0447u0430u044eu0449u0438u0439u0441u00a0 that cuts through the skin and u043fu043eu0434u043au043eu0436u043du0443u044e u043au043bu0435u0442u0447u0430u0442u043au0443 in the left clavicle, u0440u0430u0437u0434u0435u043bu00a0u044eu0442 u0433u0440u0443u0434u0438u043du043du0443u044e and u043au043bu044eu0447u0438u0447u043du0443u044e part u043au0438u0432 u0430u0442u0435u043bu044cu043du043eu0439 muscle blunt and sharp way to reveal the venous angle, an internal u00a0u0440u0435u043cu043du043eu0439 and abigail vein, u0432u044bu0434u0435u043bu00a0u044eu0442 thoracic duct.cut the wall of duct and u0432u0432u043eu0434u00a0u0442 in this cut one end growth of polymer material, a second end surface which u0437u0430u043au0440u0435u043fu043bu00a0u044eu0442 skin picking up u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 with hem, so that the wound suture thread stitches put u043eu0431u0432u0438u0432u043du043eu0439 duct, a little u043fu043eu0434u0442u00a0u0433u0438u0432u0430u044eu0442 her u0434u043bu00a0 sealing duct around the growth and u0432u044bu0432u043eu0434u00a0u0442 on and the end of the filament through the incision of skin, which u0443u0448u0438u0432u0430u044eu0442,a thread u0437u0430u0432u00a0u0437u044bu0432u0430u044eu0442 on u043cu0430u0440u043bu0435u0432u043eu043c ball on the surface of the skin, after which the u043fu0440u043eu0432u043eu0434u00a0u0442 detoxified lymph, and after this course u043bu0435u0447u0435u043du0438u00a0 captures suture are given the possibility u043eu043au043eu043du0447u0430u043du0438u00a0 u0437u0430u044eu0442, cannula have a u043eu0431u0432u0438u0432u043du043eu0433u043e suture further u0437u0430u0442u00a0u0433u0438u0432u0430u044eu0442 and u0437u0430u0432u00a0u0437u044bu0432u0430u044eu0442 on u043cu0430u0440u043bu0435u0432u043eu043c ball on the surface of the skin prior to u0437u0430u0436u0438u0432u043bu0435u043du0438u00a0 wounds, after which the bat it is used to sever and remove.;2. method u043au0430u043du044eu043bu00a0u0446u0438u0438 thoracic duct in 1, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 because of u043eu0431u0432u0438u0432u043du043eu0433u043e stitches on both end of the thoracic duct passed through the turnstile, which u0440u0430u0437u043cu0435u0449u0430 s under the skin, and the end of u0432u044bu0432u043eu0434u00a0u0442 out through an incision in the skin, then the ends of the u0437u0430u0432u00a0u0437u044bu0432u0430u044eu0442 on u043cu0430u0440u043bu0435u0432u043eu043c ball on the surface of skin.;3. method u043au0430u043du044eu043bu00a0u0446u0438u0438 thoracic duct on the u043fu043f.1 and 2, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 because of u043eu0431u0432u0438u0432u043du043eu0433u043e thoracic duct one end of which is passed through the turnstile, and second to identified on its outer wall, after which the ends of the u0437u0430u0432u00a0u0437u044bu0432u0430u044eu0442 node directly to the wall u0442u0443u0440u043du0438u043au0435u0442u0430.;4. method u043au0430u043du044eu043bu00a0u0446u0438u0438 thoracic duct on p.1, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 the cut wall above and below the breast duct growth and stitches - u0434u0435u0440u0436u0430u043bu043au0438 individual u043du0438u0442u00a0u043cu0438, each of which is passed through a t u0443u0440u043du0438u043au0435u0442 turnstiles, and is placed under the skin, and the ends are released outside through the turnstiles skin incision and thread u0432u044bu0445u043eu0434u00a0u0449u0438u0435 of