口腔頜面部損傷(編輯修改稿)
2024-08-14 14:51 本頁面
【文章內容簡介】 yxia Section 3 Rescue 2022/8/15 21 Dysphoria, sweating, inhaling respiration Difficult to inhale, hypopnea, nasal alar movement, labial cyanosis Three concave signs、 Rapid breathing, weak pulse, decreased BP Pupils diluted, No reflection to light Clinical features of asphyxia Prodrome 2022/8/15 22 Etiology of Asphyxia Foreign body obstruction Inspiratory Asphyxia Low Airway Swelling Foreign body Blood, saliva Vomit Upper airway Tissue dislocation Obstructive Asphyxia 2022/8/15 23 Rescue of Asphyxia Clear foreign body in upper airway Suspend maxilla Intubation Hold the tongue out Obstructive Asphyxia 吸入性窒息 氣管切開術 2022/8/15 24 2. Hemostasia Two steps： Judge bleeding situation Choose the way to stop bleeding Section 3 Rescue 2022/8/15 25 Judge bleeding situation Three categories Arterial Capillary Venous Based on origin 2022/8/15 26 壓迫止血 指壓止血法 包扎止血法 填塞止血法 結扎止血法 藥物止血法 Methods of hemostat 2022/8/15 27 3. Antishock treatment (2) Purpose of antishock (1) Definition amp。 Classification Traumatic shock Exsanguine shock 20% Body weight Toxic shock Infectious shock Restore circulation 2022/8/15 28 (4) Principles of Treatment (3) Features of Shock Early stage: Dysphoria, quick amp。 superficial breath, sweating, paleness Middle stage: Tingle to supression, emotional faint, unconsciousness, decrease BP, labial paleness Late stage: weaker pulsation, unmeasurable BP, hyponuria, anuria 30ml/h Hemostasis, blood transfusion, pain control, fluid transfusion, sedation 2022/8/15 29 (1) Judgement 4. Combined Craniocerebral Injuries Consciousness, pulse, BP, respiration, pupil (2) Early discovery, early management Retrograde obliviscence Cerebral concussion Intermediate wakeup Extradural hematoma Cerebral fluid leak Skull base fracture 2022/8/15 30 2022/8/15 31 Debridement Wound closure Antibiotics 5. Prevention of Infection 6. Bandage amp。 Transportation 2022/8/15 32 Section 4 Soft Tissue Trauma 2022/8/15 33 Abrasions 擦傷 Contusions 挫傷 Contusions amp。 Lacerations 挫裂傷 Incised amp。 Puncture Wo
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