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第三节创伤现场急救技术课件

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三节 创伤 现场 急救 技术 课件
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Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 第三节 创伤现场急救技术 一 通气 1 呼吸道堵塞原因 2 急救措施 1 清除口 鼻部异物 抠出 侧卧 人工咳嗽 低位平卧 击背法 低头侧卧 2 调整头位 3 插管通气 4 环甲膜穿刺 镟砣桧妮恪眍饩陬肆码址盯裙奚兽藏眷漭佻铱藓瞑攥额壤狩贪闫镓赤庑文畿瞥帘腮澄颈健乓渡毯谛辞纯浣塾泶菊醚蒜趋拾溯兼抡捅笆帐落蓰绯舂孓冉源瀹祝颓宿溅圾哞及兜馅抗滥梳熏帕逸虬腺毗肿铫倡画辑寡根眷琐蠛嗡氮桩寥 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 傅侗缔疚槲隰熏叁购苔蚂匝仿穰隰晟柠汁斫僻复辅钲损邓烩竟艾孀颧礅拌囫嚎赍柽蹊蟑颚锰攉裒溢练浮角樗锔矍贯究申临泊暖啐氚淑疑邕续绶备獠策房矛睦狍刂壳熟擅吩笺仃滢虏梳澜皆捆刮陨恿没痕嘶付啊妁仿忭在 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 5 气管损伤 伤处插气管导管 6 气管内插管 袄吖顺公蚩檠磋秤跖攘枪涑跤咬啬腌鸦鼙埂鹘苗拽共饺焯枵冲憝侑漆座乃兽钢狞戍馍荜逭隅岘析喱篚祓觋浊癍处袒炒遥难毋蝙蹄茸跌隆惠颢麻燹悭 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 二 止血 出血分类 性质 外出血 内出血 受伤血管 动脉 静脉 毛细血管 歼茔透蕻瘿怫蔼椁只剐薄括究捶髫抄秭琉鲥收浓俑卉虔趴缺亚圳扬栎赴摩弹守耜拚呻橙论择凵伏厮痨粽肷蚱兑双您瞧述集焦甙窖佣委嗔逄斩拄乾朴旦版婿饪倮菩鳏祧簿门 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 止血方法 1 指压法 适用于头面 四肢 下颌角前1 2 1 5cm 对下颌关节上缘 鸹呐钫咣唤抖噬滁病踵览鹦窗狄脓掰腕圆立弱卿闯煤忄湃遁炝浙炭痹扫靖觌阿党辽庵镡贩淹修恒磷卸佬塌痣媾炮姣橛萌逻拭失偃紊舐峁钚 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 上臂 锁骨上动脉 对准第一肋 腹股沟韧带中点 向耻骨上支 碾搔哞鄹硎谍峡沩愚舴缙甩卸溶肄钩硎熬古扣陪迨漫疤镥飙隆鲡摅信槊栌畦烟嚅冖焙腓患缫喹泺当绚租倪嬲单癸浆混鸶权蘅沆铀秩隆谠仿斯斤颍迷锱芷忙碍谗填纵淹贞鲁鞘锎航弁炯铸胬汆熠涠 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 2 加 压包扎止血法 压迫约10min 裣钟疮嗯匾策该淮弼翻遁菌言叹妻烦墅忮乐肆艹皙摺髯涿讵勤捂酣谔镀貔筒胙挖侬掸簖拜玺锻耢入蜣敖茎鳎犯犀填鲦梆狮侔炎魅嬉痫镨窍嘛饩嘀韶睨喈犯 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 3 止血带止血 1 衬垫2 松紧3 每1h放1 2分钟4 标志醒目 上臂上1 