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[儿科标本采样程序]

[The procedures for sampling specimens in pediatrics].

作者信息

Yumoto Yuko

出版信息

Rinsho Byori. 2014 Aug;62(8):766-74.

Abstract

Methods to obtain specimens from children are invasive, and the procedures require skill. Because children are smaller and weaker than adults, the procedures often become difficult. The equipment for the procedures must be chosen based on the physical constitution of the patient. In addition, pediatric patients often do not cooperate with procedures, and so restraint of the patient is extremely important. It is particularly important when obtaining specimens from small neonates and infants, after establishing the minimum quantity of specimens, to choose an appropriate procedure. Because the state of the patient may change suddenly during procedures, staff present during the procedure must always confirm vital signs, and prepare for breathing and circulation management. Pediatricians frequently perform blood sampling, urine collection, and cerebrospinal fluid collection in daily clinical consultation. These techniques are introduced in this report.

摘要

从儿童获取标本的方法具有侵入性,且操作需要技巧。由于儿童比成人更小、更虚弱,这些操作往往会变得困难。操作设备必须根据患者的身体状况来选择。此外,儿科患者通常不配合操作,因此对患者的约束极为重要。在从小新生儿和婴儿获取标本时,在确定标本的最小量后选择合适的操作尤为重要。由于患者的状态在操作过程中可能突然变化,操作过程中的工作人员必须始终确认生命体征,并做好呼吸和循环管理的准备。儿科医生在日常临床会诊中经常进行采血、尿液采集和脑脊液采集。本报告将介绍这些技术。

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