留取痰标本的方法及注意事项 2007年第19卷第3期 39康复网 医源世界（Methods and precautions for the collection of sputum specimens from the world of rehabilitation network, no. 3, no. 3, 2007）

留取痰标本的方法及注意事项 2007年第19卷第3期 39康复网 医源世界（Methods and precautions for the collection of sputum specimens from the world of rehabilitation network, no. 3, no. 3, 2007） 留取痰标本的方法及注意事项 2007年第19卷第3期 39康复网 医源世界(Methods and precautions for the collection of sputum specimens from the world of rehabilitation network, no. 3, no. 3, 2007) Methods and precautions for the collection of sputum specimens from | medical source world journal | medical source world journal | traditional | full-station search in 2007 Ancient books | gallery | disease | English | hotchpotch | PPT | clinical | Site Map online medical encyclopedia Information economy, medical and medicine life information, education Chinese medicine full text search began to search the medical dynamic | food safety | health news | world news | industry dynamic | clinical bulletin | Economic news: | medical device | economy news | pharmaceutical market dynamic | industry analysis news | dynamic | global | appliance | logistics | capital |0 marketing |0 marketing |1 management |1 management |2 media | industry analysis | pharmaceutical city dynamic | pharmaceutical market analysis | raw materials | food | health products | cosmetic medicine, |0 medical treatment guide |0 medical treatment guide |1 disease topic | medicine | medical dynamic | medical dynamic | test | first aid | nursing | clinical letters, | clinical letters, |0 and |1 family medicine box |1 | food safety, |, | pharmaceutical market, | pharmaceutical market, |, |, |, |, |, |, |, |, |, |, |, |, |, |, |, |, |, |, |, |, |, |, |, |, |, |, |, |, BBB |, |, |, |, |, |, |, |, |, |, |1, |1, |1, |1, |1, |1, |1, |1, |1, |1 | pharmacology research | pharmacology research | good side of | medicine new use | GAP research | pharmacopoeia | Chinese herbal medicine |0 Chinese herbal medicine effective ingredients |1 Chinese traditional Chinese medicine protection varieties BBB 13 | medical paper | online journal | online journal | medical paper | medical library |0 | Chinese medicine dictionary | TCM dictionary | medical dictionary | GAP research | great selection of | for | and | for | medicine, | pharmaceutical market, | pharmaceutical market, | pharmaceutical market, | pharmaceutical market, |, |, | pharmaceutical market, | pharmaceutical market, | pharmaceutical market, | pharmaceutical market, | | TCM clinical bulletin | Chinese traditional Chinese medicine (|) traditional Chinese medicine (|) TCM (|) traditional Chinese medicine (|) traditional Chinese medicine Current location: > medical database > online journal > online journal >, >, no. 3, 2007, no. 3, > Methods and precautions for the collection of sputum specimens Source: China national health medicine author: han song 2008-5-29 Abstract: [key words] phlegm preparation methods note that sputum is the secretion produced by trachea, bronchial, alveoli. Therefore, sputum examination is important, and the accuracy of the examination results is closely related to whether the collection of sputum specimens is correct. On the basis of summarizing the actual work experience of many years, the author has taken some information and summarized the methods and precautions of sputum specimens as follows: 1. Collect containers according to the purpose of inspection. The usual containers have colorless and transparent plastic... Special recommendation: clinical bulletin pharmaceutical market dynamic illegal advertising health insurance dynamic drug price flu epidemic health common sense health care reform dynamic [key words] phlegm preparation method Sputum is secretion of the trachea, bronchi, alveolar produced under normal circumstances this little secretion, pathological conditions, such as lung inflammation, tuberculosis, tumour, sputum volume increased, and has the character, composition change. Saliva and nasopharyngeal secretions can be mixed into phlegm, but not part of phlegm. Significance of sputum examination: to assist in the diagnosis of certain respiratory diseases, such as asthma, bronchiectasis, etc. The diagnosis of certain respiratory diseases, such as tuberculosis, lung cancer, lung sucking insects, etc. To observe curative effect and prognosis, such as phlegm and character change. Therefore, sputum examination is important, and the accuracy of the examination results is closely related to whether the collection of sputum specimens is correct. On the basis of summarizing the actual work experience in the