Iimpawu zeklinikhi kunye nokuchasana kwesixhobo sonyango se-hypothermia epholileyo

Ukukhuselwa kwengqondo

⑴ Ukwenzakala okumandundu kwecraniocerebral.⑵ Ischemic hypoxic encephalopathy.⑶ Ukwenzakala kwengqondo.⑷ I-Cerebral ischemia.⑸ Ukopha ebuchotsheni.(6) I-Subarachnoid hemorrhage.(7) Emva kokuvuselelwa kwe-cardiopulmonary.

Okwangoku, unyango olulula lwe-hypothermia ludweliswe njengonyango lwesiqhelo lwezigulane ezinokulimala okukhulu kwengqondo, ngakumbi kwizigulane ezinokuphazamiseka kwengqondo kunye ne-laceration edibeneyo kunye ne-intracerebral hypertension enzima ukuyilawula, ukulimala kwe-hypothalamic kudibaniswa ne-hyperthermia ephakathi, ukulimala kwengqondo edibeneyo. kunye ne-decancephalic ankylosis.

Unyango lomzimba kwizigulane ezinomkhuhlane ophezulu

⑴ Central fever high ekunzima ukuyilawula.⑵ Ubushushu obugqithisileyo.⑶ Ukuxhuzula kubushushu obuphezulu.

contraindication

Akukho contraindication ngokupheleleyo.I-contraindications ehambelanayo yile ilandelayo:

1. Umdala kunye nokuhamba kunye nokungaphumeleli okukhulu kwentliziyo okanye isifo senhliziyo.

2. Ubunzima bomothuko, obungalungiswanga ngokupheleleyo.

3. Kwimeko yokusilela kwenkqubo.

4. I-hypoxia enzima ayizange ilungiswe.

Inkcazo yokusebenza kwezixhobo zonyango ze-hypothermia epholileyo

Ukulungiselela ngaphambi kokusebenza

1. Ukuhamba komoya kwigumbi lokulungiselela okusingqongileyo kuhamba kakuhle;Ixhotyiswe ngombane, isilawuli sombane kunye nocingo oluthembekileyo lomhlaba;Umgama phakathi kwe-vent yangasemva kunye nento kufuneka ube mkhulu kune-20cm.

2. Lungiselela izixhobo zonyango ze-hypothermia ezithambileyo, intambo yamandla, ucingo lomhlaba, inzwa yeqondo lokushisa, ipayipi, i-bed sheet, amanzi adibeneyo, i-hibernating mix, i-muscle relaxant, i-tracheotomy materials, njl.

3. Ukulungiselela isigulane

⑴ Chazela izigulana okanye amalungu osapho phambi kokusetyenziswa.

⑵ Vavanya imeko.

⑶ Ukusetyenziswa koMxube wokuHibernating: Ngaphambi konyango lwe-hypothermia epholileyo, sebenzisa i-chlorpromazine, i-promethazine, kunye ne-dolantine ye-100 ㎎, kunye ne-0.9% NS Dilute ukuya kwi-50ml.Sebenzisa impompo yesitofu encinci kwaye uyitofe ngemithambo.Emva kokuba isigulana singene ngokuthe ngcembe kwimeko yokulala, unyango olulula lwe-hypothermia lunokwenziwa.

⑷ Umxube we-Hibernating awufuni ukupholisa intloko ngokwasemzimbeni kuphela.

4. Isixhobo siya kuba silungele ukudibanisa imibhobho, iingubo kunye neenzwa.

imiba efuna ingqalelo

1. Isigulane akufanele sishukunyiswe okanye siguqulwe ngamandla ngexesha lonyango oluncinci lwe-hypothermia ukuphepha i-orthostatic hypotension.

2. Ukuqinisa ulawulo lwendlela yokuphefumula kunye nokuphumeza ngokungqongqo imisebenzi eyahlukeneyo ye-aseptic ukukhusela usulelo.

3. Qinisekisa ukujikeleza komoya wangaphakathi kwaye ugcine iyunithi yebhedi yomile kwaye icocekile.

4. Gcina umbhobho wamanzi othambileyo wesixhobo sonyango se-hypothermia epholileyo kwaye uphephe ukusonga okanye ukugoba.

5. I-ice blanket iya kusasazwa ukusuka ehlombe ukuya kwi-hip yesigulane, kwaye ayiyi kubamba intamo ukuze igweme i-bradycardia ebangelwa yi-excitement nerve excitement.

6. Ingubo ayilungiswanga naziphi na izinto zokugquma i-thermal ukuphepha umphumo.Umaleko omnye wamaphepha anokufunxwa ngamandla kwamanzi angasetyenziselwa ukufunxa amanzi avelisiweyo ngenxa yomahluko wobushushu.

7. Ingubo yomkhenkce iya kubekwa mcaba kwaye isicaba, kwaye ayiyi kusongwa ukuthintela ukujikeleza.

8. Emva kokuba ama-sheets emanzi, kufuneka atshintshwe ngexesha ukuze aphephe ukungahambi kakuhle kwisigulane.

9. Sula amanzi adibeneyo malunga nengubo yeqhwa ngexesha lokuphepha ukuchaphazela ukusebenza okuqhelekileyo komatshini kunye nokuthintela ukuvuza kombane.

10. Ngethuba lokusetyenziswa kwengubo yokupholisa, jonga ukubekwa kweprobe, kwaye uyilungise ngexesha xa iwa okanye ikwindawo engafanelekanga.

11. I-casing ye-mild hypothermia isixhobo sonyango kufuneka isekelwe ukukhusela ukhuseleko lwezigulane kunye nabasebenzi bezonyango.

12. Jonga isivusi phambi kokusetyenziswa.