Te otinga whakararuraru o te endoscopy hauora i roto i te mate ohorere me te mate nui me te maimoatanga

1, Nga tikanga whakaora ora mo te whakaheke toto o te kopu

(1) Pūnaha Hemostasis Tere Endoscopic

Hemospray hemostatic paura rehu:

Tikanga Hangarau: Ko nga matūriki Titanate he arai miihini i runga i te mata o te toto, ka mutu te toto i roto i te 30 hēkona.

Raraunga haumanu: Ko te 92% te reeti whakahaere mo te whakaheke toto jet reanga Forrest Ia, e toru nga wa tere ake i nga riipene titanium tuku iho.

Neke atu i te Topenga Awhiowhio (OTSC):

Hoahoa maiuu Bear: Katia te pupuhi whewhe me te diameter o te 3cm (pērā i te Dieulafoy lesion), he iti iho i te 5%.

(2) AI te matapae morearea toto

Wā-tūturu hātepe tirohanga:

Pērā i te Tohu BLEED a Cosmo AI, ka tātai aunoatia te kaute Rockall ki ngā whakaahua endoscopic hei arahi i te kaupapa maimoatanga matua.

2、 Te maimoatanga iti rawa o nga mate ohorere

(1) ECMO i honoa me te bronchoscopy

Te pakaruhanga hangarau:

Ka whakamahia te ECMO kawe (pērā i te Cardiohelp) ki te pupuri i te hāora me te mahi horoi bronchoalveolar (BAL) hei tango i nga mono hūpē COVID-19.

Te uara haumanu: Te whakamana i te haumaru whakahaere i nga turoro me te PaO ₂ / FiO ₂<100mmHg (Lancet Respir Med 2023).

(2) Cryoprobe rererangi reanalization

Hangarau whakatio tere:

-40 ℃ te rangahau iti-mahana (pēnei i te ERBE CRYO2) ka whakamahia ki te whakatio i nga pukupuku ararere, me te nui o te toto o te<10ml (whakaritea ki te electrocautery>200ml).

3, Te wawaotanga endoscopic mo te mate pancreatic kino

(1) Ko te whakakore i te kopa necrotic (EUS-NEC)

Hangarau hou:

(2) Pūnaha horoi horoi peritoneal tonu

Te tuunga endoskopika o te catheter irrigation:

I raro i te arahi o te endoscopy hongere rua, ka aro turukihia te taumata amylase i roto i te wai horoi i roto i te waa.

4, tono Endoscopic i roto i te maimoatanga whawhati tata

(1) He hemostasis ohorere na roto i te thoracoscopy

thoracoscopy mārō kōhao kotahi:

Torotoro te rua o te uma me te tapahi 5mm, whakamahia te electrocoagulation ki te whakamutu i te toto, me te karo i te thoracotomy (pēnei i te Storz 26003BA).

Te tono rongoa a nga hoia: ka whakahekehia te wa whakahaere i te wharanga o te parekura ki te 15 meneti.

(2) Duodenoscopy mo te maimoatanga o te whara o te waahanga biliary

Tango kohatu ohorere ERCP+stent:

Ko te whakanohonga o te stent whakarewa kua kapi katoa i te wa e pokai ana mo te pakaru o te ngongo ngongo he 98%.

5 、 He otinga whakararu mo te aro turuki i te taha moenga ICU

(1) Whakanoho endoscopic Transnasal o ngongo putunga pekitīlia

Hangarau whakatere hiko:

Cortrak ® Ka whakaatuhia e te punaha te ara catheter i roto i te waa-pono, a, ko te tere o te urunga pokanoa ki te huarahi rererangi ka tautuhia ki te kore.

Te whakataurite o te tuunga X-ray: Kua whakahekehia te wa mahi mai i te 2 haora ki te 20 meneti.

(2) Micro cystoscopy mo te aroturuki i te mahi renal

10Fr cystoscope hiko:

Aroturuki tonu i te mana o te renal papillary ischemia o nga turoro tino mate (penei i te AKI e pa ana ki te sepsis).

6. Nga tohutohu hangarau a meake nei

(1) Nano hemostatic endoscope:

Ko nga matūriki nano aukume e mau ana i te thrombin, te mara autō e arahi ana i te embolization tika (te wa hemostasis whakamatautau kararehe<10 hēkona).

(2) Whakaterenga AR Holographic:

Ko te Microsoft HoloLens 2 e whakaatu ana i nga taunga e toru-ahu o te waahi o te pakaruhanga toto.

(3) Ko te stent ararere whakaheke:

Ko te scaffold rauemi polycaprolactone me uru ki roto i nga wiki e 4 kia kore ai e tangohia tuarua.

Ripanga Whakataurite Hua Haumanu

Nga whakaaro rautaki whakatinana

Tari ohorere: Ka tae mai he paerewa me te Hemofray+OTSC "Hemostasis Kit".

Pokapū Trauma: Hangaia he ruma whakahaere ranu (CT+endoscopic integration).

Te Arotahi Rangahau: Te whakawhanake i te punaha rehu endoscopic awhi koiora.

Ko enei hangarau kei te turaki i te endoscopy ohorere ki te waahi matua o te maimoatanga "haora koura" na roto i nga waahanga nui e toru: "whakautu taumata meneti, kaore he kino taapiri, me te tiaki i te mahi tinana". E matapaetia ana hei te tau 2027, e 50% o nga pokanga puku ohotata tuwhera ka whakakapihia e te endoscopy.