turnstiles, u0437u0430u0432u00a0u0437u044bu0432u0430u044eu0442 on u043cu0430u0440u043bu0435u0432u044bu0445 balloon oh on the surface of the skin, each on his own.;5.method u043au0430u043du044eu043bu00a0u0446u0438u0438 thoracic duct, u0437u0430u043au043bu044eu0447u0430u044eu0449u0438u0439u0441u00a0 that cuts through the skin and u043fu043eu0434u043au043eu0436u043du0443u044e u043au043bu0435u0442u0447u0430u0442u043au0443 in the left clavicle, u0440u0430u0437u0434u0435u043bu00a0u044eu0442 u0433u0440u0443u0434u0438u043du043du0443u044e and u043au043bu044eu0447u0438u0447u043du0443u044e part u043au0438u0432 u0430u0442u0435u043bu044cu043du043eu0439 muscle blunt and sharp way to reveal the venous angle, an internal u00a0u0440u0435u043cu043du043eu0439 and abigail vein, u0432u044bu0434u0435u043bu00a0u044eu0442 thoracic duct.cut the wall of duct and u0432u0432u043eu0434u00a0u0442 in this cut one end of the first growth of polymer materials, which are in this perspective by u043du0430u043bu043eu0436u0435u043du0438u00a0 circle u043eu0432u043eu0439 ligating the thoracic duct wall, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 so that the front wall inner u00a0u0440u0435u043cu043du043eu0439 veins and u043au0438u0441u0435u0442u043du044bu0439 stitch in his heart to reveal the vein and in the light u0432u0432u043eu0434u00a0u0442 one end of the second growth of polymer materialand provide the length of thoracic duct and the inner struggle of u00a0u0440u0435u043cu043du043eu0439 veins of other ends of both u043au0430u043du044eu043bu044c not more than 3.5 cm, then the u0441u043eu0435u0434u0438u043du00a0u044eu0442 so on u0431u0440u0430u0437u043eu043c that he end of the first growth was in the end of the second growth, educated in this loop is placed under the skinafter the wound u0443u0448u0438u0432u0430u044eu0442 and all u043eu0441u0442u0430u0432u043bu00a0u044eu0442 that u0441u043eu0441u0442u043eu00a0u043du0438u0438 to u043du0430u0441u0442u0443u043fu043bu0435u043du0438u00a0 moment u043fu0440u043eu0432u0435u0434u0435u043du0438u00a0 course detoxifying lymph, which u043fu0440u043eu0438u0437u0432u043eu0434u00a0u0442 incision of skin in the area the six loops, the loop have the ends u043au0430u043du044eu043bu044c u0440u0430u0437u044au0435u0434u0438u043du00a0u044eu0442 and u0443u0434u043bu0438u043du00a0u044eu0442 u043au0430u0442u0435u0442u0435u0440u0430u043cu0438 from polymer materials, then through the first cannula u043eu0441u0443u0449u0435u0441u0442u0432u043bu00a0u044eu0442 u0437u0430u0431u043e r of lymph and u043fu0440u043eu0432u043eu0434u00a0u0442 her detoxing.in the second u043fu0440u043eu0438u0437u0432u043eu0434u00a0u0442 treated lymph venous return cannula track, and after the u043eu043au043eu043du0447u0430u043du0438u00a0 procedure again u0441u043eu0435u0434u0438u043du00a0u044eu0442 ends u043au0430u043du044eu043bu044c loop housed and educated under the skin, and wound u0443u0448u0438u0432u0430u044eu0442.;6. method u043au0430u043du044eu043bu00a0u0446u0438u0438 thoracic duct in clause 5, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 so that the protruding ends u043au0430u043du044eu043bu044c u0441u043eu0435u0434u0438u043du00a0u044eu0442 via elastic tube with a one-way valve, u043fu0440u043eu043fu0443u0441u043au0430u044eu0449u0438u043c the flow of lymph from the thoracic duct in the same direction, in vienna, with the loop with the elastic pipe are under the skin, and the subsequent u0434u043bu00a0 lymph detoxification