Video: Qhov kev kho mob tsim nyog tshaj plaws rau kev poob siab hypovolemic yog dab tsi?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Dej resuscitation yog lub hauv paus tseem ceeb ntawm kev kho mob hauv cov neeg mob hnyav hypovolemia . Txawm hais tias tsis muaj lub ntsiab lus tseeb tshwm sim, hnyav hypovolemia tej zaum yuav tshwm sim thaum poob ntshav lossis cov kua dej ntau ntxiv ua rau poob qis hauv lub cev.
Ntawm no, yam tshuaj twg koj muab rau hypovolemic poob siab?
Isotonic crystalloid cov kev daws teeb meem feem ntau muab rau intravascular repletion thaum poob siab thiab hypovolemia. Colloid daws feem ntau tsis siv. Cov neeg mob uas lub cev qhuav dej thiab lub ntim txaus tsim nyog feem ntau muaj pub dawb dej tsis txaus, thiab kev daws teeb meem hypotonic (piv txwv li, 5% dextrose hauv dej , 0.45% ntsev ) tau siv.
Ib yam nkaus, koj ua li cas kho tus neeg mob nrog kev poob siab?
- Tso Tus Neeg Cia, yog Ua Tau. Tsa tus neeg ko taw li 12 ntiv tes tshwj tsis yog lub taub hau, caj dab, lossis sab nraub qaum raug mob lossis koj xav tias pob txha tawg lossis pob txha pob txha.
- Pib CPR, yog Xav Tau. Yog tias tus neeg tsis ua pa lossis ua pa zoo li tsis txaus ntshai:
- Kho Qhov Pom Kev Raug Mob.
- Ua kom tus neeg sov thiab xis nyob.
- Ua Raws Li.
Hais txog qhov no, cov kua dej twg yuav tau muab rau tus neeg mob uas muaj mob hypovolemic poob siab?
Rau cov neeg mob nyob rau hauv hypovolemic poob siab vim kua poob, qhov tseeb kua tsis muaj peev xwm txiav txim siab tau. Yog li ntawd, nws tau ceev faj kom pib nrog 2 liv ntawm isotonic crystalloid tov nkag mus sai raws li kev sim ua kom rov ua cov ntaub so ntswg sai sai.
Yuav kho tus mob hypovolemic postoperative li cas?
Kev kho rau lub hauv paus pib ntawm hypovolemic poob siab yuav nyuaj. Txawm li cas los xij, thawj lub hom phiaj ntawm kev kho yog ib txwm tso tseg cov kua dej poob qis thiab ua kom cov ntshav muaj qib ua ntej muaj teeb meem tshwm sim. Tus kws kho mob feem ntau hloov pauv cov ntshav poob nrog cov kua dej (IV) hu ua crystalloids.
Pom zoo:
Cov kev kho mob xaiv dab tsi los kho qhov poob siab hypovolemic?
Ib zaug ntawm tsev kho mob, ib tus neeg xav tias muaj mob hypovolemic poob siab yuav tau txais cov kua dej los yog cov khoom lag luam ntshav los ntawm txoj hlab ntshav, txhawm rau ua kom cov ntshav ploj thiab txhim kho kev ncig. Cov no suav nrog: kev tso ntshav ntshav. hloov ntshav platelet. hloov ntshav ntshav liab. intravenous crystalloids
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