What is a gallbladder needle
Sep 21, 2022
B ultrasound guided percutaneous transhepatic gallbladder puncture catheter drainage. The specific method was as follows: the patient was in the supine position, and the 7th and 8th intercostal skin of the right midclavicle line was disinfected under the guidance of B-ultrasound. After local anesthesia, a small incision of 0.13cm was cut into the skin, and the PTCD needle was threaded through the liver tissue and the gallbladder bed to the direction of the gallbladder. The purulent bile can be extracted by pulling out the needle core, and part of the bile can be taken for bacterial culture. Then the guide wire is threaded through the needle tube into the gallbladder for indwelling guide wire. The needle tube is pulled out, and the guide wire is inserted into the guide wire with a pigtail tube, and the tube is fed into the gallbladder 4-6 cm along the guide wire. Pull out the guide wire, fix the catheter on the skin, and connect the sterile bag. If bile is thick, usable physiological saline or metronidazole injects gallbladder, dilutive bile can be induced. PTGBD gallbladder puncture drainage was successful in all patients, with a maximum of 160ml and a minimum of 30ml of pus drainage. Biliary routine examination and culture, fixed drainage tube.
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