past years, the author has taken some information and summarized the methods and precautions of sputum specimens as follows: 1 Collect containers for inspection purposes, and the usual containers have colorless and transparent phlegm mugs and wide-mouth glass bottles, instead of cardboard boxes or colored glass bottles or dirty glass bottles. Containers should be clean, dry, not foreign, sewage, etc. If 24 hours of sputum is collected, use a wide-mouthed glass bottle containing antiseptic, such as sputum smear for bacteriological examination or for phlegm cultivation, the application of sterilized containers. The outer wall of the container is labeled with a label indicating the patient's section, bed number, name, etc. 2 respiratory diseases include more infectious diseases, such as tuberculosis and influenza, mainly through air, droplets and dust. Therefore, the nurse should be clean and tidy, wear the mask carefully, and protect herself, so as to avoid the infection in the hospital. 3 should be carefully check the specimen when apply for project number, patient name, bed, etc., and patience to explain the purpose of inspection to the patients, importance and phlegm method, in order to obtain the patient's trust and cooperation, it is difficult to take to the qualified samples. 4 acquisition time generally better in the morning, and the value of the first phlegmy, due to the accumulation of overnight, general morning sputum volume more, sputum bacteria, fall off or more cells, and thus can improve the positive rate of examination. When leaving phlegm, the patient should be instructed to rinse mouth with water and rinse with water after brushing, to reduce the chance of oral cavity and debris pollution. Otherwise, the real pathogenic bacteria are not cultivated, and the bacteria can be produced, which can lead to misdirection of diagnosis and treatment. 6 For patients with sputum when told breath deep, cough on the exhale, and instructed its as far as possible out of the depths of the trachea of sputum, nurses can help patients slap their back, make the attached to the trachea, bronchi, alveolar walls of sputum is loose, fall off, easy eduction. When spitting, should try to prevent saliva and nasopharyngeal secretion, and timely send the inspection. 7 for patients with less or no phlegm, sputum volume physiological saline can be warming up to 45 ? or so after ultrasonic atomization inhalation, make phlegm liquid thin and increased sputum volume and easy to discharge, often can reach the purpose. 8 In patients with bronchiectasis or pulmonary abscess, there is a somatic drainage and different positions are taken according to the lesion site. The principle is to put the diseased lungs at a high position, causing the bronchial openings to open downward for about 15 ~ 30 minutes, while the position of the drainage is intermittent after breathing with a hard cough, while the patient is patting the affected part with the hand. Can improve the drainage effect [1], to the satisfactory sputum samples. 9 Patients with sputum nurses should observe patients' facial expression, breath, pulse system changes, such as more patients with sputum volume will gradually produce sputum, should be paid attention to in order to prevent the excessive sputum volume and suffocation, also should pay attention to avoid excessive increase in breathing, circulation system, the physiological burden of patients and accident [2]. 10 If the tuberculosis bacilli is to be examined from sputum, and the amount of sputum is low, the positive rate of the test can be improved by the method of collecting bacteria. For this purpose, 24 hours of sputum can be collected with a colorless, wide-mouthed glass bottle. The patient should be told not to mix the saliva, nasal fluid, etc., and place the container in a cool and clean place. The container needs to be covered. 11 for bacteria or fungi cultivation such as sputum don't inspection immediately, should be put into the refrigerator of 4 ? storage, in order to reduce bacterial growth such as [2]. 12 If want to seek cancer cell in phlegm fluid, try to choose from alveolar, the blood silk phlegm, gray white phlegm, transparent mucus phlegm. Because cancer cells are prone to self-dissolution, should be checked immediately, also can be used 95% alcohol or 10% formaldehyde is fixed hind send check [4]. 