亚伯体育

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紧急医疗

2018-06-29
点击数: 13110     作者: 北华大学附属医院

紧急医疗救护常识

    (一)如何开展急救急救

    xianchangchulideshouyaorenwushiqiangjiushengming、jianshaoshangyuantongku、jianshaoheyufangshangqingjiazhongjifashengbingfazheng,zhengqueerxunsudibashangbingyuanzhuansongdaoyiyuan。

    1.急救步骤

    (1)baojing。yidanfashengrenyuanshangwang,buyaojinghuangshicuo,mashangboda120jijiudianhuabaojing。

    (2)duishangbingyuanjinxingbiyaodexianchangchuli。

    ①xunsupaichuzhiminghezhishangyinsu。rubankaiyazaishenshangdezhongwu,chelizhongduxianchang,ruguoshiyiwaichudian,yinglijiqieduandianyuan;qingchushangbingyuankoubineidenisha、outuwu、xuekuaihuoqitayiwu,baochihuxidaotongchangdeng。

亚伯体育    ②jianchashangyuandeshengmingtezheng。jianchashangbingyuanhuxi、xintiao、maiboqingkuang。ruwuhuxihuoxintiaotingzhi,yingjiudilikekaizhanxinfeifusu。

    ③zhixue。youchuangshangchuxuezhe,yingxunsubaozhazhixue。zhixuecailiaoyijiudiqucai,keyongjiayabaozha、shangzhixuedaihuozhiyazhixuedeng。ranhoujiangshangbingyuanjinkuaisongwangyiyuan。

亚伯体育    ④ruyoufuqiangzangqituochuhuolunaozuzhipengchu,keyongganjingmaojin、ruanbuliaohuotangciwandengjiayibaohu。

    ⑤youguzhezheyongmubandenglinshiguding。

亚伯体育    ⑥shenzhihunmizhe,weiminglebingyinqian,zhuyixintiao、huxi、liangcetongkongdaxiao。youshehouzhuizhe,yingjiangshetoulachuhuoyongbiezhenchuancigudingzaikouwai,fangzhizhixi。

亚伯体育    (3)xunsuerzhengquedizhuanyunshangbingyuan。anbutongdeshangqinghebingqing,anbingqingdeqingzhonghuanjixuanzeshidangdegongjujinxingzhuanyun。yunsongtuzhongyingsuishiguanzhushangbingyuandebingqingbianhua。

    2.受伤简易处理办法

亚伯体育    chuxue: keyibashenshangdeyifusichengbupian,duichuxuedeshangkoujinxingjubujiayazhixue。

亚伯体育    guzhe: xianchangkeyizhaokuaixiaojiaban、shuzhidengwu,duihuanzhijinxingbaozhaguding。

亚伯体育    toubuchuangshang: bashangzhedetoupianxiangyibian,buyaoyangzhe,yinweizheiyanghuiyinqioutu,jiyizaochengshangzhezhixi。

    fubuchuangshang: jiangganjingrongqikouzaifubishangchu,fangzhifashengfuqiangganran。

亚伯体育    huxixintiaotingzhi: jishiduishangzhejinxingkouduikouderengonghuxi,bingjinxingjiandandexiongwaianya。

(二)心肺复苏

    1.什么是心肺复苏

亚伯体育    duihuxixintiaotingzhidejizhengweizhongbingrensuozuodeqiangjiuzhiliaojiaozuoxinfeifusu。xinfeifusudemudeshikaifangqidao、zhongjianhuxihexunhuan。renmenzhiyouchongfenlejiexinfeifusudezhishibingjieshouguocifangmiandexunlianhoucaikeyiweitarenshishixinfeifusu。

亚伯体育    xinfeifusu = (qinglihuxidao) + rengonghuxi + xiongwaianya + houxudezhuanyeyongyao

    2.心肺复苏的对象

    zhuyaoshiyiwaishijianzhongxintiaohehuxitingzhidebingren,erfeixinfeigongnengshuaijiehuojuezhengzhongqibinghuan。zainishui、chehuo、leiji、chudian、duqi、yaowuzhongdu、shuaishangdengshijianzhongzhiyaohuanzhehuoshangzheyitingzhihuxi、xintiao,jiuyingzaidiyishijianqiangjiu(zuihaozai4fenzhongyineikaishi)。

    3.心肺复苏的目的

    bingbushiyibingrendexianchangjijiusuxingweiweiyichengbaimubiao,zhuyaomudezaiyushibingrendenaoxibaoyinyouyangchixugongyingerbuzhihuaisi。

    4.心肺复苏急救步骤

亚伯体育    (1)kandaobingren,xianjianchayishi(paijian、chawenzenmele)。

    zhuyi

亚伯体育    ·zaipanduanbingrenyishiguochengzhong,paiyaojianbuxiashoubuyaotaizhong,yimianzaochengbingrenyouguzheerjiazhongbingqing。

    ·qiarenzhongxuedeshijianbuyaotaizhang。

    ·panduanbingrenyishideshijianbunengchaoguo5miaozhong,yimianyanwujiuzhushijian。

    (2)quedingbingrenmeiyouyishi,gankuaixunqiuhouxuzhichi(hanjiuminga,qingbierenbangmangdadianhua120,hujiaojiuhuche)。

    (3)diaozhengbingrentiwei。shibingrenpingtangyuyingdishang。

    (4)changtonghuxidao(yishouzhangxiayabingrenqiane,lingyishoumuzhiyushizhichengshouqiangxingtaixiaba)。

