北华大学从属病院
7x24小时征询德律风 0432-62166000
告急医疗救护常识
（一）若何展开抢救抢救
xianchangchuzhidezhongyaoshimingshiqiangjiuxingming、xuejianshangyuanjiku、xuejianhefangbeishangqingjianqingjichanshengbingfazheng，zhunqueerminjiedibashangbingyuanzhuansongdaobingyuan。
1.抢救步骤
（1）baojing。yidanchanshengzhiyuanshangwang，buyaohuangkongshicuo，dunshiboda120qiangjiudelvfengbaojing。
（2）duishangbingyuanezhixuyaodexianchangchuzhi。
①minjiejiechuzhiminghezhishangshenfen。rubankaiyazaishenshangdezhongwu，chetuizhongduxianchang，ruoshishibucechudian，yingdangjidujiedianyuan；duangenshangbingyuankoubineidenisha、tuniwu、xuekuaihuoqiyuyiwu，jianchihuxidaochangdadeng。
②chachaoshangyuandexingmingtedian。chachaoshangbingyuanhuxi、xintiao、maibohuanjing。ruwuhuxihuoxintiaoezhi，yingdangchanglijizhankaixinfeisuxing。
③zhixue。youchuangshangchuxuezhe，yingminjiebaozhazhixue。zhixueziliaoyidangchangqucai，keyongjiayabaozha、shangzhixuedaihuozhiyazhixuedeng。erhoujiangshangbingyuanjinkuaisongwangbingyuan。
④ruoyoufuqiangzangqituochuhuolunaogouzaopengchu，keyongqingjiemaojin、ruanbuliaohuofalangwandengjiayiyanhu。
⑤youguzhezheyongmubandengguqielaogu。
⑥shentaihundaozhe，weileranbingyinqian，zhuzhongxintiao、huxi、liangcetongkongjuxi。youshehouzhuizhe，yingjiangshetoulachuhuoyongbiezhenchuancilaoguzaikouwai，bimiangengsai。
（3）minjieerzhunquedizhuanyunshangbingyuan。anchabiedeshangqinghebingqing，anbingqingdeqingzhonghuanjitiaoxuanqiadangdedongxiezhizhuanyun。shusongtuzhongyingsuishicunjuanshangbingyuandebingqingbiangeng。
2.受伤简略单纯处置方法
chuxue: nenggoubashenshangdeyifusichengbupian，duichuxuedeshangkouezhibufenjiayazhixue。
guzhe: xianchangnenggouzhaokuaixiaojiaban、shuzhidengwu，duihuanzhiezhibaozhalaogu。
toubuchuangshang: bashangzhedetoufangxiangyibian，buyaoyangzhe，youyuruxuhuiyinfatuni，jiyixingchengshangzhegengsai。
fubuchuangshang: jiangqingjierongqikouzaifubishangchu，bimianchanshengfuqiangzhanran。
huxixintiaoezhi: shishiduishangzheezhikouduikoudeyeshenghuxi，bingezhijianlvedexiongwaianya。
（二）心肺苏醒
1.甚么是心肺苏醒
duihuxixintiaoezhidejizhengweichenerensuozuodeqiangjiuyizhijiaozuoxinfeisuxing。xinfeisuxingdefangzhenshikaifangqidao、zhongxiuhuxihelunhui。renmenzhixuchongshilinghuixinfeisuxingdechangshibingjieguanguocifangmiandelianxihoucainenggouweibierenshixingxinfeisuxing。
xinfeisuxing = (qingsuanhuxidao) + yeshenghuxi + xiongwaianya + houxudezhuanyeyongyao
2.心肺苏醒的工具
shouyaoshibuceshiwuzhongjiantiaohehuxiezhidebingren，erfeixinfeigongxiaoshuaijiehuojuezhengzhongqibinghuan。zainishui、chehuo、leiji、chudian、duqi、yaowuzhongdu、shuaishangdengshiwuzhongzhixuhuanzhehuoshangzheyiezhihuxi、xintiao，jiuyingzaidilinshihouqiangjiu（zuixingkui4fenzhongzhineiqitou）。
3.心肺苏醒的方针
bingbuyincibingrendexianchangqiangjiusuxingweiduyichengbaifangzhen，shouyaofangzhenzaiyushibingrendenaoxibaoyinyouyangyanxugongjierbuzhihuaisi。
4.心肺苏醒抢救步骤
（1）kandaobingren，xianchachaorenshi（paijian、panwenzenyangle）。
zhuzhong
·zaipandingbingrenrenshijinchengzhong，paiyaojianbushushoubuyaotaizhong，yibimianxingchengbingrenyouguzheerjianqingbingqing。
·qiarenzhongxuedeshihoubuyaotaizhang。
·pandingbingrenrenshideshihoubunengkuayue5miaozhong，yibimiandangejiujishihou。
（2）kendingbingrenburenshi，congsuzhuiqiuhouxuchengchi（hanzhengjiua，qingbierenbangzhudadelvfeng120，huhuanjiuhuche）。
（3）diaojibingrentiwei。shibingrenpingtangyuyingdishang。
