烧伤病人的麻醉课件（可编辑）.docVIP

烧伤病人的麻醉课件 Anesthesia of burn Anesthesia of burn patient patient Anesthesia Department of Mudanjiang Medical University本章重点内容 本章重点内容 烧伤面积的估计 烧伤面积的估计 烧伤严重程度的分类 烧伤严重程度的分类 烧伤病人的液体治疗及监测 烧伤病人的液体治疗及监测 烧伤病人常用麻醉方法 烧伤病人常用麻醉方法Part oneInitial therapy of burn Part oneInitial therapy of burn patientpatientEmergency Emergency Quickly end the process,wash for20-30Quickly end the process,wash for20-30 minutes. minutes.Initial indagation and therapy Initial indagation and therapyInitial indagationInitial indagation Obtain the medical histry and perform physical Obtain the medical histry and perform physical examination. examination. Initial resuscitation should begin with attention Initial resuscitation should begin with attention to the airway ,breathing,and circulation. to the airway ,breathing,and circulation. 1.Airway and cervical vertebra 1.Airway and cervical vertebra2.Artifical breathing and controlled respiration 2.Artifical breathing and controlled respiration 人 工 呼 吸 人 工 呼 吸控 制 呼 吸 (controlled ventilation ) 控 制 呼 吸 (controlled ventilation )? 3.Control bleed and 3.Control bleed and circulation circulation Haemostasis Haemostasis Judge blood, pulesJudge blood, pulesand periphericand periphericperfusion perfusion Intravenous fluids Intravenous fluids4.Judge consciousness 4.Judge consciousness 5Expose and estimate area of burn 5Expose and estimate area of burn The severity of a burn The severity of a burn depends on the depth and depends on the depth and area of body surface involvedarea of body surface involvedMortality increases with burn Mortality increases with burn severity and advancing ageseverity and advancing age estimate area of burn :estimate area of burn 以烧伤区占体表面积的%表示,国内有中 国新九分法和手掌法。中国九分法 新九分法是将人体各部位定中国九分法 新九分法是将人体各部位定 为若干个9%(主要适用于成人),如头颈 为若干个9%(主要适用于成人),如头颈 部为9%,双上肢为2×9%,躯干及会阴为 部为9%,双上肢为2×9%,躯干及会阴为 3×9%,双下肢为5×9%,再加1%。 3×9%,双下肢为5×9%,再加1%。烧 伤 面 积 计 算 方 法 面 积(%) 面 积(%) 部 位部 位 中国九分法 Wallacs法 十分法 中国九分法 Wallacs法 十分法 10×1 10×1 头部 发 部 3 9×