毫针操作异常情况处理及预防:断针

原因

针具质量欠佳，针根或针身有剥蚀损坏；行针时手法过重，肌肉强烈收缩；或患者体位改变，滞针和弯针现象未能及时正确处理等，均可造成断针。

Cause

This may result from the poor quality of the needle or eroded base of the needle, from too strong muscle spasm, or a sudden movement of the patient when the needle is in place, or from withdrawing a stuck needle.医.学 全在.线,提供www.med126.com

现象

针身折断，或部分针身尚露于皮肤之外，或针身残端全部没入皮肤之下。

Manifestations

The needle body is broken during manipulation and the broken part is below the skin surface or a little bit out of the skin surface.

处理

嘱患者不要紧张、乱动，以防断针继续向肌肉深层陷入，如残断部分针身尚露于体外，可立即用手指或镊子取出；如残断与皮肤相平，可按压针孔两旁，使断针暴露于体外，用镊子取出；如断针完全深入皮下或肌肉时，应在x线下定位，手术取出。

Management

When it happens, the patient should be told to keep calm to prevent the broken needle from going deeper into the body. If the broken part protrudes from the skin, remove it with forceps or fingers. If the broken part is at the same level of the skin, press the tissue around the site until the broken end is exposed, then remove it with forceps. If it is completely under the skin, surgery should be resorted with the help of x-ray to find out the exact location of the broken needle.

预防

认真检查针具，对不符合质量要求的针具应剔出不用。针刺不要将针身全部刺入，应留一小部分在体外。进针过程中，如发生弯针时，应立即出针，切不可强行刺入。当发生滞针、弯针时应及时正确处理，不可强行拔出。

Prevention

To prevent accidents, careful inspection of the quality of the needle should be made. Prior to the treatment, reject the needles which are not in conformity with the requirements specified. The needle body should not be inserted into the body completely, and a little part should be exposed outside the skin. On needle insertion, if it is bent, the needle should be withdrawn immediately. Never try to insert a needle violently.