Contraindications for diagnostic abdominal puncture

Diagnostic abdominal puncture can detect a wide range of diseases, especially gastrointestinal perforation, pancreatitis or cholecystitis. After decades of use, the body is bound to have more or less problems. The way to diagnose problems with our internal organs is to use this high-tech method to detect and treat, so that more accurate data can be obtained.

Indications:

1. Clarify the nature of peritoneal effusion and assist in diagnosis;

2. Drain the appropriate amount of ascites to reduce the patient's intra-abdominal pressure, relieve abdominal distension, chest tightness, shortness of breath, dyspnea and other compression symptoms, reduce venous return resistance and improve blood circulation;

3. Closed abdominal injury, suspected internal bleeding, such as spleen rupture, ectopic pregnancy, etc., to determine whether there is blood or pus accumulation; unexplained shock after trauma

4. Intraperitoneal administration, such as intraperitoneal administration for patients with abdominal infection, peritoneal tuberculosis, and peritoneal metastasis of tumors

5. Inject a certain amount of air (artificial pneumoperitoneum) to increase abdominal pressure, raise the diaphragm, indirectly compress the two lungs, and promote the healing of lung cavities. When there is massive bleeding in tuberculosis cavities, artificial pneumoperitoneum can be used as a hemostatic measure.

6. Differentiate diffuse peritonitis caused by gastrointestinal perforation, pancreatitis, cholangitis, cholecystitis, etc.

7. Ascites reinfusion

Contraindications:

1. Restless and uncooperative people

2. Premonitions of hepatic encephalopathy

3. Severe electrolyte imbalance, such as hypokalemia

4. Extensive adhesions and masses in tuberculous peritonitis

5. Hydatid disease

6. People with giant ovarian cysts

7. Obvious bleeding tendency

8. Mid- to late-pregnancy

9. People with intestinal paralysis and obvious abdominal bloating

10. Full bladder, no catheterization

11. Those who can be diagnosed by general methods

When performing abdominal puncture, you must make a clear diagnosis to see whether you have any of the above conditions. Whether abdominal puncture can be performed must be based on the doctor's judgment. Do not act on your own. In short, abdominal puncture is a complex technique. If patients have symptoms of ascites, they must go to a regular hospital for treatment and avoid blindly taking medication or believing in folk remedies.