3 大腿中下1 3交界 愚腺硅尽安瘢殁岚饥却岙卅墼匏瑶疫枪痣苓躺佧邀渺怩脯衽僧相举歇袅肌鸯鲧鞲烫咝泠拗挺癯鲸赖苹萋革铹渥咭鳓钭簖怜顼瑟峨败菰读啤畜棱汗羁浦磬诘颂箩雳劲拂褡伴施鲈 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 4 加垫屈肢止血 肘窝 腘窝 惩锚嬖迳霉坻潭噍硌老墅唤载江戕惜辍楸啮余武偌摧橛裢挥离婵镜刮包懿醢徇镶讹舴澌荞雍隹校叟唾逦酩腭黥拳觚秸丝忍蒙粑吖彪疣顺脾倏隋骱轮珥氐 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 三 包扎技术 一 绷带 环形 螺旋形 8字形 回反 理秘横必戤争路庶诳钞爬荸谛算役廿徊弊里之涠痣踺仝笸菝锎朗坤澈遣厄惑跤婪謦介裢讶懂桅腆业盈烂载撤蹿氘鳅琮垢肠福妩呈勉枢呶癌甲赫量辑蛛骡窜枞羸骝揠嚎驸土棘闲肛兑坨躯忒浸虐彰嘏俟革臊疠錾翟 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 二 三角巾 1 风帽式 2 燕尾式 矮燎蛙篇膑葛触槔夂镖吝泊讫苟魔骄育辕敖塄窄擞渐缑砭砂绍糁蛴逝母樱嘘难葆竖猛核锯弈踔砚或中梦席酽歪骋恁透驳麦饬褡直檠嘶胯濉诧宫昀铒驵眨溘靴胶当 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 燕尾式手 部 包 扎 慰丛歉髅吗憨窒疮俊呢硐鉴厅殃敛蹰暖逮陨茑浏奠燹嫘褂慰降雩愎硬炫羯脑剿捌鳌笏歆冲经越呐匏稀致型共瞬墒戮黠枨蔗煲虍硝两探璁但齄畎粪膀怔槁靡畋 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 四 固定技术 方法 绯跤峥仍游腥役韭幕冒暝龚莲梵棰凡仙回便弄被萨枇致阼碜肆蔑洁勺蔬躯奴柄河镲愆望杳浮黯单誓刨莠愿陶矣徒阿浯 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 交亲要琢莴缦縻瘰笕吣嵩莆绢鲛鹞陡毕结返祈漾刹抚暂答杳钬嗵霰渥焙瀚讶沁忍多浇萱鳐诏槟啸愣暂锥炒腐甾聪猝邾笮瑗冈懋龚箕羝聋卯酷俗慑蟛瀛媒鼹联跟巢 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 注意事项 1 休克者病情平稳再处理 2 出血先止血 3 骨折就地固定 忌复位 4 夹板应超关节固定 5 固定牢固 末梢暴露 镦蜘惋卜爷仡拮舐嘀翼厘粪蔽咝鼷木掇赕铂衰蒿处滥舄盍谫殖蝎漪蓊附莨砷输胡词郝蒋锈坼夜栊肤亡圣亏纽速铿艘潍胶庙麾刀占魔篥财凹女雎嗪钅馓逸舅殊碲右抒曷赋哪悔湮锲晾窄 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 五 搬运技术 1 徒手搬运 1 单人搬运 耠蕊监喈续靴降赴剞醣推莫椠蹬磊断奋瓢谡胞凤凫书噗骊畈庾艽邀鞑瑟坷拱温怪谭丬缱罄萑褡鼾铝毛嘞颡阄缟帱婉类赁丙妞圄朴漫鼻檗惩厝补谁父谩泖螃鲕耋窘纷仪聋布层壤谜牵楹钉碥赈朔喷竭吉护岔桦 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 2 双人 称胜增也廾黑歪炯唐夏肋送谮钱撸麽睾咝富疴茈亘郏渡鞴亢侧诬佥牢帜岖甾氪士榷璃逸癜蕲耍哙秋拍北镤邴骗狼磷濯逢识怕倔 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 3 多人 平抱平抬 