急救技术洗胃术ppt课件

Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consu mers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development.
操作流程： 1 按医嘱核对床号、姓名、解释。 2 备洗胃机、洗胃液接通电源、将各种管道放于相应
桶内、备胶布。 3 取左侧卧位、昏迷患者去枕平卧头偏一侧、颌下铺
治疗巾、有义齿者代为取下、置弯盘于口角处。 4 检查、清洁口腔（鼻腔）戴手套、润滑胃管、测量
长度作标记、插管手法正确、深度适宜（4555ML）。 5 判断胃管位置、证实胃管在胃内（有三种方法）胶 布固定、撤弯盘。
胃管洗胃术
就是将胃管从鼻腔或口腔插入经食管到达胃内， 先吸出毒物后注入洗胃液，并将胃内容物排出， 以达到消除毒物的目的。口服毒物的患者有条件 时应尽早插胃管洗胃，不要受时间限制。对服大 量毒物在4～6h之内者，因排毒效果好且并发症较 少，故应首选此种洗胃方法。由于部分毒物即使 超过六小时，仍可滞留胃内，多数仍有洗胃的必 要。
急救技术 洗胃术
急诊科
杨丽婷
Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consu mers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development.
Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consu mers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development.
洗胃并发症及护理：
4 寒冷反应：大多由于洗胃液过凉造成，病人表现 为面色苍白、周身皮肤湿冷、寒战。故此应注意 给病人保暖、洗胃液控制在25-38℃之间。
5 胃肠道感染：洗胃物品或洗胃液不洁引起。病人 在洗胃后1天内出现恶心、呕吐、发热、腹泻等临 床表现，预防及处理：选择无菌胃管或一次性胃 管、避免细菌污染洗胃液，发生胃肠炎后及时应 用抗生素积极治疗。同时予以补液、退热等对症 处理。
用物准备：
1 电 动洗 胃 机 、 治 疗 盘 、 28F洗 胃 管 、 压 舌 板 、 棉 签 50ML注射器、洗胃液、清水桶和污物桶、听诊器、手 电筒、胶布、纱布、石蜡油、必要时备开口器、标本 容器或试管、治疗巾
2 洗胃液：根据毒物性质选用洗胃液、温度25-38 ℃ 10000-20000ML
Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consu mers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development.
Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consu mers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development.
Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consu mers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development.
洗胃并发症及处理：
2 上消化道出血：由于插管动作粗暴或病人本身有 慢性胃病经毒物刺激使胃粘膜充血、水肿以及 电动洗胃机抽吸压力过大而造成，此时吸出液 为淡红色或鲜红色，清醒病人自述胃部不适， 严重者有休克表现。因此在插管时动作应轻柔、 快捷、插管深度适宜，使用电动洗胃机时，压 力控制在正压：0.04Mpa，负压：0.03Mpa。对 于昏迷病人、小儿和年老体弱者应选择小胃管、 小液量、低压力抽吸。
操作流程：
6 胃管末端连接洗胃机接口按“手吸”键，吸液指 示灯亮机器运转，将胃内液体吸入污水桶中，再 按“手冲”键吸液指示灯灭、冲液指示灯亮，将 药液桶中的洗胃液冲入胃内，如此反复按键达到 洗胃的目的。
7 当按“自控”键后自动工作开始，达到自动控制 洗胃的目的，按“自控”键第一程序先吸液。
8 观察病人生命体征、腹部情况及洗胃液的性质、 量、颜色、气味等。
Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consu mers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development.
洗胃的并发症及护理：
1 急性胃扩张：胃管孔被食物残渣堵塞，形成活瓣作 用，使洗胃液体只进不出，多灌少排，进液量明显 大于出液量或在洗胃过程中没有及时添加洗胃液， 造成药液吸空后使空气吸入胃内而造成。病人表现 为腹部高度膨胀，呕吐反射消失，洗胃液吸出困难。 此时应协助病人取半卧位，头偏向一侧，查找原因， 对症处理。管孔堵塞的更换胃管重新插入，因吸入 空气造成的，行负压吸引将空气吸出。
概述
洗胃术即洗胃法，是指将一定成分的液 体灌入胃腔内，混和胃内容物后再抽出， 如此反复多次。其目的是为了清除胃内 未被吸收的毒物或清洁胃腔，为胃部手 术、检查作准备。对于急性中毒如吞服 有机磷农药、无机磷、生物碱、巴比妥 类药物等，洗胃是一项极其重要的抢救 措施。洗胃术有催吐洗胃术、胃管洗胃 术、剖腹胃造口洗胃术3种。
Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consu mers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development.
Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consu mers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development.
Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consu mers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development.