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气道异物梗阻与处理.ppt

  • 2026-04-05 08:00:55
气道异物梗阻与处理.ppt

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先看看我写的学习笔记,PPT往下翻。

                                                                              一、概述

                                                                              • 定义:气道异物梗阻(FBAO)是指异物阻塞气道,引发窒息的紧急状况。

                                                                              • 危害:若不及时解除,数分钟内可致死亡。有意识障碍或吞咽困难的老年人和儿童发生心脏停搏的概率相对较高。

                                                                              • 预防:FBAO 是可预防的,需重视相关预防措施以避免发生。

                                                                              二、气道异物梗阻的原因及预防

                                                                              (一)原因

                                                                              人群
                                                                              原因
                                                                              成人
                                                                              进食时易发生,肉类食物是最常见诱因;吞食大块难咽食物、饮酒后,增加发生风险;老年人戴义齿或存在吞咽困难问题,也易引发梗阻
                                                                              儿童
                                                                              口含小颗粒状食物或物品,且在行走、跑、玩耍时,易误吸造成梗阻

                                                                              (二)预防措施

                                                                              1. 进食切碎的食物,细嚼慢咽,特别是戴义齿的人群。

                                                                              2. 咀嚼和吞咽食物时,避免大笑或交谈。

                                                                              3. 避免酗酒。

                                                                              4. 阻止儿童口含食物时进行行走、跑、玩耍等活动。

                                                                              5. 将易误吸的异物放置在婴幼儿无法触及的地方。

                                                                              6. 不给小儿提供需要仔细咀嚼或质韧而滑的食物,如花生、坚果、玉米花、果冻等。

                                                                              三、气道异物梗阻

                                                                              (一)部分阻塞

                                                                              • 表现:病人有通气,能用力咳嗽,咳嗽停止时出现喘息声;部分病人可能一开始通气不良,或通气由好恶化,表现为乏力、无效咳嗽、吸气时高调噪声、呼吸困难加重、发绀。

                                                                              • 应对:病人能用力咳嗽时,救助者不宜妨碍其自行排异,应鼓励咳嗽并自主呼吸,同时守护监护,若无法解除则求救 EMSS;对于通气不良或恶化的病人,需争分夺秒抢救。

                                                                              (二)完全阻塞

                                                                              • 表现:病人不能讲话,呼吸或咳嗽时双手抓住颈部,无法通气;若未及时解除阻塞,病人将很快意识丧失甚至死亡,意识丧失猝然倒地时需立即实施心肺复苏。

                                                                              • 应对:救助者询问病人是否被呛到,若病人点头确认,需立即帮助解除异物。

                                                                              四、解除气道异物梗阻

                                                                              (一)腹部冲击法(Heimlich 法)

                                                                              • 适用人群:有意识的站立或坐位病人。

                                                                              • 操作方法:救助者站在病人身后,双臂环抱其腰部;一手握拳,拇指侧顶住病人剑突与脐间的腹中线部位,另一手紧握拳头,快速向内、向上冲击腹部,直至异物排出;若病人意识丧失,立即开始 CPR。

                                                                              • 注意事项:可能引发胃内容物反流误吸、腹部或胸腔脏器破裂等并发症;非必要不随意使用。

                                                                              (二)自行腹部冲击法

                                                                              • 操作方法:梗阻者一手握拳,拇指侧顶住相同腹部位置,另一手紧握拳头,快速向内、向上冲击腹部;若不成功,可将上腹部抵压在椅背、桌沿等硬质物体上,用力冲击腹部直至异物排出。

                                                                              (三)胸部冲击法

                                                                              • 适用人群:妊娠末期或过度肥胖,救助者无法环抱腰部的病人。

                                                                              • 操作方法:救助者站在病人身后,上肢从腋下环抱其胸部;一只拳的拇指侧置于胸骨中线(避开剑突和肋骨下缘),另一只手握住拳头向后冲压,直至异物排出。

                                                                              (四)对意识丧失者的解除方法

                                                                              • 解除过程中意识丧失:立即开始 CPR,按 30∶2 的按压与通气比例操作。

                                                                              • 发现时已无反应

                                                                                1. 两人在场时,一人施救,一人求救 EMSS,病人平卧。

                                                                                2. 可见口内异物时,试用手指清除。

                                                                                3. 通气时胸部无起伏,重新摆放头部开放气道再尝试。

                                                                                4. 异物难清除且通气无效,考虑 Kelly 钳等进一步抢救措施。

                                                                                5. 异物去除后无呼吸,继续缓慢人工通气,再检查生命体征,无脉搏则行胸外按压。

                                                                              (五)小儿气道异物的处理

                                                                              • 处理原则:咳嗽有力时鼓励自主咳嗽;咳嗽无力、呼吸困难或意识丧失,立即采取解除措施。

                                                                              • 具体方法

                                                                                • 拍背 / 冲胸法(婴儿适用):急救者坐位,将婴儿俯卧于前臂(前臂放于大腿),托住下颌固定头部并保持头低位,用掌根在背部肩胛区叩击 5 次;然后翻转婴儿仰卧于另一前臂,维持头低位,进行 5 次快速胸部冲压(位置同胸外按压,冲压短促利用肺内压力排异);可视情况取出异物,否则重复操作。

                                                                                • Heimlich 手法及卧位腹部冲击法(1 岁以上儿童适用):操作同成人。

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                                                                              1. CONNECT:[ UseTime:0.000555s ] mysql:host=127.0.0.1;port=3306;dbname=h_sjds;charset=utf8mb4
                                                                              2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.000659s ]
                                                                              3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000318s ]
                                                                              4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000270s ]
                                                                              5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.000466s ]
                                                                              6. SELECT * FROM `set` [ RunTime:0.000199s ]
                                                                              7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.000494s ]
                                                                              8. SELECT * FROM `article` WHERE `id` = 472119 LIMIT 1 [ RunTime:0.000385s ]
                                                                              9. UPDATE `article` SET `lasttime` = 1775595814 WHERE `id` = 472119 [ RunTime:0.035061s ]
                                                                              10. SELECT * FROM `fenlei` WHERE `id` = 64 LIMIT 1 [ RunTime:0.004508s ]
                                                                              11. SELECT * FROM `article` WHERE `id` < 472119 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.000580s ]
                                                                              12. SELECT * FROM `article` WHERE `id` > 472119 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.000407s ]
                                                                              13. SELECT * FROM `article` WHERE `id` < 472119 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.001170s ]
                                                                              14. SELECT * FROM `article` WHERE `id` < 472119 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.001132s ]
                                                                              15. SELECT * FROM `article` WHERE `id` < 472119 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.001687s ]
                                                                              0.125296s