u043fu0440u043eu0438u0437u0432u043eu0434u00a0u0442 elastic tubes by puncture needle through the skin.;7.method u043au0430u043du044eu043bu00a0u0446u0438u0438 thoracic duct, u0437u0430u043au043bu044eu0447u0430u044eu0449u0438u0439u0441u00a0 that cuts through the skin and u043fu043eu0434u043au043eu0436u043du0443u044e u043au043bu0435u0442u0447u0430u0442u043au0443 in the left clavicle, u0440u0430u0437u0434u0435u043bu00a0u044eu0442 u0433u0440u0443u0434u0438u043du043du0443u044e and u043au043bu044eu0447u0438u0447u043du0443u044e part u043au0438u0432 u0430u0442u0435u043bu044cu043du043eu0439 muscle blunt and sharp way to reveal the venous angle, an internal u00a0u0440u0435u043cu043du043eu0439 and abigail vein.u0432u044bu0434u0435u043bu00a0u044eu0442 thoracic duct and u043bu0438u043cu0444u043eu0432u0435u043du043eu0437u043du043eu0435 u0441u043eu0443u0441u0442u044cu0435 and u0432u0432u043eu0434u00a0u0442 thoracic lymph duct one end of growth through vein and u043bu0438u043cu0444u043eu0432u0435u043du043eu0437u043du043eu0435 u0441u043eu0443u0441u0442u044cu0435, second end over in u0432u044bu0432u043eu0434u00a0u0442 on the skin surface and picking up, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0, through an incision in the wall of thoracic lymph duct u0432u0432u043eu0434u00a0u0442 metal probeu043fu0440u043eu0432u043eu0434u00a0u0442 on the aqueduct through the u043bu0438u043cu0444u043eu0432u0435u043du043eu0437u043du043eu0435 u0441u043eu0443u0441u0442u044cu0435 and u0432u044bu0432u043eu0434u00a0u0442 through an incision in the wall of the vein u0441u043eu0435u0434u0438u043du00a0u044eu0442 abigail, with one end of a polymer material and growth u043fu0440u043eu0442u0430u0441u043au0438u0432u0430u044eu0442 back to the incision in the wall of thoracic lymph duct, where the probe u043eu0442u0434u0435u043bu00a0u044eu0442 on growth and u0443u0434u0430u043bu00a0u044eu0442 and the cannula u043fu0440u043eu0432u043eu0434u00a0u0442 next to the aqueduct in parties from the chest cavityu0444u0438u043au0441u0438u0440u0443u00a0 in place the most intensive u043bu0438u043cu0444u043eu0438u0441u0442u0435u0447u0435u043du0438u00a0, after which the wound in the thoracic duct u0443u0448u0438u0432u0430u044eu0442 contact, u043au0438u0441u0435u0442u043du044bu0439 seam in the wall of the vein u0437u0430u0442u00a0u0433u0438u0432u0430u044eu0442 and after windows in the end of u0447u0430u043du0438u00a0 detoxifying lymphatic growth in height of breast duct u0432u0432u043eu0434u00a0u0442 line conductor to the internal end of the growth, and the fishing line guide in the inland u043fu0440u043eu0441u0432u0435u0442u0443 diameter growth.after which the cannula have the end rings and the conductor line is placed under the skin in the u043fu043eu0434u043au043eu0436u043du0443u044e is u043au043bu0435u0442u0447u0430u0442u043au0443, wound on the skin and in the u043eu0441u0442u0430u0432u043bu00a0u044eu0442 u0443u0448u0438u0432u0430u044eu0442 com the situation to u043fu0440u043eu0432u0435u0434u0435u043du0438u00a0 ordinary course of lymphatic detoxification.before the end of the line is a u0441u043au0440u0443u0447u0435u043du043du044bu0439 gets through u043cu0438u043au0440u043eu0440u0430u0437u0440u0435u0437 on the skin and on the fishing line - conductor u0432u0432u043eu0434u00a0u0442 new cannula to place the most intensive l u0438u043cu0444u043eu0438u0441u0442u0435u0447u0435u043du0438u00a0, u0437u0430u043au0440u0435u043fu043bu00a0u044eu0442, a line conductor u0443u0434u0430u043bu00a0u044eu0442.