Antrum Washout Via Polythene Tube

塑胶管冲洗上颌窦

Purpose

目的

To clear chronic maxillary sinusitis.

清洁慢性上颌窦炎。

Requisites

用品

• Sterile syringe
• 20 ml for adult
• 10 ml for 5-10 year old
• 5 ml for below 5 year old
• Sterile needle to fit polythene bag
• Sterile bowl
• Sterile gauze
• Receptacle for return mouth wash
• Sterile normal saline solution at body temperature
• Tissue paper
• Mouth wash
• Scissors
• Micropore tape or adhesive plaster
• Protective material
• Disposable bag

• 无菌注射器
• 成人20毫升
• 5－10岁儿童10毫升
• 5岁以下5毫升
• 与塑胶袋相配的无菌针头
• 无菌碗
• 无菌纱布
• 盛漱口液用的容器
• 无菌生理盐水
• 纸巾
• 漱口液
• 剪刀
• 微孔胶布或橡皮胶布
• 防护材料
• 一次性垃圾袋

Implentation

实施

1. Place the patient in upright position.

1、病人端坐。

2. Warm the solution to body temperature.

2、将漱口液温热至与体温相同。

3. Arrange the protective material around the shoulders.

3、肩头围上防护材料。

4. The doctor will perform the following:

4、医生：

• Instruct the patient to hold the receptacle under the chin. Instruct the patient to lean forward slightly with his mouth open.
• Fill the syringe with solution, attach the needle and expel air.
• Remove the tapes and gauze at ends of the polythene tubings.
• Attach the needle to the tube and instill the solution slowly. The fluid should drain by the natural action and into the receptacle.
• Continue the instillation until the return fluid is clear.
• Instruct the patient to blow his nose gently during and after the procedure.
• Wrap the end of polythene tube with gauze and plaster in position.

• 指导病人将容器置于颌下，身体微向前倾，张口。
• 注射器吸满漱口液，接上针头，排出注射器内空气。
• 取下塑胶管一端的胶布和纱布。
• 针头插进塑胶管，缓缓注入漱口液。让漱口液自然流出，流到容器内。
• 反复慢慢注入，直到流出液体变清。
• 操作时和操作后让病人轻擤鼻涕。
• 用纱布和胶布将胶管一端固定。

5. Observe for any complications during and after procedure:

• Swelling of the cheek or orbit.
• Severe pain.
• Evidence of haemorrhage.

5、操作时及操作后观察有无并发症：

• 面部或眼眶肿起
• 剧痛
• 出血迹象

6. Clean the patient’s face and give him a mouth wash.

6、清洁病人面部，漱口。

7. Leave the tissue paper for the patient to blow his nose gently.

7、备好纸巾供病人轻轻擤鼻涕用。

Record and report:

记录并报告：

1. Nature of the return fluid.

1、回收液体的性质。

2. Any swelling of the cheek or orbit, pain or evidence of haemorrhage.

2、面部或眼眶肿大、疼痛或出血。