Izinkomba zomtholampilo kanye ne-contraindication yesikhombi semishini yokwelapha ye-hypothermia emnene

Ukuvikela ubuchopho

⑴ Ukulimala kwe-craniocerebral okubi kakhulu.⑵ Ischemic hypoxic encephalopathy.⑶ Ukulimala kwesiqu sobuchopho.⑷ I-Cerebral ischemia.⑸ Ukopha ebuchosheni.(6) Ukopha kwe-Subarachnoid.(7) Ngemva kokuvuselelwa kwe-cardiopulmonary.

Njengamanje, ukwelashwa kwe-hypothermia okuncane kubhalwe njengokwelashwa okujwayelekile kweziguli ezinokulimala kanzima kobuchopho, ikakhulukazi ezigulini ezinobuchopho obukhulu kanye ne-laceration ehlangene ne-intracerebral hypertension okunzima ukuyilawula, ukulimala kwe-hypothalamic kuhlanganiswe ne-hyperthermia ephakathi, ukulimala kwesiqu sobuchopho kuhlangene. nge-decancephalic ankylosis.

Ukwelashwa ngokomzimba kweziguli ezinomkhuhlane ophezulu

⑴ Imfiva ephakathi nendawo okunzima ukuyilawula.⑵ Ukushisa okunzima.⑶ Ukudlikizeka okukhulu.

contraindication

Akukho contraindication ngokuphelele.I-contraindication ehambisanayo imi kanje:

1. Endala futhi ehambisana nokwehluleka okukhulu kwenhliziyo noma isifo senhliziyo.

2. Iyinkimbinkimbi ngokushaqeka, okungakalungiswa ngokuphelele.

3. Esimeni sokuhluleka kwesistimu.

4. I-hypoxia enzima ayikalungiswa.

Ukucaciswa kokusebenza kwemishini yokwelapha ye-hypothermia emaphakathi

Ukulungiselela ngaphambi kokusebenza

1. Ukugeleza komoya egumbini lokulungiselela imvelo kubushelelezi;Ifakwe amandla kagesi, isilawuli sikagesi kanye nocingo oluthembekile lwaphansi;Ibanga phakathi kwendawo yokuphuma yangemuva nento kufanele libe likhulu kuno-20cm.

2. Lungiselela izinto zokwelapha ze-hypothermia ezithambile, intambo yamandla, intambo yaphansi, inzwa yezinga lokushisa, ipayipi, ishidi lombhede, amanzi acwebile, ingxube yokulala, isiphumuza imisipha, izinto zokwakha ze-tracheotomy, njll.

3. Ukulungiselela isiguli

⑴ Chazela iziguli noma amalungu omndeni ngaphambi kokusetshenziswa.

⑵ Hlola isimo.

⑶ Ukusebenzisa Ingxube Ye-Hibernating: Ngaphambi kokwelashwa kwe-hypothermia encane, sebenzisa i-chlorpromazine, i-promethazine, ne-dolantine ngokungu-100 ㎎, kanye no-0.9% NS Dilute ukuya ku-50ml.Sebenzisa iphampu yomjovo omncane bese uyijova ngomthambo.Ngemuva kokuthi isiguli singene kancane kancane esimweni sokulala, ukwelashwa kwe-hypothermia okuncane kungenziwa.

⑷ Ingxube ye-Hibernating ayidingeki ekupholiseni ngokomzimba kwekhanda kuphela.

4. Ithuluzi kufanele lilungele ukuxhuma amapayipi, izingubo zokulala kanye nezinzwa.

izindaba ezidinga ukunakwa

1. Isiguli akufanele sinyakazwe noma siguqulwe ngobudlova ngesikhathi sokwelashwa kwe-hypothermia encane ukuze sigweme i-orthostatic hypotension.

2. Qinisa ukuphathwa kwendlela yokuphefumula futhi usebenzise ngokuqinile ukuhlinzwa okuhlukahlukene kwe-aseptic ukuvimbela ukutheleleka.

3. Qinisekisa ukuzungeza komoya endlini futhi ugcine iyunithi yombhede yomile futhi ihlanzekile.

4. Gcina ipayipi lamanzi elithambile lensimbi yokwelapha ye-hypothermia ebushelelezi futhi ugweme ukugoqa noma ukugoba.

5. I-ice blanket izosakazwa kusukela ehlombe kuya emlenzeni wesiguli, futhi ngeke ithinte intamo ukuze igweme i-bradycardia ebangelwa injabulo yezinzwa ezinozwela.

6. Ingubo yokulala ayigandayiwe nganoma yiziphi izinto zokuvikela ukushisa ukuze kugwenywe umphumela.Ungqimba olulodwa lwamashidi olunomumo oqinile wamanzi lungasetshenziswa ukumunca amanzi akhiqizwe ngenxa yomehluko wezinga lokushisa.

7. Ingubo yeqhwa izobekwa isicaba futhi isicaba, futhi akufanele isongwe ukugwema ukuvimba ukujikeleza.

8. Uma amashidi esemanzi, kufanele ashintshwe ngesikhathi ukuze kugwenywe ukungakhululeki esigulini.

9. Sula amanzi ajiyile azungeze ingubo yeqhwa ngesikhathi ukuze ugweme ukuthikameza ukusebenza okuvamile komshini nokuvimbela ukuvuza kukagesi.

10. Ngesikhathi usebenzisa ingubo yokupholisa, bheka ukubekwa kwe-probe, futhi uyilungise ngesikhathi uma iwa noma isendaweni engafanele.

11. I-casing yensimbi yokwelapha ye-hypothermia ethambile kufanele isekelwe ukuze kuvikelwe ukuphepha kweziguli nabasebenzi bezokwelapha.

12. Hlola i-alamu ngaphambi kokuyisebenzisa.