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麻醉棘手问题处理大全(A comprehensive treatment of difficult problems of anesthesia)
麻醉棘手问题处理大全(A comprehensive treatment of difficult problems of anesthesia)
The.Txt3 has worked hard, the sky is still beautiful, the dream is still pure, the flying self is flying bravely in the sky of dream, and I believe I must do better. 4 my bitter tears of self injury, I dream may smile. 5, cowardly people afraid of loneliness, rational people know how to enjoy loneliness, anesthesia, intractable problems, deal with Daquan
Treatment of pulmonary edema
Pulmonary edema (pulmonary edema) refers to the pulmonary gas liquid diffusion barriers in the pulmonary capillaries caused by immersion into lung tissue, causing dyspnea and foamy sputum (colorless or pink mucus), its basic physiological function disorder fluid from pulmonary capillary exudation faster than pulmonary lymphatic can absorb speed, so that a large number of the exudate accumulated in the lung and alveolar matter.
[pathogeny]
L. excessive fluid. Excessive or excessive infusion of water, obstruction of body water, water intoxication.
2. elderly (70 years) or neonatal and pediatric, cardiovascular disease, hypertension, renal dysfunction.
3. non cardiac factors:
(1) airway obstruction: upper airway obstruction
(2) allergic reaction: hydralazine hydrochloride (hydralazine), hydrochlorothiazide (HCTZ) and other drugs.
(3) neurogenic: central nervous system injury, such as brain injury, cerebrovascular accident, brain tumor and so on, the central sympathetic nerve excitation, so that peripheral blood vessels contraction (interstitial negative pressure increased).
(4) pulmonary atelectasis, rapid removal of pleural effusion or pneumothorax.
4. sepsis. Severe gram-negative bacilli infection.
5. cardiac factors: mitral stenosis and insufficiency, left ventricular dysfunction, such as myocardial ischemia or infarction, arrhythmia, acute heart failure and so on.
6. return flow suction.
7. multiple organ failure.
8. factors: drug succinylcholine, morphine, vasopressor drugs overdose, inhalation of impure Nitrous
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