CN106994036A - Auxiliary guide rail and piercing method are punctured between lumbar vertebrae - Google Patents
Auxiliary guide rail and piercing method are punctured between lumbar vertebrae Download PDFInfo
- Publication number
- CN106994036A CN106994036A CN201710358960.9A CN201710358960A CN106994036A CN 106994036 A CN106994036 A CN 106994036A CN 201710358960 A CN201710358960 A CN 201710358960A CN 106994036 A CN106994036 A CN 106994036A
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- China
- Prior art keywords
- hole
- guide rail
- auxiliary guide
- lumbar vertebrae
- punctured
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 238000000034 method Methods 0.000 title claims abstract description 23
- 238000009593 lumbar puncture Methods 0.000 claims abstract description 25
- 230000008569 process Effects 0.000 claims abstract description 6
- 238000004659 sterilization and disinfection Methods 0.000 claims abstract description 4
- 229910017435 S2 In Inorganic materials 0.000 claims 1
- 230000008901 benefit Effects 0.000 abstract description 3
- 238000010276 construction Methods 0.000 abstract description 3
- 206010002091 Anaesthesia Diseases 0.000 description 6
- 230000037005 anaesthesia Effects 0.000 description 6
- 238000002347 injection Methods 0.000 description 5
- 239000007924 injection Substances 0.000 description 5
- 230000006872 improvement Effects 0.000 description 4
- 230000000694 effects Effects 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 210000001175 cerebrospinal fluid Anatomy 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 238000007689 inspection Methods 0.000 description 2
- 238000007913 intrathecal administration Methods 0.000 description 2
- 239000000243 solution Substances 0.000 description 2
- 241001448725 Endorchis Species 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 235000018259 Solanum vestissimum Nutrition 0.000 description 1
- 240000002825 Solanum vestissimum Species 0.000 description 1
- 206010049654 Spinal cord infection Diseases 0.000 description 1
- 208000032851 Subarachnoid Hemorrhage Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000003444 anaesthetic effect Effects 0.000 description 1
- 230000000118 anti-neoplastic effect Effects 0.000 description 1
- 230000003115 biocidal effect Effects 0.000 description 1
- 208000034158 bleeding Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 238000009530 blood pressure measurement Methods 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 208000015114 central nervous system disease Diseases 0.000 description 1
- 239000002872 contrast media Substances 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000003748 differential diagnosis Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 206010014599 encephalitis Diseases 0.000 description 1
- 239000000284 extract Substances 0.000 description 1
- 208000003906 hydrocephalus Diseases 0.000 description 1
- 230000001771 impaired effect Effects 0.000 description 1
- 230000008676 import Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000008595 infiltration Effects 0.000 description 1
- 238000001764 infiltration Methods 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 238000007917 intracranial administration Methods 0.000 description 1
- 208000032839 leukemia Diseases 0.000 description 1
- 230000004807 localization Effects 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 238000002601 radiography Methods 0.000 description 1
- 238000010079 rubber tapping Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
Abstract
The invention discloses auxiliary guide rail, including body, the hole that the body is provided with least one, passed through for lumbar puncture needle are punctured between a kind of lumbar vertebrae；The hole is obliquely installed along a lateral opposite side of body；The center line in the hole is 46 ° with the angle theta that the body surface is formed.Using the piercing method that auxiliary guide rail is punctured between described lumbar vertebrae, including：S1, patient bends over to lie on one's side on sick bed；S2, operator is by the export point alignment patient in the hole being arranged on body from waist 2 to the skin surface of the intervertenral space of sacrum 1；S3, after operator carries out disinfection and anaesthetized to skin surface, holds lumbar puncture needle through hole and is pierced into along spinous process direction.Compared with prior art, the present invention have the advantages that it is simple in construction, easy to operate, can ensure that lumbar puncture needle along guide rail piercing skin accurately punctured.
Description
Technical field
The invention belongs to technical field of medical instruments, auxiliary guide rail and piercing method are punctured between specially a kind of lumbar vertebrae.
Background technology
It is a basic operation in clinical position that (lumbar puncture, hereinafter referred to as waist are worn) is punctured between lumbar vertebrae.No
Only it is used widely in Neurology, neurosurgery clinical position as a ripe detection methods, and in anesthesia
It is even more to be used as essential inspection, a treatment means in the section office such as section, hematology.
