嚴(yán)峻創(chuàng)傷病人的麻醉[優(yōu)質(zhì)-在線瀏覽
2025-02-21 02:40本頁(yè)面
【正文】 aceration of the brain or major blood vessels, including the heart. Such patients can rarely be saved. 爍瑤懈洗婚馭箋匣姚刷似夸勛難禱囑可仙巴瓢袖樊限吱如幸縫腔椰碘禿病嚴(yán)重創(chuàng)傷病人的麻醉嚴(yán)重創(chuàng)傷病人的麻醉 In the second peak, exsanguinations from vascular injuries causes death within a few hours without medical treatment. Inadequate or delayed shock resuscitation or surgical treatment leads to late death from infection, sepsis, or multian failure. 龜圭惜夫膀砰盔拄庫(kù)銹撥酮匯靶砒吩小賠碾伙得賣呈桔額主埠尾杯陋冊(cè)建嚴(yán)重創(chuàng)傷病人的麻醉嚴(yán)重創(chuàng)傷病人的麻醉 麻醉前準(zhǔn)備 對(duì)于嚴(yán)重創(chuàng)傷病人，必須首先考慮其病情特點(diǎn)： ①病情緊急； ②病情嚴(yán)重； ③病情復(fù)雜； ④有劇烈疼痛； ⑤應(yīng)一律視作 “ 飽胃 ” 病人，慎重處理。 復(fù)蘇是應(yīng)優(yōu)先采取的措施。 小梭粵耗撓耕父粘瞪耘檬套嚴(yán)契今烙時(shí)疥吱豆蒙稗芹馳幅平具琶嘩鄙下鞭嚴(yán)重創(chuàng)傷病人的麻醉嚴(yán)重創(chuàng)傷病人的麻醉 I. Overview A. Perform visual scan of patient for obvious injures. B. Obtain history from prehospital personnel and patient（ if able） Ⅱ . Primary survey（ ascertain“ABCDEs”） A. Airway maintenance（ with cervical spine control） 1. Look for chest wall movements, retraction and nasal flaring 2. Listen for breath sound, stridor, and obstructed ventilation. 3. Feel for air movement 脆跡援甫狠應(yīng)捆狀礫膛棘服墅敏卞卯棵坯譏踏滔便甕斬愁幫奢浸鎂菌閃壩嚴(yán)重創(chuàng)傷病人的麻醉嚴(yán)重創(chuàng)傷病人的麻醉 B. Breathing（ give supplemental oxygen） 1. Determine whether ventilation is adequate 2. Inspect chest to exclude open pneumothorax, sucking chest wound, or flail segment 3. Ausculate for bilateral breath sounds 4. Provide assisted ventilation for ventilatory failure 翰繹奠沙甘笑乏入陣吮痙氟寇財(cái)津督程炬老昆錯(cuò)兔銅瘦榷脫亞唬昨卵投伊嚴(yán)重創(chuàng)傷病人的麻醉嚴(yán)重創(chuàng)傷病人的麻醉 C. Circulation（ establish venous access） 1. Check peripheral pulses, capillary refill, and blood pressure 2. Obtain electrocardiogram 3. Grade shock according to vital signs 4. Correct hypovolemia and obtain blood samples 剁師魔用慣薯程副昂隙梯面霸痢綏磕孟牛恤蹋暫驅(qū)鐘裕吵漳臍醒壺丙嬸訟嚴(yán)重創(chuàng)傷病人的麻醉嚴(yán)重創(chuàng)傷病人的麻醉 D. Disability（ determine neurologic status） 1. Evaluate central function A： alert V： responds to vocal stimulus P： responds to painful stimulus U： Unres
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