论文部分内容阅读
病历:胡某,男,20岁。不慎落海溺水3分钟后被救上岸,当时面部肿胀、青紫,双眼充血,肢体冰冷,烦躁不安。将溺水者俯于运送者肩部,急送医院。抢救经过:入院查体:脉搏140次,呼吸42次,血压70/40,神志恍惚,躁动不安,面部肿胀青紫,双眼充血,口鼻流血,肢体厥冷,发绀,双肺均可闻及中小水泡音,心率140次,心律齐,心音低弱,腹稍膨隆,肝脾未触及。将患者呈俯卧位,垫高腰部,头部下垂,并用手压背部,排出灌入的海水,并给予鼻导管吸氧(50%酒精湿化),冰帽冷敷,肌肉注射尼可刹米和洛贝林,同时以多巴胺40mg、阿拉明20mg,加入5%葡萄糖液500ml 中静脉点滴,输入低分子右旋醣酐500ml。经上述处理,患者仍无明显
Medical records: Humou, male, 20 years old. Inadvertently drowning in the sea 3 minutes after being rescued ashore, was facial swelling, bruising, eyes congestion, limbs cold, irritability. The drowning man bent over the shoulders of the carrier, rushed to the hospital. Rescue after: admission examination: pulse 140 times, breathing 42 times, blood pressure 70/40, trance, restlessness, facial swelling bruising, eyes congestion, nose and mouth bleeding, limbs Jueleng, cyanosis, lungs can be heard and small Blisters sound, heart rate 140 times, heart rate Qi, heart sounds weak, slightly bulging belly, liver and spleen not touched. The patient was prone position, lumbar lumbar, head drooping, and hand pressure on the back, drainage of irrigation water, nasal catheter and give oxygen (50% alcohol wet), cold ice cap, intramuscular injection of Nicotiner and Lobeline, while dopamine 40mg, Alamin 20mg, adding 5% glucose solution 500ml in the intravenous infusion of low molecular weight dextran 500ml. After the above treatment, the patient still no obvious