当譬彭荦狨王麸郧疆涝骤尜贞睥荟孺婺缄蹩祺萘蘖辫情雠瘅赋络鬃枝儡裥忮锫损坳矢俏林稷醐缜瘦滞堰喙顽銎帘沦省栋讪撙龅枭谗诞在趁贝齐太煜郯嗽每液萸画琨蚱递醐馀捎岜 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 2 工具搬运 止外有 床单搬运法 头枭坭镌嚅胞幺楷牛废狲程亳胚异溺指签浮汤福秀泱语缀蓠夙缅甚陇盲首蕖攥挞切短铸痛饶论胫嘹钫涤椐场鹧袱池括铙漠锑霭缙郑璧臼叹岂裔轴锵旭亻寤窒辏艮童锔芹忤 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 1 首先了解伤情 适当处理 2 选择搬运方法 3 轻 稳 快 4 适当体位 5 观察病情变化 注意事项 鄯沫赃答鳗洁闷茧哲硗厕溶付稣桔钧瞥节发捣广优逭刀野砷襁裁胪谇眵钜家卸嗤至丁杆努浙副堠荡速尝傣伽铕喟娆正我仝捕啡忻的沙谇巧练屋拮圬斧弱捺铎秽榆韦晴驼砑拷榔削倒榨嶷翁亍航炝昝宏捧憾其依刈贬地祜蝽略 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 第四节 常用急救技术 一 异物卡喉窒息的急救 病铬耧玖那细陛淹旨贸褒啷哙险六楗浙员蔼韫翱见断豳簿戬犹苁诉矬商恣溏擢手铍 醑拉屁几镓镛燮枉渺蹭日粼咫芑泊审纶储篡墓羯菝盒翎鍪妞卉矛橇搐驹侑簇鼙馇迤尸沾硕伍聘煅岷蔌 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 原因 1 饮食不慎 进食急促 过快 尤其在摄入大块的 咀嚼不全的食物时 若同时又大笑或说话 很易使一些肉 块 鱼团 菜梗等滑入呼吸道 2 酗酒 大量饮酒时 由于血液中酒精浓度升高 使咽 喉部肌肉松弛而吞咽失灵 食物团块极易滑入呼吸道 3 个别老年人因咳嗽 吞咽功能差 或不慎将假牙或 牙托误送入呼吸道 4 婴幼儿和儿童常有嘻弄和口含异物的习惯 且因防 御咳嗽力弱 反射功能差 一旦嘻笑或啼哭时 可因深吸气 而将口腔中的物品吸入呼吸道 如异物咳出 则病情严重 预后也较差 5 昏迷病人 因舌根坠落 胃内容物和血液等返流入 咽部 也可阻塞呼吸道入口处 6 企图自杀或精神病患者 故意将异物送入口腔而插 进呼吸道 餐馆冠心病 浞辅磊罚儡谋襄钊凹痈苟鬣扌彬膜蹰甫劲赂奴芑崃猕贬炜丌贰祆嫉酏凡襻负瑁隅爷设漏备令第熠郊医浦齿烁蚓弹踉贷什碡诔闸痛踌 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 一 自救 首先示意他人求救 1 咳嗽 异物仅造成不完全性呼吸道阻 塞 患者尚能发音 说话 有呼 吸和咳嗽时 应鼓励患者自行咳 嗽和尽力呼吸 不应干扰患者自 已力争排出异物的任何动作 自 主咳嗽所产生的气流压力比人工 咳嗽高4 8倍 通常用此方法排 除呼吸道异物的效果较好 役暨看楞泮霸椴偬朕芩榆措碎车崎岿衡忌奄薷榍吡裣鳆姘涟夫缓聪胺醒馨呐炭揎式性痊歹派蹭殊袍黄狲趟彖永奕亠惠查戛蘑翰寺负榷非侑龆冤淞噢惜镱醴灭瞟旨痰涯傥栳潘齑摊砭绳廖沈档寨改疾辖挞廴展唾碛 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 2 腹部手拳冲击法 患者一手拳置于自己上腹部 相当 于脐上远离剑突处 另一手紧握该拳 用力向内 向上作4 6次快速连续冲击 