13 Coma patients with sputum culture specimen collection, can be cleared first oral secretions, reoccupy sputum suction pipe external 50 ml syringe pump and then into the container, or use the attractor drain, the attractor tubule middle special sterile bottles, sterile bottle tube and a small opening on one side, one of the tube by sputum suction tube, the other end of the attractor, start the sputum aspirator after [3] was sucked into the bottle. 14 At present, the common sputum specimen is adopted, and the sputum can be contaminated with the colonization of the throat department, and the actual value of the sputum microbiology examination is limited. If via tracheal cricothyroid membrane puncture or by flexible bronchoscopy mirror pollution prevention double pipe brush sampling, can prevent throat send colonization bacteria pollution, the diagnosis and drug selection of microbial infection causes to the lungs have important value [4]. But the above methods have some traumatic and dangerous and have not been widely used. To sum up, whether patients with matching, collection containers are appropriate, whether to return by pollution, sputum specimen is typical, inspections in a timely manner, etc., is a return of sputum specimens should be pay attention to the problem. [reference] "[1] niu. Internal science [M]. Edition 4. People's health press, 1996:41. Ba.j., "microbiology," [M]. Microbiology and technology [M]. [3] yu aizhen. Basic nursing [M]. First edition. Jiangsu science and technology press, 1985:453-154. Author's unit: new station tuberculosis hospital of jilin city, jilin jilin 132506 Extended reading: The method of collecting sputum specimen by electric suction device in artificial airway During mechanical ventilation in treating acute respiratory failure patients, the clinical commonly used artificial airway, tracheal intubation and tracheostomy to establish an open airway can cause respiratory tract secretions increase, bacterial growth risk increased, in order to cooperate with the clinical diagnosis and treatment is often needed to return sputum specimens. We present a simple method for collecting sputum samples through an electric attractor. As shown in figure 1. 1) operation method (1) prodrome: the sputum viscous is not easy to suck out the person can give atomization inhalation, turn over the back, To facilitate sputum aspiration. (2) the pipes are tightly connected, turn on the power switch, control the negative pressure sucking sputum, the adult pressure is no more than 250mmHg, and the sputum is directly entered into the sterile sealing bottle. (3) if 24h sputum specimens are to be retained, the drainage bottle can be kept 24h. 2 advantages (1) the collection of sputum specimens is applicable to sputum culture examination, and the extraction of sputum specimen device is basically sterile, which can avoid the pollution caused by other sputum method to sputum. This kind of electric sucking... > > details How do I take urine samples Urination is a common test, and it is part of a systemic disease review. In addition to common urinary system diseases (kidney, renal pelvis, bladder, urethral disease, inflammation, tumor, stone), it is also used to check the reference of diseases such as diabetes, liver disease and blood diseases. Sometimes it is important to check your urine if you have a pregnancy test. It is usually good to have the first urine in the morning, the most concentrated urine in the morning, and the amount of urine and composition is stable. The urine bottle will go to the laboratory for collection. If you are looking for an empty bottle, be sure to clean it up. Don't take a bottle and send it away, which will affect the results. When collecting urine, you should urinate on the outside, then take about 20 ml, and the urine is not enough for examination (such as checking the urine for a certain amount of urine). If an empty stomach is checked, it must be the first urine before breakfast. If you check the urine sugar, protein, urchin, etc., it is better to collect the urine from 2 to 3 hours after the meal... > > details 0 Top of the Related topic: patient with specimen method Double-click to restore normal display [return to the top] [print this article] [put in a collection clip] [collect to sina] [publish comments] - Related content has been updated to recommend book recommendations The import of fruit label hides the mystery machine expert to call the beginning of the 5 bit code gm British scientists are using brain scans for the first time to communicate with a vegetative state The WHO recommends fruit and vegetable charts How does chicken conquer the world American scientists created artificial jellyfish from mouse heart cells How do you have a good life? 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