院前急诊常见症状诊疗（Diagnosis and treatment of common symptoms in prehospital emergency department）.docVIP

下载本文档

3
0
约2.03万字
约 21页
2017-09-02 发布于河南
举报
版权申诉

院前急诊常见症状诊疗（Diagnosis and treatment of common symptoms in prehospital emergency department）.doc

1、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

院前急诊常见症状诊疗（Diagnosis and treatment of common symptoms in prehospital emergency department）

院前急诊常见症状诊疗（Diagnosis and treatment of common symptoms in prehospital emergency department） Diagnosis basis: 1., there are various causes of bleeding, loss of body fluids, burns, serious trauma, infection or allergies. 2. adult hypotension systolic blood pressure less than 10.6kPa (80mmHg), children are reduced in proportion to the. 3. tachycardia. 4. decreased urine output. 5. peripheral blood vessel perfusion: clammy limbs, complexion pale lips and limbs, spots, weak pulse fast and stroke is not clear etc.. 6. changes in mental states: restlessness, agitation, confusion, apathy or restlessness, confusion, or even coma. Treatment principle: 1., the patient supine or leg raising supine position; normal or below normal pulmonary edema patients should be placed in the seat. 2. oxygen inhalation. 3. immediately establish venous access. 4. add blood volume: This is the key to treatment. Immediate venous transfusion restores adequate blood volume. According to the principle of crystalloid liquid, the principle of colloid liquid is added. 5., the application of vasoactive drugs: shock early, should not use vasoconstrictor drugs, only the blood volume has basically make up, and no continued bleeding, and acidosis and heart dysfunction, can use dopamine. 6. anaphylaxis, emergency use of epinephrine, followed by the use of antihistamine drugs and hormones. When severe breathing difficulties or laryngeal edema, airway should be guaranteed, oxygen or trachea intubation or incision. Watch out: Identification of shock causes has important reference value for treatment. Hypovolemic shock pre hospital treatment for side infusion, while using vasopressors dopamine; septic shock with dopamine and Aramine should pay attention to the dropping speed; the most difficult treatment of cardiogenic shock, application of dopamine, if improved blood pressure can also use nitroglycerin and dobutamine were. The cause of cardiogenic shock in different treatment are significantly different, such a