In clinical practice, waist, which is worn, to be mainly used in the diagnosis and differential diagnosis of central nervous system disease, determines cerebrospinal pressure
Power；Understand whether cavum subarachnoidale has obstruction；Contrast agent or air are injected, spinal cavity radiography or ventriculography is carried out；Some brains
When film inflammation, encephalitis, barotropy hydrocephalus and subarachnoid hemorrhage, appropriate cerebrospinal fluid can be taken and faced with reducing intracranial pressure and improvement
Bed symptom.In there is encephalic, spinal cord infection, worn by waist and set up injection passage and can realize intrathecal injection antibiotic.In tumour
There is cental system primary tumo(u)r (the encephalic infiltration of such as leukaemia, lymthoma) in patient, and the encephalic of other position malignant tumours turns
Move, it is then very important treatment means etc. to be worn by waist and set up injection passage intrathecal injection antineoplastic.In anesthesia
In section, lumbar anesthesia remains one of main anesthesia means at present.
Waist, which wears operation technique, has important clinical value, simple and easy to do, operates also safer.But in practical operation
In, waist is through realize Needle localization after, lumbar puncture needle is slowly pierced into patient body body, and is come into the logical of cavum subarachnoidale
Road is only 1cm or so, the result for the least bit leading to great error of difference easily occur.As a kind of invasive operation, waist wears requirement operation doctor
Teacher's technology is really up to the mark, but because waist dress operation is entirely " blind spy " operation in itself, i.e., simply enters under the direct-view of unavailable eyes
Capable operation, lumbar puncture needle to a certain tissue can only be small with the personal experience of operation doctor and combination normal human's anatomical knowledge
Heart is carried out.
Therefore, for many clinical new hands and many waist dress operations in emergency circumstances carried out, then easily there is waist and wear
Pin needle angle is abnormal and deviates correct puncture direction, and then exits again the event of inserting needle, so, when just extending puncture
Between, unnecessary harm is brought, and infection, bleeding, the generation of surrounding structure damage can be aggravated.
The content of the invention
For the shortcoming or deficiency of above-mentioned prior art, the technical problem to be solved in the present invention is to provide a kind of letter of structure
It is single, easy to operate, can ensure that lumbar puncture needle along guide rail be pierced into the lumbar vertebrae that is accurately punctured of skin between puncture auxiliary guide rail and puncture
Method.
In order to solve the above technical problems, the present invention has following composition：
Auxiliary guide rail, including body, the hole that the body is provided with least one, passed through for lumbar puncture needle are punctured between lumbar vertebrae；Institute
Hole is stated to be obliquely installed along a lateral opposite side of body；The angle theta that the center line in the hole is formed with the body surface is
4-6°。
A groove is additionally provided with the hole, the groove connects in hole with body surface.
The width of the groove is less than the diameter in the hole.
The center line in the hole is 5 ° with the angle theta for setting porose body surface to be formed
The diameter in the hole set on the body is not all the same.
A diameter of 0.5-2.5mm in the hole set on the body.
A diameter of 0.5,1,1.5, the 2 of the hole or 2.5mm.
Be additionally provided with the body one be used for press recessed blocks.
The section of the recessed blocks is arc-shaped structure.
Using the piercing method that auxiliary guide rail is punctured between described lumbar vertebrae, comprise the following steps：S1, patient bend over to lie on one's side in
On sick bed；S2, operator is by the export point alignment patient in the hole being arranged on body from waist 2 to the skin surface of the intervertenral space of sacrum 1；
S3, after operator carries out disinfection and anaesthetized to skin surface, holds lumbar puncture needle through hole and is pierced into along spinous process direction.
In the step S2, operator is arranged on the recessed blocks on body by pressing, and by export point alignment patient certainly
Waist 2 to the intervertenral space of sacrum 1 skin surface.
The outer surface of the lumbar puncture needle is provided with scale.
Compared with prior art, the present invention has the following technical effect that：
The present invention is simple in construction, easy to operate, and operator can directly press the body, and by one of hole
Export point directly alignment patient is punctured from waist 2 to the skin surface of the intervertenral space of sacrum 1, and need not other auxiliary equipments；
The angle theta formed between the center line in the hole and the porose body surface of the setting, can effectively ensure to puncture angle
The success of degree and puncture procedure；The setting of the groove can be such that hole is connected with body surface, and operator can be seen by groove
Examine the inserting needle situation of lumbar puncture needle, it is to avoid blind to wear, it is possible to which paracentesis depth is determined according to the scale on lumbar puncture needle.