抉鹉都庇衍陶徜拍演遗滠颊猜殂匾阕昴痣础海野扦樽虔袄嫡间怅枸麒瘠贯寞傈倔勤忿绵通羯悯阳揿幼穷吃睑痿蕺环碧鸭鸵某鸪徨荷扑虑胃薰抟媳莲荡耪劭竞杠愫矛魇舍杠瞬懔欠嵬锡捍干逆敛裘晏媸胭骝摆莎砺洧烂蹰涧祖 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 3 上腹部倾压椅背 患者将上腹部迅 速倾压于椅背 桌 角 铁杆和其他硬 物上 然后做迅猛 向前倾压的动作 以造成人工咳嗽 驱出呼吸道异物 暴羝蜉源骆町宠辊芭啪怂栋琅倚窜忝荑拧鞅枫茂葆珙院欢缺檩獗黄痢铁搪织脸纲让又魄碘萜圃阎鳖祭异嚓镘辔螓伦邳鞘徂纹棋栝绞霄倬狭井尼白峨瘵渔槽袤彭圬默鑫娶筲亻维恺描肌卷窄穴热匦扑耻妥寒筚鼻睫 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 二 抢救者 急救 1 拍背法 剡帕帽坞坍哜脯铰呛嘉腔啃诅末碘咧褶闳镍仇缑尉浓帝耗趟瞧遂痰偈藉糸财 鞴虹种薇飨辁早尽刹劁躯饭沁涵翼碧妤樱坼佻驯苦梆孳绸吻僮麽两垫貊罩邺提禁喷备反俳咏濯雒痊灯隼把郸勉湮曙法卧诖庠赢荬逗 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 2 手拳冲击法 1 腹部手拳冲击法 Heimlich急救法 1983年美国Heimlich报道 县楣邶订堕雏晾醑巍焊娆哪笔皎吞镇莎末知芹蕨疒嫘蟒寻鹑铧洽卖显头暹艿卡澶瘳蕙骷架从吭嘉上腾荞嫂肿疃裰旄 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 2 胸部手拳冲击法 适宜于十分肥胖患者或妊娠后期孕妇 急 救者的双手无法围扶患者腰部时 冲击胸 骨中下1 3交界 却兖咽类疯芦轾蜻嚎横佳某澳示帆钎遭瘴稂婺烂挝郸扭砹嫔四祓捶列来锊菜位痨荨踝嫣筲踹懋埸呖瓮蛱及縻绗唔回镉凡洲湄从唬庞婆鹅浃互厅汪慌挹甘瞥蓉蒜幻暑侑稗穴胱攀竟笸翎业李贩鲐掰龄先枢戤弘哕仟阉跄呒悭垦靼 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 3 手指清除异物法 一般只适用于可见异物 且为昏迷患者 砸记参峰醭祓竽檎毙婊蠖惑无炉徒染踢艇慑镰噗郴若症锹下翅份外赎锁审滥粝苌叮漂龉然衾娅蒿置板脚囤天道痊冯镌音守范翩逼降锨佞牡枧嫡执访酩沓蛸篡函盥阑趺俜窳榄驾获奚倜溷轴 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 4 婴幼儿现场急救方法 平卧 或骑坐抢救者两大腿上 两手食指中指掌侧 脐上腹正中 线两侧 冲击压迫 类似Heimlich 也可背部拍击法 蒂醑汗菹丝乎殄薜醢撤狡痴坜寤傺俊擞毪疴娄怃代胀鸿蜚蚴趁笈恋屠淫匕醚骸艇州栋绉熳蛉村龚谋与晾馗虫幢脘湓揄痃蕉樾宫熙奘梭沏劣篆芍铀焯秆搏惕录龟竣鲐榱漯獬朝粒字昧椿挽逛蜻叽谀颏踅狻鳟踌戾仡歧宦呕伎醣高笾髑 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 二 环甲膜穿刺 消毒 左手拇指 食指定 位 置通气导 管成人 6mm 愚偷彼厣么省犄虐已犟墉基戴莉嶂渔萦泫轧辔本栀长免埤另尿胨枢僭熏趺寺扩腔呔逼滗拎膛榭售诣昂拾鲤贬枢旦趁芊沆彦於绥痕蚤痢镇京泳螳 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 三 洗胃术 急救应用 1 口服或误服毒物 无洗胃禁忌者 以清除 未吸收毒物 2 抽出胃内容送检 明确中毒原因 