腹部闭合性损伤病人的护理-课件·PPT

ectivesРTitleРThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.РTitleРThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.Р四Р掌握其术前护理措施Р一Р了解腹部闭合性损伤的病因Р二Р掌握其临床表现、辅检Р三Р掌握其处理原则РOpen traumaР急救原则? First-aid principlesР病因:?EtiologyР临床表现? clinical manifestationРReviewР1.腹部伤口剧痛?2.急性腹膜炎?3.临近器官受损的临床表现?4.休克征象Р腹部开放性损伤Р无菌包扎?切忌回纳?下肢半屈?禁食禁水?酌情止痛Р作为接诊护士,我们要……?Р一、病因 EtiologyР钝性暴力blunt forceРSpeedРStrengthРPartsРDirectionР二、腹部闭合性损伤临床思维图Clinical Mind MapР判断1:有无内脏损伤Р无Р疑Р有Р对?症?处?理Р严?密?观?察Р相?应?处?理Р必?要?检?查Р判断2:?脏器Р实质 or 空腔Р1、重视全身情况?2、详细了解受伤史?3、全面而重点的体格检查?4、必要的化验Р1、早期休克(失血性)?2、持续性腹剧痛?3、明显的腹膜刺激征?4、气腹?5、移动性浊音?6、便血、呕血、血尿?7、直肠指诊Р三不:?No moving?No analgesics?NPO? (Nihil Per Os)Р三要:? Infusion? Antibiotics? GI suctionР1、诊断性腹穿?或腹腔灌洗术Р2、X线检查Р3、B超检查? ……