（4）tongshunhuxidao（yishouzhangxiayabingrenqiane，lingwaiyishoumuzhiyushizhichengshouqiangxingtaixiaba）。
（5）kan、ting、ganyoubuhuxi。kanbingrenxiongbuyoubushengchen，yierduoqiejinbingshengchibi，tingyoubuhuxisheng，yimianjiaganshouyoubuchuqi。
（6）chachaobingrenmaibo。yongshizhijizhongzhizhaodaobingrenjingbuzhongxindiweihoulongchu，yanzheyicexiahua1.5～2limichu，weiyalaiganshoubingrenshibushiyoumaibo。
（7）ruowumaibo，zexuzhankaixiongwaianya。
5.胸外按压操纵步骤
zhunquedexiongwaianyadiwei:
youbingrendexiongbu（jinshijiuzhece），zhaoxunleiguxiayuan，yanleiguyuanxiangshanghuadong，zhileiguyuxionggujiaohuidexiongwochu，jiweianyadiwei。
jiangzhongzhizhiyuxinwochu，shizhijinkaozhongzhi，zhiyuxionggushangdingwei。
jianglingwaiyizhangdezhanggenjinkaozaiyidingweideshizhipang，shizhanggendediweiqiahaofangzaixionggudezhongxianshang。
zhanggenfanghaodiweihou，lingwaiyishouduidieyuqishang。
jiangliangshoudeshouzhihukouhuoqiaoqi，yibimianzhaquleiguxingchengguzhe。
youshuniuyanzheweibierenshixingxiongwaianyashi，shijiuzhezunzhaotuyi、er、sandezuofa，yishouzhanggenfanghaodiweihou，yilingwaiyishoujinwocishoudeshouduanbu。
dingweixiongwaianyadediweixiaoqiaomen:
jiujizheweiyubingrenyoubian，jiangyoushouzhangpingshen，shouzhijintiebingrenhoububingzhixianghoubu，pingfangbingrenxiongqian，yuemozhanggendidiandiweijiweianyadechusuo。ruxujiangshouzhangxiangwainiuzhuan90du，zuoshoudiefangzaidingweideshoushang，liangzhishouchuancha，shouzhiqiaoqi，ezhianya。
shijiuzhemianxiangbingrenguizhe，liangtuifankai，yujiantongkuan，jianbangzaishanghuanxionggudezhengshangfang，shuangbeiquansuo，yongtizhongdeqili，jianjiexiaya，yalituizhixionggushang。
meicixiayashi，yingjiangxiongguyaxia4~5limi，zhuajinshi，shoubushiyali，danbukenuodongshoudediwei。
yifenzhonghou
ezhixiongwaianyayuyeshenghuxi:
xianchixu15cianyahou，jiezhe2ciyeshenghuxi。
zhu: anyasulv80～100xia/fenzhong，yeshenghuximei5miaoyici。meicianyadouyaoshushuyigongtonganyasulv，koujue: yixia——shixia，nian“yi”shibuxiaya，nian“xia”shishouzhuajin，nian“er”shibuxiaya，nian“xia”shishouzhuajin，rusijiaohunianzhi10xia。shiyi，“shi”ya，“yi”song，“shi”ya，“er”song……ruxuniandaoshiwu。
yueyifenzhonghou（ru8fanfusici），chachaomaibodeyoubu。
ruo
注重
·bixukendingbingrenyiluokongzhijue，caikeshixingxinfeisuxing。
·shijiuzhuzhonglikaifengxiandiqu。
·bingrendetiweiyaochuyuyangwowei。xuweiyuyingbanchuanghuokongzhongshang，yiquebaoanyashibingrenbudongyao。
·kouduikouyeshenghuxishichuiyuliangyingshichengnianrenshenhuxiyibanliang。
·zhuzhongjianchibingrendehuxidaochangda。zhuzhongduangenhuxidaozhongdepaixiewu、nishadeng。youxiebingrenshehouju，duzhuqidao，yingdangbashetoulachulai。
·ruobingrendaiyoujiaya，yeshenghuxiqianyingquxia。
·yingyouerkoubibinikaojin，zuihaojiangyingyouerkoubiyilubaoluoezhiyeshenghuxi。
·zuoyeshenghuxiqian，weibimianjibingzhanran，keyongshoupa、zhijindengfuzaibingrenzuishangezhiduanjue。
·anyadezishi。shuangbeiquansuo，liyongshencaidefenliangpingjundianya。anyayaoyoujilv，buyaobaibuniunie，yebuchongyaojisideanya。anyadepincichengrenshi100ci/fenzhong，anyadelidubianshixiongguxiaxian4～5limi。
·xiongwaixinzanganyayingyuyeshenghuxitongbuezhi。xianzuo2ciyeshenghuxi，zaizuo15cianya，rusileitui。
·shishiqiangjiu，xuyixiangzuodaoyouhuxijiyoumaibohuohouxuchengchidadaoweizhi。
·ruhuanzherenshiyisuxing，caiyongceshenxiexizishi，qidaihouxuchengchidadaohuosongyiyizhi。
·bujingliderenshiwanwanbuyaosuiyiweibierenzuoxinfeisuxing。
