儿科急救处理课件

《儿科急救处理课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、EMERGENCYMANAGEMENTCPRbasiclifesupportABCA—AirwayB—BreathingC—Circulation与小儿复苏有关的解剖生理特点头部相对较大，枕凸明显:意识不清时头易前倾阻塞气道颈短且胖：小婴儿触摸颈动脉搏动困难易有气道阻塞气管软骨柔弱，气道狭小，易因炎症水肿而梗塞CharacterofanatomyandphysiologyofchildrenThenarrowestpartofairwayinfant：cricoidcartilageadult：voc

2、alcordIndicationofCPRLossofconsciousnessNorespirationsorinvalidbreathingNoarteriopalmusorheartsound,or<60/min,Neonate<80/分neonateindeliveryroom<100次/分Attention：donotdelaytreatmentbecauseofrepeatlyexamination.AssessmentAirwayBreathingCirculationEARLYMANA

3、GEMENTismostimportantResponsornotOpenairwayHead-tilt/chin—liftmaneuveryesBreathingornot5-10syesProvide2slowbreathingMouth-to-mouth,bag-maskyesCirculationornot5-10sarteriaA、brachialA，femoralAyesOnlyAR12-20breaths/minChestcompressionssingle：30：2，two：15：2O

4、uthospital:callforhelpInhospital:CRPfirstABCforbasiclifesupportofchildrenopenairway，assessment：5-10slookhearfeel开放气道(Airway，A)injury：jaw-thrust非医务人员不推荐使用☆Head-tilt/chin—liftmaneuver判断有无反应开放气道压额举颌法托颌法(非医务人员不用)有判断有无呼吸5-10秒有2次人工呼吸口对口，复苏气囊有判断有无循环5-10秒颈A、肱A，

5、股A有仅做人工呼吸12-20次/分钟胸外按压单人：30：2，双人：15：2院外先呼救院内先实施CPR复苏体位1.Breathing，B.Mouth-to-mouthbreathingMouth-to-mouthAndnosebreathing2.Bag-maskventilationBagging3.Endotrachealintubation:path:ETTortracheotomyindication:obstruction,prolongedventilatoryassistanceorcon

6、trolrespiratoryinsufficiency,lossofprotectiveairwayreflexes,routeforapprovedmedicationssedationandparalysisrecommendedunlesspatientisunconsciousoranewborn.equipmentETT:size=(Age+16)/4Roughestimate:thefifthfinger小手指粗细size：2.5-7Laryngoscopebladegenerally,

7、astraightbladecanbeusedinallpatients.acurvedbademaybeeasierinpatientsProcedureParalyticPreparationPreoxygenationwith100%O2Atropin0.01mg/kgCircoidpressureSedative判断有无反应开放气道压额举颌法托颌法(非医务人员不用)有判断有无呼吸5-10秒有2次人工呼吸口对口，复苏气囊有判断有无循环5-10秒颈A、肱A，股A有仅做人工呼吸12-20次/分钟胸外

8、按压单人：30：2，双人：15：2院外先呼救院内先实施CPR复苏体位Circulation，CCirculation胸外心脏按压胸内心脏按压Suitableforchildreneasy10分无效chestboneorspinaleformityOut-chestcompressionManoeuvre:different:根据年龄选择pisition：乳头连线部位depth：胸廓厚度1/3-1/2frequency频率：100次CIR/R：single