Preoperative Preparation Of Liver Biopsy Needle

(1) Before puncture, blood pressure and pulse should be measured and chest X-ray examination should be performed to observe whether there is emphysema and pleural hypertrophy, and blood type should be tested for blood transfusion if necessary. Diazepam 10 mg can be taken 1 hour before surgery.

(2) The platelet count, bleeding time, coagulation time, and prothrombin time should be checked before surgery. If there is any abnormality, vitamin Kllom9 should be injected intramuscularly, once a day, and rechecked after 3 days. If it is still abnormal, the puncture should not be forced ( For those whose prothrombin time does not meet the conditions for puncture, 2-3u of fresh frozen plasma should be given before surgery; platelet transfusion should be given for those with low platelets). >>>>Recommended reading: What are the inspection items for hepatitis B patients

(3) Explain the purpose of the puncture to the patient and practice the breath-holding method (hold the breath for a moment at the end of the deep exhalation). For those with cough, codeine 0.039 was administered 1 hour before surgery.

(4) Supplies preparation: sterile liver biopsy bag, high elastic abdominal belt, sterile gloves, 2% lidocaine, normal saline, specimen fixative, etc. The operator should be familiar with the operating procedures and carefully examine the instruments.

(5) Inquire about the medical history and medication situation in detail. If anticoagulants are used, they should be discontinued at least 72 hours before puncture.

The results of histopathological examination of liver biopsy can provide a diagnostic basis for various liver diseases or unexplained hepatosplenomegaly, help to confirm, supplement or correct clinical diagnosis, help to detect liver fibrosis and early cirrhosis, and also help To judge the treatment effect and prognosis, and understand the evolution of the disease. In addition, liver biopsy biopsy is also a treatment. In patients with liver abscesses, pus can be extracted through a liver biopsy, and drugs can be injected through a puncture needle.

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