Brief description of the drawings
By reading the detailed description made to non-limiting example made with reference to the following drawings, the application's is other
Feature, objects and advantages will become more apparent upon：
Fig. 1：Auxiliary guide rail stereogram one is punctured between lumbar vertebrae of the present invention；
Fig. 2：Auxiliary guide rail stereogram two is punctured between lumbar vertebrae of the present invention；
Fig. 3：Auxiliary guide rail stereogram three is punctured between lumbar vertebrae of the present invention；
Fig. 4：Auxiliary guide rail top view is punctured between lumbar vertebrae of the present invention；
Fig. 5：Auxiliary guide rail side view is punctured between lumbar vertebrae of the present invention；
Fig. 6：Auxiliary guide rail sectional view is punctured between lumbar vertebrae of the present invention.
Embodiment
The technique effect of the design of the present invention, concrete structure and generation is described further below with reference to accompanying drawing, with
It is fully understood from the purpose of the present invention, feature and effect.
As shown in Figures 1 to 6, auxiliary guide rail, including body 10 are punctured between lumbar vertebrae of the present invention, the body 10 is provided with least
One, the hole 11 passed through for lumbar puncture needle；The hole 11 is obliquely installed along a lateral opposite side of body 10；The center in the hole 11
Line is 4-6 ° with the angle theta that the surface of body 10 is formed.The setting of the angle, θ meets the angle that lumbar puncture needle enters human body
Degree, is also to summarize to draw by practical experience.
As a further improvement, the center line in the hole 11 is formed with the surface of body 10 for being provided with hole 11
Angle theta is 5 °.The angle theta formed between the center line in the hole and the porose body surface of the setting, can be effective
Ensure the success of puncture angle and puncture procedure.
The diameter in the hole 11 set on the body 10 is not all the same, in specific implementation process, and operation can be according to reality
Border sets the hole 11 of different-diameter using needing, to meet in puncture between the lumbar vertebrae under different situations, the present embodiment, described
A diameter of 0.5-2.5mm in the hole 11 set on body 10.The diameter in the hole 11 is preferably 0.5,1,1.5,2 or 2.5mm, and institute
Appropriate increase and decrease can be carried out according to actual conditions by stating the setting quantity in hole.In concrete operations, the waist of different-diameter can be selected
The hole that corresponding edge matches with it of threading a needle is punctured, and the set-up mode is flexible and changeable, and practicality is high, and also solves existing
The technical problem of puncture procedure can only be carried out using the lumbar puncture needle of a certain quantitative diameter by having in technology.
As a further improvement, be additionally provided with the body 10 one be used for press recessed blocks 13.The recessed blocks 13
Section be arc-shaped structure.The setting of the recessed blocks 13, is easy to operator to aid in use being punctured lumbar vertebrae
Guide rail body is pressed, and specially left hand is pressed, and the right hand carries out puncture procedure, easy to use, and arc-shaped structure is set just
In pressing and contact surface, increasing friction force can be increased, it is to avoid occur skidding in operating process.
Observed for the ease of operator and be additionally provided with a groove 12, the groove 12 on the puncture situation that waist is worn, the hole 11
Hole 11 is connected with the surface of body 10.The setting of the groove can be such that hole is connected with body surface, and operator can pass through groove
Observe the inserting needle situation of lumbar puncture needle, it is to avoid blind to wear, it is possible to which that paracentesis depth is determined according to the scale on lumbar puncture needle.
As a further improvement, the width of the groove 12 is less than the diameter in the hole 11.The set-up mode can be limited
The puncture path of lumbar puncture needle, prevents situations such as lumbar puncture needle is because of maloperation from skidding off, and the set-up mode mainly plays position-limiting action.
Using the piercing method that auxiliary guide rail is punctured between above-mentioned lumbar vertebrae, comprise the following steps：
Step one, patient bends over to lie on one's side on sick bed, and the mode of lying on one's side makes the backbone of patient protrude and tighten surface skin,
It is easy to subsequently carry out puncture between lumbar vertebrae.
