南昌大学医学院急危重症护理学课件 中暑、淹溺与触电.ppt

Bi Ruixue Chapter 3 Heat Illness, Drowning and Electric Injury 第三章 中暑、淹溺与触电 Vocabulary Heat Illness （中暑） Heat cramps (热痉挛) Heat exhaustion (热衰竭) Heat stroke(热射病) Near-drowning(近乎淹溺) Fresh-Water Drowning（淡水淹溺） Sea-Water Drowning（海水淹溺） Electric Injury（触电） Vocabulary Etiology (病因) Pathogenesis (发病机制) Clinical manifestation (临床表现) On-site rescue (现场救护) Acclimatization(环境适应性） Premonitory (先兆的) Asphyxia (窒息) hypoxia (缺氧) Vocabulary Direct current (直流电) Alternating current (交流电) Voltage and amperage (电压和电流) Body resistance (机体阻力) Adrenalin Hydrochloride (盐酸肾上腺素) Lidocaine (利多卡因) Teaching Objectives Master the concept, clinical manifestation, on-site rescue and nursing intervention of heat illness. Master the concept, on-site rescue and nursing intervention of drowning. Master the concept, clinical manifestation, on-site rescue and nursing intervention of electric injury. Teaching Objectives Be familiar with etiology, pathogenesis and in-hospital treatment of heat illness. Be familiar with pathogenesis, clinical manifestation and in-hospital treatment of drowning. Be familiar with etiology, pathogenesis, clinical manifestation and in-hospital treatment of electric injury. Comprehend factors determining the severity of electric injury. Case 1 Early September,the sun is shining heavily. Lily as a freshman takes part in military training.Suddenly, she is taken to school emergency room for a faint in military training. Symptoms and signs: T 42.5 ℃ 、BP 125/78mmHg、P 116 times/min；anhidrosis(无汗), convulsion(抽搐,惊厥). Questions Section 1. Heat Illness Heat illness is a group of clinical syndromes resulting from the thermoregulatory center dysfunction, water and electrolytes imbalance, or damage to brain cells caused by exposure to high temperature or sun heat. 中暑是指高温或烈日暴晒引起体温调节功能紊乱所致体温平衡失调、水电解质代谢紊乱或脑组织细胞受损而致的一组临床综合征。 Ⅰ. Etiology of Heat Illness Increased heat production 产热增加 Decreased heat dissipation 散热减少 Decreased acclimatization of heat