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Percutaneous carotid angiography Issues

Sheath. General penetrate artery = surface, and then slowly pull back the needle core needle - to retreat into a jet of blood glistening like a red needle when it is pushed up about 1 ~ 2cm, can be seen at this time moving the needle with the beat while the Air swing. Repeated several times inserting the needle core. To prevent the plug pins. Then pumping pads hit the pillow. Jing contrast diatrizoate with 76 7ml 3ml diluted with 5 grape culture, a total 1Dm】. Caught in the middle finger and index finger with his left hand needle, pull out the needle core, that is, to suppress rejection of the left thumb pins. 1 to prevent the blood spray. ● A ● ● ... ● ... ● ... ● ... ... ● ... ... ... ... ... ... ● ... ● ... ● ~ ... ● ... ● ● ● ... ● ... ... ● ... ● ● 4 - Kun Yi house waiting for the British, the amount of Che Cable and Yan Yuan House, Beijing, People's Medical Publishing research, International Journal of Dentistry Volume, i990; 17 (4), 219 Club, 1987 = 2136 greed Tian, recurrent oral cancer, immunological parameters measured in patients with sub-Xiao Yan Ha , Li Bingqi recurrent aphthous stomatitis pedal free learning fine roar Research and Analysis, Journal of Dental blog. 1983】 8 (3) l48 ⑦ Stomatology Vol 9, 1993, 3 the right hand thumb and index finger sandwiched contrast agent in the syringe (empty bubbles), quick release left thumb connected to the contrast agent,[link widoczny dla zalogowanych], which saw the influx of arterial blood syringes, contrast agents can be diluted a little.) Injection of contrast agent must be in the 2 to 3 seconds of its base into the x-ray films of the Ministry of shooting time to injection of contrast medium remaining 2 ~ 3m! Film is best when the first injection of lOml deleted digital projection imaging Jing film, the first second injection of the same Act lore! anteroposterior radiographic contrast agent tablets. Pull out the needle through Quine complete contrast. Day at the pin with the middle finger, ring finger pressure lO minutes to prevent hematoma formation. Clinical data - in this group n patients a percutaneous puncture of carotid angiography were successful. Developing clear, patients without adverse reaction. 11 down the central hemangioma in jaw 3 down, pay attention carotid body of monks in 6 cases,[link widoczny dla zalogowanych], 2 cases of cervical nerve sheath tumors. Typical cases: Case 1 Huang, male, 48, 1985 September 21 admitted. Pulsatile swelling on the left common carotid flail area for three years. Painless. Examination showed the right carotid triangle {a swollen closed about 3.5 × 3 × 3em, driving dynamic of a stroke, a compression, no tenderness. Medium hard texture, perimeter clear, Xin patient with arterial pulse sound, for the left common carotid artery body tumor diagnosed. Action pay attention angiography after admission. See the left common carotid angiography carotid pay attention inside and outside the bifurcation of fixed pay attention see the first level of 2,3 carotid and external carotid artery but wider spacing,[link widoczny dla zalogowanych], internal and external carotid artery, respectively, protruding curved backward and forward, was a transition type of the shadow, both inside and outside the neck arterial pressure shift of the curve, see the top of the prism film anteroposterior film, outside the soft tissue removed, see a more cautious circular shadow paste the abnormal blood vessels, the inner edge (carotid artery between the internal and external) see the blood vessels of a more direct impact, the proposed Fixed pay attention to the blood supply pharyngeal probe,[link widoczny dla zalogowanych], in line with left common carotid body tumor Activity socks (Figure 1.23). Figure J three patients with left action Xing Ren Rong District, about 3.5 × 3xacre swollen Figure 2 left common carotid angiography X-ray anteroposterior dynamic crisp types of film material in the carotid bifurcation on the Internal and External blind, arrow l shows mass, arrow 2 shows the puncture Xu needle left in Figure 3 X-ray imaging of total fixed air f | j-bit chip in the anesthesia left common carotid artery body tumor resection, postoperative intensive management diagnosis: carotid body tumor pay attention. Back 2 square one, man. 27,[link widoczny dla zalogowanych], 18 March 1982 u hospitalized, two-shabu Ying, the swelling of caries zone in 2o years, about l6 × 4.5 × 4cm large. Ill-defined, can be beat, there is compression, swelling of the right to be the next area rather than the clinical diagnosis of bilateral decadent, the Jie racemose hemangioma under the area, right lower retort vessel bridle central bone. Carotid angiography is lateral display right mandible vascular significant expansion bend, there have been a small point-like shadow, flesh, the leading soft tissue imaging Jing filling, consider the static and dynamic blind fistula, surgery confirmed soft tissue and bone tissue hemangiomas connected. Example 3 Xiemou, male, 34 years old, July 20, 1988 admission, painless mass in the right neck four years. Check the blind see right carotid triangle, there was a 3 × 2cra large mass, mass medium hard, boundary Yi, the surface smooth, stroke movement, no tenderness, can move back and forth. Diagnosed as (1), right carotid artery aneurysms pension (2) the right cervical nerve sheath tumors. Mi see right carotid angiography proximal internal carotid artery thickening (1.1Scm), larger than the common carotid Activity Mi (0_9cm), neck and neck within the dynamic gap chant outside the bifurcation point of moving to increase, but the neck and External There were no limitations narrowed arc pressure trace. The remaining vessels were normal in size and shape to the location, operation, see Crawford artery tumor is located at the bottom of the neck sub-Yao Xia Department. Pathologic Diagnosis: nerve sheath tumors. Discussed directly with the needle puncture the common carotid artery or external carotid artery. Method is simple, without special equipment and special equipment. Head and neck hemangiomas and arteriovenous malformation, hard membrane or outside of the hematoma aiming the identification, understanding of head and neck tumors 149
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