亚伯体育    (5)kan、ting、ganyouwuhuxi。kanbingrenxiongbuyouwuqifu,yierduotiejinbingrenkoubi,tingyouwuhuxisheng,yilianjiaganjueyouwuchuqi。

亚伯体育    (6)jianchabingrenmaibo。yongshizhijizhongzhizhaodaobingrenjingbuzhongyangweizhihoulongchu,yanzheyicexiahua1.5~2limichu,weiyalaiganjuebingrenshifouyoumaibo。

    (7)ruowumaibo,zexukaizhanxiongwaianya。

  5.胸外按压操作步骤

    

    zhengquedexiongwaianyaweizhi:

亚伯体育    youbingrendexiongbu(jinshijiuzhece),zhaoxunleiguxiayuan,yanleiguyuanxiangshanghuadong,zhileiguyuxionggujiaohuidexiongwochu,jiweianyaweizhi。

    

    jiangzhongzhizhiyuxinwochu,shizhijinkaozhongzhi,zhiyuxionggushangdingwei。

    

亚伯体育    jianglingyizhangdezhanggenjinkaozaiyidingweideshizhipang,shizhanggendeweizhizhenghaofangzaixionggudezhongxianshang。

    

    zhanggenfanghaoweizhihou,lingyishouzhongdieyuqishang。

    

亚伯体育    jiangliangshoudeshouzhihukouhuoqiaoqi,yimianyapoleiguzaochengguzhe。

    youguanjieyanzheweitarenshixingxiongwaianyashi,shijiuzheyizhaotuyi、er、sandezuofa,yishouzhanggenfanghaoweizhihou,yilingyishoujinwocishoudeshouwanbu。

    dingweixiongwaianyadeweizhixiaojueqiao:

亚伯体育    jiuzhuzheweiyubingrenyouce,jiangyoushouzhangpingshen,shouzhijintiebingrenhoububingzhixianghoubu,pingfangbingrenxiongqian,dayuezhanggensuozaiweizhijiweianyadedifang。zheiyangjiangshouzhangxiangwaixuanzhuan90du,zuoshoudiefangzaidingweideshoushang,liangzhishoujiaocha,shouzhiqiaoqi,jinxinganya。

    

    shijiuzhemianxiangbingrenguizhe,liangtuidakai,yujiantongkuan,jianbangzaishanghuanxionggudezhengshangfang,shuangbeishenzhi,yongtizhongdeliliang,zhijiexiaya,yalituizhixionggushang。

    

    meicixiayashi,yingjiangxiongguyaxia4~5limi,fangsongshi,shoubushiyali,danbukeyidongshoudeweizhi。

yifenzhonghou

    

亚伯体育    jinxingxiongwaianyayurengonghuxi:

    xianlianxu15cianyahou,jiezhe2cirengonghuxi。

亚伯体育    zhu: anyasudu80~100xia/fenzhong,rengonghuximei5miaoyici。meicianyadouyaoshushuyipeiheanyasudu,koujue: yixia——shixia,nian“yi”shishouxiaya,nian“xia”shishoufangsong,nian“er”shishouxiaya,nian“xia”shishoufangsong,rucijiaohunianzhi10xia。shiyi,“shi”ya,“yi”song,“shi”ya,“er”song……zheiyangniandaoshiwu。

    

    yueyifenzhonghou(ru8zhongfusici),jianchamaibodeyouwu。

    ruo

     

    注意

    ·bixuquedingbingrenyijingshiquzhijue,caikeshishixinfeifusu。

亚伯体育    ·shijiuzhuyituoliweixianquyu。

    ·bingrendetiweiyaochuyuyangwowei。xuweiyuyingbanchuanghuodimianshang,yiquebaoanyashibingrenbuyaodong。

    ·kouduikourengonghuxishichuiqiliangyingshichengnianrenshenhuxizhengchangliang。

    ·zhuyibaochibingrendehuxidaotongchang。zhuyiqingchuhuxidaozhongdefenmiwu、nishadeng。youxiebingrenshehouju,duzhuqidao,yinggaibashetoulachulai。

亚伯体育    ·ruobingrendaiyoujiaya,rengonghuxiqianyingquxia。

亚伯体育    ·yingyouerkoubibijiaojiejin,zuihaojiangyingyouerkoubiyiqibaohanjinxingrengonghuxi。

亚伯体育    ·zuorengonghuxiqian,weifangzhijibingchuanran,keyongshoupa、zhijindengfuzaibingrenzuishangjinxinggeli。

亚伯体育    ·anyadezishi。shuangbeishenzhi,shiyongshentidezhongliangjunyundianya。anyayaoyouguilv,buyaozuoyouyaobai,yebuyaochongjisideanya。anyadepinlvchengrenshi100ci/fenzhong,anyadelidujiushixiongguxiaxian4~5limi。

    ·xiongwaixinzanganyayingyurengonghuxitongbujinxing。xianzuo2cirengonghuxi,zaizuo15cianya,rucileitui。

    ·shixingjijiu,xuyizhizuodaoyouhuxijiyoumaibohuohouxuzhichidaodaweizhi。

亚伯体育    ·ruhuanzheyishiyiqingxing,caiquceshenxiuxizishi,dengdaihouxuzhichidaodahuosongyizhiliao。

    ·meiyoujingyanderenshiqianwanbuyaosuibianweitarenzuoxinfeifusu。

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