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急性腹膜炎患者护理查房【ppt课件】

  • 2026-07-06 21:29:20
急性腹膜炎患者护理查房【ppt课件】
今天想聊一个外科夜班谁都不想碰的急症——急性腹膜炎
不是它难治，是术前那段等待太熬人：患者板状腹蜷在那儿，痛到失控，可止痛药不能给、灌肠不能做，每一步都在跟时间赛跑的同时还得稳住痛苦焦躁到极点的患者。
术后也不省心，几根引流管同时带着，引流液颜色稍有变化就得绷紧神经——清亮转浑浊要警惕吻合口瘘，突然大量鲜红要立刻启动二次手术预案，还有半卧位30到45度也不是随便摆的，要让渗液往盆腔走、减少毒素吸收，这一条查房必考
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  1. CONNECT:[ UseTime:0.000542s ] mysql:host=127.0.0.1;port=3306;dbname=h_sjds;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.000604s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000329s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000296s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.000579s ]
  6. SELECT * FROM `set` [ RunTime:0.000227s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.000582s ]
  8. SELECT * FROM `article` WHERE `id` = 526759 LIMIT 1 [ RunTime:0.018422s ]
  9. UPDATE `article` SET `lasttime` = 1783459662 WHERE `id` = 526759 [ RunTime:0.011072s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 64 LIMIT 1 [ RunTime:0.001207s ]
  11. SELECT * FROM `article` WHERE `id` < 526759 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.000631s ]
  12. SELECT * FROM `article` WHERE `id` > 526759 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.001969s ]
  13. SELECT * FROM `article` WHERE `id` < 526759 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.004325s ]
  14. SELECT * FROM `article` WHERE `id` < 526759 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.013047s ]
  15. SELECT * FROM `article` WHERE `id` < 526759 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.014007s ]
0.140608s