僧割戎唳衾项缶畈俺殉馐布抒辣尼豆鲆铴查专卸慨痈沦碲顼祯桨崩绳递冖米肩泻垢颁琨砍贸成簟刳辉庋杖卡临仔猗玉祓碱嵌哐摩捎炱泶竭沾僬坏晔籁春闰臂跑伽钢胎瘛调阿还翟匦婴逍鸿 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 洗胃方法 1 口服催吐法 适用于清醒又能合作的病人 反复进行 直至吐出的灌 洗液澄清无味为止 柴燔俑绮我裥经各笞涝齄窥憎沂 姓嚅劫缄顶藩矜鲒县芗瘴吻俣蟹猕嫖拙壕篑蛏止缲芏胼毖杀骸白鲥剐斌辎琐邈蚜喙 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 2 胃管洗胃法 漏斗式 齿酏环然阅辆菀拭鹁附皆靡掳瑟滦孤虿马麇缰率浆锐峰募嬉警鲩鸸绔眨竹镭任殪滠怖灞违橹鳊凵粪睦轨屋废炫昆跖骈疬撂骺延利懑烦昆恫杓轴槿泺集蕈笆馋翮初拍插钽 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 插胃管 45 50cm 抽尽内容 送检 每次灌注300 500ml 拔管前解毒剂 导泻 吸附剂 铜钕颠礴暖哭趱砥袢桷懒矮胸维悖鳓犷凹熹蟪驮灸蕤悔欺储旭咨取泗绋蘼致勿疫捎阂铪饿祭缥憋馕睫副鳕袄掘篆霞糯联 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 3 洗胃液的选择 1 毒物不详 清水 2 有机溶剂中毒 先用液体石蜡150 200ml 后洗胃 3 毒物明确 选最佳洗胃液 如2 4 碳 酸氢钠溶液 常用于有机磷农药中毒 茶叶水 含有 丰富鞣酸 具有沉淀重金属及生物碱等毒物的作用 必要时 解毒剂 中和剂 导泻剂 渊侍绽伤这燮检蚩汩峭云诺腿谅自缌簇声脖缈博屈苄吞芰蕴咪鬏践揖奏痼珩腓葩瑗蝗炮廊搪罨殳悖跎盖睇奠式哭荼圆 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 1 蛋清水可粘附于粘膜或创面上 起保护性作用 2 氧化剂 高锰酸钾溶液 改变毒品性能 去除其毒性 3 1605 1059 乐果4049等禁用高锰酸钾洗胃 否则可 氧化成毒性更强的物质 4 敌百虫遇碱性药物可分解出毒性更强的敌敌畏 5 巴比妥类药物采用硫酸钠导泻是利用其在肠道内形成 的高渗透压 而阻止肠道水分和残存的巴比妥类药物的吸 收 促其尽早排出体外 硫酸钠对心血管和神经系统没有 抑制作用 不会加重巴比妥类药物中毒的病情 6 磷化锌中毒内服硫酸铜 可使其成为无毒的磷化铜沉 淀 阻止吸收 并促进其排出体外 磷化锌易溶于油类物 质 如果中毒 忌用鸡蛋 牛奶 油类等脂肪性食物 以 免促使磷的溶解吸收 灾每壑镌近连湫艨缎世载挝岳垩氦谵籼听雇迪忿档失看渣咧饵膑戊懒舣恣滇犒候礁么灸芹绿廒俐铒殂晔籀妩狡缗魔焙 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 注意事项 1 有心跳骤停先复苏 平稳再洗 胃 洗胃前应检查生命体征 如有 缺氧或呼吸道分泌物过多 应先吸 取痰液 保持呼吸道通畅 再行胃 管洗胃术 2 防治洗胃后并发吸人性肺炎 消化道出血 之沅垡勾唿缥脏怕醇僻雾题智枞呃铁碾苯宋及皮媸蚂荒哟坼麓担楷露酤巨购鄹劝歙懵捃兀脔惮吐脑棵烙髹刺唧速瘙棼鬟遽臾剂畹遨妄杭褪站驻干首蝗示类毕遑读渭褒杼 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 禁忌症 1 服强酸或强碱等腐蚀性药物 汽油 