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告急医疗

2017-06-29
点击数: 13878     作者: 北华大学从属病院

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。

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