口腔頜面部損傷-在線瀏覽
2024-08-28 14:51本頁面
【正文】 2022/8/15 19 Evaluate trauma soon Identify the key trauma, manage the fatal first Careful history taking, thorough physical exam Rescue in time Management in order General Rules Section 3 Rescue 2022/8/15 20 1. Prevention of Asphyxia 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。 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。 Lacerations 挫裂傷 Incised amp。 yellowish plasma oozing Management: Debridement, remove foreign body, Dry wound, drain when infected 1. Abrasions Property: rough
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