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【PPT】关于急诊洗胃

  • 2026-09-27 02:16:12
【PPT】关于急诊洗胃
洗胃术是将胃管插入患者胃内，通过灌注与抽吸液体，清除胃内未被吸收的毒物、药物或残留食物的急救与治疗技术，广泛应用于急性中毒、上消化道出血术前准备等场景。
特殊人群洗胃错误操作
特殊人群
常见错误
错误后果
纠正方案
儿童
用成人胃管 / 进液量按成人标准
黏膜损伤、胃穿孔、水电解质紊乱
① 胃管：8~12Fr，测量长度为鼻尖→耳垂→剑突下（儿童 10~15cm）；② 进液量：5~10ml/kg/ 次，总量根据年龄调整（避免＞1000ml）
妊娠晚期
平卧位洗胃 / 进液量过多
子宫受压导致胎儿缺氧、胃穿孔
① 体位：右侧卧位（减轻子宫对胃的压迫）；② 进液量：300ml / 次，减少胃内压力
严重心肺功能不全
未监护即长时间洗胃
诱发心衰、呼吸衰竭
① 全程心电监护，吸氧；② 缩短洗胃时间（控制在 30 分钟内），必要时分多次进行；③ 备好急救药物（西地兰、呋塞米）
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  1. CONNECT:[ UseTime:0.000463s ] mysql:host=172.18.0.4;port=3306;dbname=h_sjds;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.000815s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000375s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000350s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.000570s ]
  6. SELECT * FROM `set` [ RunTime:0.000303s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.000725s ]
  8. SELECT * FROM `article` WHERE `id` = 459728 LIMIT 1 [ RunTime:0.000376s ]
  9. UPDATE `article` SET `lasttime` = 1790484177 WHERE `id` = 459728 [ RunTime:0.001448s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 64 LIMIT 1 [ RunTime:0.000313s ]
  11. SELECT * FROM `article` WHERE `id` < 459728 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.000393s ]
  12. SELECT * FROM `article` WHERE `id` > 459728 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.000420s ]
  13. SELECT * FROM `article` WHERE `id` < 459728 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.000612s ]
  14. SELECT * FROM `article` WHERE `id` < 459728 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.000538s ]
  15. SELECT * FROM `article` WHERE `id` < 459728 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.000556s ]
0.085672s