Page 62 - วารสารปีที่16ฉบับที่2
P. 62
234
∑¥≈Õߧ√—Èß∑’Ë 12 (·ºπ¿“æ∑’Ë 1) ‚¥¬¡’√“¬≈–‡Õ’¬¥ “¬«—¥Õ¬Ÿà„À⢬“¬ÕÕ° ºŸâ«‘®—¬ºàÕ𠓬«—¥„Àâ‡≈◊ËÕπ
°“√«—¥º≈ ¥—ßμàÕ‰ªπ’È μ“¡°“√¢¬“¬μ—«¢Õß∑√«ßÕ°·≈–Õà“π§à“§«“¡¬“«
¢Õ߇ âπ√Õ∫Õ° ‡¡◊ËÕ¢¬“¬μ—«®π ÿ¥·≈â«∫—π∑÷°§à“‰«â
«—¥°“√¢¬“¬μ—«¢Õß∑√«ßÕ°
®“°π—Èπ„À⺟⇢â“√à«¡°“√«‘®—¬À“¬„®ÕÕ° ÿ¥ ºŸâ«‘®—¬
1) °“√¢¬“¬μ—«¢Õß∑√«ßÕ° à«π∫π μ√ß°—∫ ºàÕ𠓬«—¥„Àâ‡≈◊ËÕπμ“¡°“√¬ÿ∫μ—«¢Õß∑√«ßÕ°·≈–
th rd
√–¥—∫¢Õß 5 thoracic spinous process ·≈– 3 Õà“π§à“§«“¡¬“«¢Õ߇ âπ√Õ∫Õ°‡¡◊ËÕ∑√«ßÕ°¬ÿ∫μ—«
intercostal space at the midclavicle line (√Ÿª∑’Ë ®π ÿ¥·≈â«∫—π∑÷°§à“‰«â °“√§”π«≥§à“°“√¢¬“¬μ—«
1) ¢Õß∑√«ßÕ°§◊Õ §à“§«“¡¬“«¢Õ߇ âπ√Õ∫Õ°‡¡◊ËÕ
2) °“√¢¬“¬μ—«¢Õß∑√«ßÕ° à«π°≈“ß μ√ß ¢¬“¬μ—«®π ÿ¥≈∫§à“§«“¡¬“«¢Õ߇ âπ√Õ∫Õ°‡¡◊ËÕ
th
°—∫√–¥—∫¢Õß 7 thoracic spinous process ·≈– ∑√«ßÕ°¬ÿ∫μ—«®π ÿ¥ Àπ૬‡ªìπ‡´π쑇¡μ√ ∑”°“√«—¥
th
5 intercostal space at the midclavicle line 3 §√—Èß ·≈–À“§à“‡©≈’ˬ°“√¢¬“¬μ—«¢Õß∑√«ßÕ°
(√Ÿª∑’Ë 2) ·μà≈–√–¥—∫ ‚¥¬√–À«à“ß°“√«—¥·μà≈–§√—Èß®–„À⺟⇢â“
3) °“√¢¬“¬μ—«¢Õß∑√«ßÕ° à«π≈à“ß μ√ß°—∫ √à«¡°“√«‘®—¬æ—°Õ¬à“ßπâÕ¬ 20 «‘π“∑’ ·≈–°“√«—¥
th [1]
√–¥—∫¢Õß 10 thoracic spinous process ·≈– ·μà≈–√–¥—∫®–æ—°Õ¬à“ßπâÕ¬ 1 π“∑’
tip of xiphoid process (√Ÿª∑’Ë 3)
«—¥§«“¡·¢Áß·√ߢÕß°≈â“¡‡π◊ÈÕÀ“¬„®
‚¥¬«‘∏’°“√«—¥‡√‘Ë¡®“°„À⺟⇢â“√à«¡°“√«‘®—¬
À“¬„®ÕÕ°„Àâ ÿ¥ ®“°π—ÈπÀ“¬„®‡¢â“„Àâ‡μÁ¡∑’Ë ‚¥¬ 1) §à“·√ߥ—π Ÿß ÿ¥¢≥–À“¬„®‡¢â“‡¡◊ËÕÀ“¬„®
‡πâπªÕ¥ à«π∑’ËμâÕß°“√«—¥À√◊Õ∫√‘‡«≥μ”·Àπàß∑’Ë«“ß ÕÕ° Ÿß ÿ¥ (maximal inspiratory pressure at
·ºπ¿“æ∑’Ë 1 ¢—ÈπμÕπ°“√»÷°…“«‘®—¬