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抢救

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ResultsFor 3 cases simple metrorrhexis,2 cases metrorrhexis with combined injury in abdomine,5 cases traumatic miscarriage and profluvium sanguinis,without other injury.

结果:单纯子宫破裂出血者3例,子宫破裂出血并腹部复合伤者2例,其中1例抢救无效死亡;外伤性流产、出血,无其他外伤者5例。

Results In the early stage after operation, myasthenic crisis occurred in 2 cases, one died and the other survived.

结果术后早期发生肌无力危象2例,其中1例死亡,另1例抢救成功;其余病例术后病程平稳,无胆碱能危象发生。

Results:Applying oropharyngeal airway in first aid the coma patients can improve hypoxia and the success rate.

结果:院前使用口咽通气管能有效改善昏迷患者的缺氧状态,提高抢救成功率。

In recent years, the stretcher bars flower survival, development of basic changes in society, some quite accomplished stage veteran artists gradually quit or die, and some skills difficult to obtain transmission and development, carried flower development Periploca difficult to save much-needed protection.

近年来,抬花杠赖以生存、发展的社会基础发生变化,一些颇有造诣的老艺人逐渐退出舞台或谢世,有些绝技难以得到传承和发展,抬花杠的发展举步维艰,亟需抢救保护。

To pay attention to carry out effective cardiopulmonary resuscitation, hemostasis by compression and deep vein intubation rapidly in the initial stage of emergency. The carotid shunt tube plays an important role in severe carotid injury and re-establishment process. We use external jugular vein to transplant and re-establish,which are rung with artificial blood vessels for the long distance carotid injury and achieved the best result. We expose as fully as possible for the hepatic venae and the posthepatic post caval injury,and adopt effective methods to stop bleeding and repair. The application of blood shunt pump could raise the success rate for those severe patients. The self-double vastransplantation with both ends being all trousers-style one opening solve some problems such as there are no suitable caliber self-transplantation blood vessels and the artificial blood vessels are easy to occur obliteration for long-term and so on for the great or middle blood vessels.We use improved Fogarty duct and anterograde intubation to eliminate thrombus could eliminate thrombus effectively and avoid accessory injury for the deep vein injury and extensive thrombosis.

抢救初期要注意进行有效的心肺复苏、压迫止血和快速进行深静脉插管;颈动脉转流管在严重颈动脉损伤重建过程中有重要作用;对长距离颈动脉损伤用颈外静脉移植外环包人造血管重建,可取得最佳效果;对肝静脉及肝后下腔静脉损伤,要充分暴露,采用有效方法止血和修复,对病情极危重的凶险性出血者,血液转流泵的应用可提高成功率;对大、中血管损伤,两端均为裤式单开口自体双血管移植,解决了无适宜口径自体移植血管和应用人造血管远期易闭塞等问题;对深静脉损伤并广泛血栓形成者,应用改进的Fogarty导管和顺行插管取栓法,可有效取栓并避免了副损伤。

To pay attention to carry out effective cardiopulmonary resus-citation,hemostasis by compression and deep vein intubation rapidly in the initial stage of emergency.The carotid shunt tube plays an important role in severe carotid injury and re-establishment process.We use external jugular vein to transplant and re-establish,which are rungwith artificial blood vessels for the long distance carotid injury and achieved the best result.We expose as fully as possible for the hepatic venae and the posthepatic post caval injury,and adopt effective methods to stop bleeding and repair.The application of blood shunt pump could raise the success rate for those severe patients.The self-double vastransplantation with both ends being all trousers-style one opening solve some problems such as there are no suitable caliber self-transplantation blood vessels and the artificial blood vessels are easy to occur obliteration for long-term and so on for the great or middle blood vessels.We use improved Fogarty duct and anterograde intubation to eliminate thrombus could eliminate thrombus effectively and avoid accessory injury for the deep vein injury and extensive thrombosis.

抢救初期要注意进行有效的心肺复苏、压迫止血和快速进行深静脉插管;颈动脉转流管在严重颈动脉损伤重建过程中有重要作用;对长距离颈动脉损伤用颈外静脉移植外环包人造血管重建,可取得最佳效果;对肝静脉及肝后下腔静脉损伤,要充分暴露,采用有效方法止血和修复,对病情极危重的凶险性出血者,血液转流泵的应用可提高成功率;对大、中血管损伤,两端均为裤式单开口自体双血管移植,解决了无适宜口径自体移植血管和应用人造血管远期易闭塞等问题;对深静脉损伤并广泛血栓形成者,应用改进的Fogarty导管和顺行插管取栓法,可有效取栓并避免了副损伤。

Results With threshing and pressing on precardiac region , dysrhythmia could be terminated ,and then sinus rhythm was restored. During the course, 4 cases were treated with pressor agent, 1 case used intracardiac pacemaker and 1 case used artifical respirator.

应用胸前捶击及胸外按压的方法可立即终止这两种心律失常的发作,并最终恢复窦律,在抢救过程中 4例病人使用了升压药,1例辅助使用了人工呼吸器,1例使用了临时心内起搏器。

Methods 16 cases with nasopharyngeal cancer complicated by intractable epistaxis after radiotherapy were analysed. cared (filling up pre-and post-nasoforamin, prenasal field irradiation, surgery to stop bleeding and digital substraction angiography) were smmnarized.

对16例鼻咽癌行放疗后出现大出血的相关因素进行分析及抢救方法(前后鼻孔填塞、手术止血、数字减影血管造影检查)进行总结。

The patients with multiple trauma should be rescued priorly,and nonfatal injuries are permitted to be missed in early treatment.We should take a second examination to prevent the missed diagnosis and improve the treatment outcome when patients condition is stable.

多发伤患者早期诊疗中应优先抢救生命,允许出现非致命伤的漏诊,应待患者病情稳定后,再次进行检查和评估,以明确诊断,提高救治质量。

The proctoclysis of Chinese traditional medicine is a new administration way and has good effect on acute intracerebral hemorrhage in resent ten years, which is worthy of being research.

中药直肠滴注近10年来用于脑出血急性期昏迷患者的抢救,取得了较好的疗效,值得我们进一步研究总结。

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