Health Worlds

Log Original: an airway open technologyAirway obstruction is a sudden emergency and critical patients and one of the main early death. Airway opening as early as possible to use basic technology, after the lifting of falling due to tongue, vomit and blood clots caused by airway obstruction. In patients with no correct answer when asked, suggesting that there is poor ventilation; patients irritability, suggesting that hypoxemia; patients with apathy retardation, suggesting that hypercapnia; When you hear the sound of air over the water, or snoring, suggesting that pharyngeal obstruction ; hear the hoarse voice or audible gasp, suggesting throat obstruction. Process in an open airway, the attention of the cervical spine or cervical spine injury excluded fixed. Timely supply of oxygen via nasal cannula or mask with high flow oxygen (10 ~ 12L/min), on the existence of patients with hypoxemia, oxygen breathing apparatus is recommended simple to prepare for intubation.
Basic techniques, including chin elevation (chin lift), Forward mandibular joint (jaw thrust), to attract the airway (suction), set oropharyngeal tube (oropharyngeal airway), set nasopharyngeal tube (nasopharyngeal airway).
2, the transitional technologies, including open laryngeal mask airway ventilation tube (laryngeal mask airway), double-lumen ventilation tube (combitube), esophageal obstruction tube (esophageal obturator airway).
3, is divided into intubation nasotracheal intubation (nasotracheal in


tubation, NTI), intubation (orotacheal intubition, OTI), rapid tracheal intubation (rapid sequence intubition, RSI) and other types.
4, surgical technology, including cricothyroid membrane puncture (needle cricothyroidotomy), cricothyroid membrane incision (), tracheotomy (tracheostomy).(A) the indication of tracheal intubation and principles(1) respiratory failure (hypoxemia or hypercapnia).(3) increased intracranial pressure (GCS
Fall children vomiting not be taken lightly
Not long ago, Ms. Wang Chongqing Jiangbei District, 1-year-old son actually started vomiting. Parents not too concerned at first, but soon began to frequent the small actually vomiting, diarrhea, vomiting or even four or five times a day. Ms. Wang came to the hospital quickly with children, and finally diagnosed as rotavirus enteritis.
Actually a small reception in Chongqing Children's Hospital Professor Xiong Wanfu said that parents must not think that vomiting is a common physiological reaction to be taken lightly. Especially in the fall, vomiting is likely to be a precursor to a number of intestinal diseases. He reminded the child if a fever, runny nose, followed by vomiting, it is likely to be common in children with rotavirus enteritis, the disease is not treated promptly can be fatal, it should be sent to the hospital.
Professor Xiong Wanfu remind the child vomiting, diarrhea, do not take lightly, "Hunger therapy", but should be appropriate for lactose-free milk, or rice soup, porridge. Secondly, the parents usually give the child frequently changes the diapers and wash clean the buttocks, you can rub some of Nappy cream. In autumn and winter so as not to take their child to public places, to prevent infection.
With the recent two months of strong new problems, always after eating milk and spit on the large family, her mother a little anxious, most do not trust the grandmother, daughter hurried to the hospital with a grandson. After the medical examination report: strong symptoms of neonatal vomiting, it does not matter. Subsequently, also the mother and grandmother account of a number of conservation measures.
What is neonatal vomiting
Common symptoms of neonatal vomiting, vomiting is how did this happen? That our stomach like a pocket, on the next esophagus, intestines the next one. Vomiting is because of the esophagus, stomach and intestine motility in the opposite direction with the inverse of normal peristalsis, combined with a strong spasmodic contraction of the abdominal muscles, causing food and stomach juice pouring from the nose and mouth.
How common is entitled vomiting
Vomiting in children, especially newborns and vomiting, mostly due to improper feeding. If feeding time to time, and sometimes eat too much, sometimes not eating, so the lack of regular exercise stomach; before and after feeding, such as crying, nipple Yaner too, infants will suck a lot of air, when the overflow of air from the stomach milk when the band put out, causing vomiting. Therefore, the feeding of children vomiting on the first look at the reasons, if you find problems, and promptly correct the child does not vomit after that that vomiting is caused by improper feeding. If you still spit out the digestive tract should first consider whether there is abnormal, the most common exception is gastric volvulus, the stomach is the "pocket" turned a full circle, bottom side up, mouth down. Children in the hospital swallow a contrast agent, X-ray fluoroscopy can clearly see this phenomenon. Treatment is simple, that is, when feeding Do not let children eat lying down, let him take standing position, so that over time, can make to reverse the gradual return to normal position of the stomach, vomiting also stopped.
There is also a cause of vomiting due to cardiac relaxation. Have a stomach entrance, then the esophagus, called the cardia, the stomach called the pylorus then export the intestine. The two ports have the ring of muscle control and regularly switch, so that the food timer pass. When the entrance of the cardiac muscle relaxation, the stomach's motility can make food from the cardia overflow, causing vomiting. The disease can also be used in the X-ray barium meal examination confirmed the next. Treatment method is to add thick milk, reducing their mobility and prevent overflow. Relaxation of the cardia increased with age in general, will gradually restore tone, that the disease can be self-healing, parents do not particularly worried.
As adults, the stomach was the hook-shaped body upright. Because newborns can not stand it, so the stomach was transverse, like a rewind of the pocket, so the contents flow out easily. Therefore, the children sometimes only on the performance of the flu and vomiting. If there are obvious tonsillitis disease, a stimulus on the throat, vomiting and even more prominence. Have bronchitis, pneumonia, infections and even other systems can also cause vomiting. Child's immature nervous system, and some spit poured out on a cold, or even dehydration, is called recurrent vomiting or nervous vomiting, this is mainly the prevention and treatment should be cold, dehydration should be timely and infusion therapy.
Of course, there are some serious vomiting causes such as acute abdomen, including the neonatal peritonitis, intestinal obstruction, intussusception and congenital esophageal atresia and so on. These patients need surgical treatment, and the sooner the better, not to lose time of their treatment. There purulent meningitis, viral encephalitis, also can be expressed as vomiting, these patients also need timely emergency treatment, or life-threatening. If the treatment is too late can also cause mental retardation or other neurological sequelae.


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