肋骨骨折病人急救(国外英文资料).docVIP

肋骨骨折病人急救(国外英文资料) 2.1 emergency care To save the life of the patient. For patients with abnormal breathing, the abnormal breathing movement of the chest wall can be reduced or stopped with a heavy cotton pad. To clean up the foreign respiratory tract, keep the airway open, encourage the patient to cough and remove the sputum, and take a deep breath; To strengthen respiratory care in patients with tracheal intubation or incision, inhalation of sputum and ultrasonic atomization when necessary; The tracheal tube intubation more than 72 hours, should change the tracheal incision, lest the endotracheal mucosa is pressed ischemic necrosis. Oxygen inhalation, alleviating breathing difficulties, and maintaining oxygen saturation between 93% and 100%, ensuring the oxygen supply of each important organ. Anti-shock therapy. Multiple rib fractures have a loss of 1 000 mL ~ 4 000 mL and should be developed rapidly. But patients with severe pulmonary contusion should be careful to control the fluid speed, in case the pulmonary edema causes acute respiratory distress syndrome. The condition observed closely observed vital signs, measuring vital signs every 30 minutes, especially blood pressure and breathing changes. Changes in mind, chest breathing and abdominal breathing, and the presence of gas, cyanosis, difficulty breathing, etc. If abnormal, report to the doctor in time and assist in the treatment. Closely observe whether or not to incorporate open, open, and tensile strength of the chest; There is no bleeding, especially if there is no progressive blood chest. Close observation of body temperature, if the temperature is more than 38.5 ℃, should report the doctor timely processing. The life of the life of the life of the life of the two people, take half the position, to improve the breathing and circulation of the patient, also benefit to keep the flow of drainage smoothly; If coma or blood pressure fluctuation, take a flat position. Nurse to the patient in detail the import