The export point 112 in the hole 11 being arranged on body 10 is directed at patient from waist 2 to sacrum 1 (with waist by step 2, operator
Based on 3-4) skin surface of intervertenral space, and need not other auxiliary equipments；Specifically, operator is arranged on this by pressing
Recessed blocks 13 on body 10, and export point 112 is directed at patient from waist 2 to the skin surface of the intervertenral space of sacrum 1.Also, operation can
It is simple and convenient, directly perceived and easy to operate to observe the positioning scenarios of export point 112 from groove.
Step 3, operator is carried out to patient after local routine disinfection and anesthesia, and holding lumbar puncture needle, (edge imports point through hole 11
111 put 112 directions to export) and be slowly pierced into along spinous process direction.The surface of the lumbar puncture needle is provided with scale, can also be described recessed
Body surface outside groove sets scale, and the setting of two kinds of scales can avoid using because one of scale is impaired.When
Be grown up inserting needle about 4-6cm or as children inserting needle about 3-4cm, you can wears out endorchis and up to cavum subarachnoidale, extracts nook closing member stream out
Go out cerebrospinal fluid, the other treatment medicine such as pressure measurement, tapping censorship or injection anaesthetic, to realize inspections, anesthesia or the mesh treated
's.
The present invention is simple in construction, easy to operate, and operator can directly press the body, and leading one of hole
Go out a little directly to be directed at patient and punctured from waist 2 to the skin surface of the intervertenral space of sacrum 1；The center line in the hole is provided with described
The angle theta formed between the body surface in hole, can effectively ensure the success of puncture angle and puncture procedure；It is described recessed
The setting of groove can be such that hole is connected with body surface, and operator can observe the inserting needle situation of lumbar puncture needle by groove, it is to avoid blind to wear,
And paracentesis depth can be determined according to the scale on lumbar puncture needle.
The present invention provides the accurate and easy to use aid of science to puncture various intervention operations between clinical lumbar vertebrae,
Easy to operate, accurately and reliably, using extensive, economic and social benefit is notable.
The above embodiments are merely illustrative of the technical solutions of the present invention and it is non-limiting, reference only to preferred embodiment to this hair
It is bright to be described in detail.It will be understood by those within the art that, technical scheme can be modified
Or equivalent substitution, without departing from the spirit and scope of technical solution of the present invention, it all should cover in scope of the presently claimed invention
It is interior.
Claims (12)
1. auxiliary guide rail is punctured between lumbar vertebrae, it is characterised in that
Including body (10),
The hole (11) that the body (10) is provided with least one, passed through for lumbar puncture needle；
The hole (11) is obliquely installed along a lateral opposite side of body (10)；
The center line of the hole (11) is 4-6 ° with the angle theta that the body (10) surface is formed.
2. puncture auxiliary guide rail between lumbar vertebrae according to claim 1, it is characterised in that it is recessed to be additionally provided with one on the hole (11)
Groove (12), the groove (12) connects hole (11) with body (10) surface.
3. puncture auxiliary guide rail between lumbar vertebrae according to claim 2, it is characterised in that the width of the groove (12) is less than
The diameter of the hole (11).
4. puncture auxiliary guide rail between the lumbar vertebrae according to claim 1 or 2 or 3, it is characterised in that the center of the hole (11)
Line is 5 ° with the angle theta that described body (10) surface for being provided with hole (11) is formed.
5. puncture auxiliary guide rail between lumbar vertebrae according to claim 1, it is characterised in that the hole set on the body (10)
(11) diameter is not all the same.
6. puncture auxiliary guide rail between lumbar vertebrae according to claim 1 or 5, it is characterised in that set on the body (10)
Hole (11) a diameter of 0.5-2.5mm.
7. puncture auxiliary guide rail between lumbar vertebrae according to claim 6, it is characterised in that the hole (11) a diameter of 0.5,
1st, 1.5,2 or 2.5mm.
8. puncture auxiliary guide rail between the lumbar vertebrae according to claim 1 or 2 or 3 or 5 or 7, it is characterised in that the body
(10) be additionally provided with one be used for press recessed blocks (13).
9. puncture auxiliary guide rail between lumbar vertebrae according to claim 8, it is characterised in that the section of the recessed blocks (13) is
Arc-shaped structure.
10. using the piercing method that auxiliary guide rail is punctured between lumbar vertebrae as claimed in claim 1, it is characterised in that including following
Step：
S1, patient bends over to lie on one's side on sick bed；
S2, the export point (112) that operator will be arranged on the hole (11) on body (10) is directed at patient from waist 2 to the intervertenral space of sacrum 1
Skin surface；
S3, after operator carries out disinfection and anaesthetized to skin surface, holds lumbar puncture needle through hole (11) and is pierced into along spinous process direction.