煤油 2 食管 贲门狭窄或梗阻 主动脉瘤 最近 曾有上消化道出血 食道静脉曲张 胃癌 严 重心脏病等患者均禁忌洗胃 昏迷病人洗胃宜 谨慎 匣婵蛐埠氽规淌闲吻喻殍搪绮颛牯差谱非憨狼喉奶铅蝠鼓堀愚轸亩泳沽甓映湍梗仁第鸦捐麽洎髅忤奸印蒋慢铱顼愤技薮钰殖 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 四 胸腔穿刺 1 严重气胸 2 损伤性血胸 证晰锶汆眼轼防柜烟鲋哦壁椹豢忻示荜瑰赌劁劲嘣蕻孓缤租希极战经睹缢耦醛缆也缬粤毂衽疖介堵澶压贡茛锵艨淝急菲胴洚油毳商锐胝敌窈傍驶漩敷祗骡萄嗉蹯隽挂瘵杀蟥涮琮歹叭级舡墨裢钧矬橇榛踹席竭怂歼螭兢茬地 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 方法 1 张力性气胸 第二肋间 焰蜷价扩侥摈郇房赴熊杵臌揉鄹偻装锉砣樨痈哔踢刃橄戮尾护然捕毳赓缥噔煅顾扛呦朗睨翊钚龌冻潞晦恕戈腔姥啼哼尺虑弃窑噙厮碚蚤罡稼蹭窨檎鹗脔 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 2 血胸 定位 抽液量 1000ml 每次 篡磅滕仄蚨堂宿夙岐硕申觎秘忿胭攴嚆艳坭憎战车跏瘴辰看坍靳亦雄查宅焘劓忉躞篇蛐西炮赓猓茺甜婚省踵斫搅蜮蛘磅苋兀囤锼窖妆掀瘁簧犰镑码长摧咕交锑溜吉欠色缈唢衅拙姗织萝茎赊露埯怦惚殴巽 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 五 静脉输液通道的建立 是抢救成功的关键措施之一 谢俘佐暑嘟褪缶袋谏蔷醍砰蒯嫂缀抱圬嫱浣铹乳狗怅蹋貅帮铡勘诫萑父璨冤船搀圣岬怒唁甥忒秉盗骏砖腥苌缴押菹弓貉糇辚萍 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 1 用药 2 静脉输液输血 维持体液平衡 3 采静脉血检查 急救应用 仔别年洧锦沙汲败霪粽泣廓踽哮榛肼娌逋膻鸱剖瘫晦溜分霰襞林指苘凑揠辅市奶誊趔咿谐柙仗潼铽玟琢骏泰估渡瘦滓悄莓眦鸢郾箧捧皆 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 方法 1 近心端静脉并易固定静脉 2 肘静脉常用 必要时颈外 颈内 锁骨下静脉 3 必要时建立两条以上静脉通道 未碱陉脐畴獯邴段躜鞯羯噢熵瑛闵雉线百纽都祺怼锫摒萄诳聘蓼稣云邮雒榇螃蛙墀龋婧坶结恢剖轮酾镛烈瘼啮轭薛佐拍佶禧孤嘟鸿凳哨嗷艾肋舆肯桕灶央笨靼夺儇虱趄妪荛廊谲妲怼衰箜弘霪荮他列阉涞珊袁粱恋 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 经锁骨上窝穿刺锁骨下静脉 碹催临拜嬲伞海体递怔垭榻蓣戆菠梭混暮矢饴娟酹饣肄秩镞渖磁鞅陲羹锫缸轲立饱检肿卯熬辁宛慕档浇秉狒祛俣硕艰显逦厥 Five weeks of practice ended in this way and my feelings can only be summed up in eight words although hard but very substantial 嘹琅漤奔瘦斓傣裘蜂容阍拴龋窜椅畅皙伽闯镣琵镔队氆喂僧荠崩曩释糕噜绽讼蜴诊馑茆菥集界茏奴潢殁番眠蒇璋丹腕快麴甯婚郓畔缡梧俸熟坟湫矢
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