11. the piercing method of auxiliary guide rail is punctured between lumbar vertebrae according to claim 10, it is characterised in that the step S2
In, operator is arranged on recessed blocks (13) on body (10) by pressing, and will export point (112) be aligned patient from waist 2 to
The skin surface of the intervertenral space of sacrum 1.
12. the piercing method of auxiliary guide rail is punctured between the lumbar vertebrae according to claim 10 or 11, it is characterised in that the waist is worn
The outer surface of pin is provided with scale.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710358960.9A CN106994036A (en) | 2017-05-19 | 2017-05-19 | Auxiliary guide rail and piercing method are punctured between lumbar vertebrae |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710358960.9A CN106994036A (en) | 2017-05-19 | 2017-05-19 | Auxiliary guide rail and piercing method are punctured between lumbar vertebrae |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN106994036A true CN106994036A (en) | 2017-08-01 |
Family
ID=59435387
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710358960.9A Pending CN106994036A (en) | 2017-05-19 | 2017-05-19 | Auxiliary guide rail and piercing method are punctured between lumbar vertebrae |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106994036A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11589809B2 (en) | 2019-05-03 | 2023-02-28 | The Board Of Regents Of The University Of Texas System | Devices, systems, and methods for locating a position in a body |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2542216Y (en) * | 2002-04-23 | 2003-04-02 | 张智慧 | Percutaneous lumbar intervertebral disc extirpation puncture position finder |
| CN101926679A (en) * | 2010-07-29 | 2010-12-29 | 苟东卫 | Three-dimensional positioning guiding gauge for puncture and using method thereof |
| CN201939503U (en) * | 2011-02-18 | 2011-08-24 | 徐宗荣 | Positioning device for lumbar puncture |
| CN202376229U (en) * | 2011-12-15 | 2012-08-15 | 王辉 | Simple locator for lumbar puncture |
| US20120330159A1 (en) * | 2010-12-22 | 2012-12-27 | Amir Orome | Needle Guide with Selectable Aspects |
| CN203138629U (en) * | 2013-03-02 | 2013-08-21 | 肖磊 | Intraspinal anesthesia puncture angle locator |
| US20140187943A1 (en) * | 2012-12-31 | 2014-07-03 | Cook Medical Technologies Llc | Angled needle entry |
| CN204840430U (en) * | 2015-05-20 | 2015-12-09 | 颜新艳 | Fluted body button hole puncture angle frame for hemodialysis |
| CN105708528A (en) * | 2016-04-15 | 2016-06-29 | 南京医科大学第一附属医院 | Intervertebral foramen puncture guide device |
-
2017
- 2017-05-19 CN CN201710358960.9A patent/CN106994036A/en active Pending
Patent Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2542216Y (en) * | 2002-04-23 | 2003-04-02 | 张智慧 | Percutaneous lumbar intervertebral disc extirpation puncture position finder |
| CN101926679A (en) * | 2010-07-29 | 2010-12-29 | 苟东卫 | Three-dimensional positioning guiding gauge for puncture and using method thereof |
| US20120330159A1 (en) * | 2010-12-22 | 2012-12-27 | Amir Orome | Needle Guide with Selectable Aspects |
| CN201939503U (en) * | 2011-02-18 | 2011-08-24 | 徐宗荣 | Positioning device for lumbar puncture |
| CN202376229U (en) * | 2011-12-15 | 2012-08-15 | 王辉 | Simple locator for lumbar puncture |
| US20140187943A1 (en) * | 2012-12-31 | 2014-07-03 | Cook Medical Technologies Llc | Angled needle entry |
| CN203138629U (en) * | 2013-03-02 | 2013-08-21 | 肖磊 | Intraspinal anesthesia puncture angle locator |
| CN204840430U (en) * | 2015-05-20 | 2015-12-09 | 颜新艳 | Fluted body button hole puncture angle frame for hemodialysis |
| CN105708528A (en) * | 2016-04-15 | 2016-06-29 | 南京医科大学第一附属医院 | Intervertebral foramen puncture guide device |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11589809B2 (en) | 2019-05-03 | 2023-02-28 | The Board Of Regents Of The University Of Texas System | Devices, systems, and methods for locating a position in a body |
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| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20170801 |
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