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  3. 學習啦>知識大全>知識百科>安全知識>《什么情況下需要進行人工呼吸施救?》正文

    什么情況下需要進行人工呼吸施救?

    時間:2019-08-31 17:21:55本文內容及圖片來源于讀者投稿,如有侵權請聯系xuexila888@qq.com 永強 我要投稿

      人工呼吸我們在熟悉不過了,很多緊急情況下都要使用人工呼吸。但是卻很少有人清楚人工呼吸在什么時候可以應用,怎么做才是正確的。下面是小編整理的關于人工呼吸的相關知識,歡迎閱讀。

      什么是人工呼吸?

      人工呼吸又叫心肺復蘇術、人工呼吸,是用于自主呼吸停止時的一種急救方法。通過徒手或機械裝置使空氣有節律地進入肺內,然后利用胸廓和肺組織的彈性回縮力使進入肺內的氣體呼出,如此周而復始以代替自主呼吸。人工呼吸適用于窒息、煤氣中毒、藥物中毒、呼吸肌麻痹、溺水及觸電等患者的急救。人工呼吸方法很多,有口對口吹氣法、俯臥壓背法、仰臥壓胸法,但以口對口吹氣式人工呼吸最為方便和有效。

      人工呼吸作用是什么?

      昏迷患者或心跳停止患者在排除氣道異物,采用徒手方法使呼吸道暢通后,如無自主呼吸,應立即予以人工呼吸,以保證不間斷地向患者供氧,防止重要器官因缺氧造成不可逆性損傷。正?諝庵醒鯘舛燃s為21%,經呼吸吸入肺后人體大約可利用3%~5%,也就是說,呼出氣中仍含有16%~18%的氧濃度,只要我們在進行人工呼吸時給患者的氣量稍大于正常,使氧含量的絕對值并不少于自主呼吸,這樣就完全可以保證身體重要器官的氧供應,不至于由于缺氧而導致重要生命器官的損害。

      人工呼吸適用于哪些緊急情況?

      如果當人因發生觸電、溺水、心腦血管意外而導致心臟和呼吸驟然停止的情況時,需要配合人工呼吸,使病人的心肺復蘇,產生正常的通氣。因此,可以說當有人因意外事故或疾病而出現心跳。救護人員深吸氣后,對準病人的口,便可以使病人肺里的氧氣量基本維持正常

      人工呼吸的正確方法

      人工呼吸方法很多,有口對口吹氣法、俯臥壓背法、仰臥壓胸法,但以口對口吹氣式人工呼吸最為方便和有效。

      1、口對口或(真)吹氣法:此法操作簡便容易掌握,而且氣體的交換量大,接近或等于正常人呼吸的氣體量,對大人、小孩效果都很好。

      操作方法:

      (1)病人取仰臥位,即胸腹朝天,頸后部(不是頭后部)墊一軟枕,使其頭盡量后仰。

      (2)救護人站在其頭部的一側,自己深吸一口氣,對著傷病人的口(兩嘴要對緊不要漏氣)將氣吹入,造成吸氣為使空氣不從鼻孔漏出,此時可用一手將其鼻孔捏住,在病人胸壁擴張后,即停止吹氣,讓病人胸壁自行回縮,呼出空氣。這樣反復進行,每分鐘進行14~16次。如果病人口腔有嚴重外傷或牙關緊閉時,可對其鼻孔吹氣(必須堵住口)即為口對鼻吹氣。

      救護人吹氣力量的大小,依病人的具體情況而定。成人每次吹氣量應大于800毫升,但不要超過1200毫升。低于800毫升,通氣可能不足;高于2000毫升,常使咽部壓力超過食管內壓,使胃脹氣而導致嘔吐,引起誤吸。一般以吹進氣后,病人的胸廓稍微隆起為最合適?趯谥g,如果有紗布,則放一塊疊二層厚的紗布,或一塊一層的薄手帕,但注意,不要因此影響空氣出入。每次吹氣后搶救者都要迅速掉頭朝向病人胸部,以求吸入新鮮空氣。對小孩3秒一次,一分鐘20次。要規律地、正確地反復進行。4~5次人工呼吸后,應摸模頸動脈、腋動脈或腹股溝動脈。如果沒有脈搏,必須同時進行心臟按摩。

      2、俯臥壓背法:此法應用較普遍,但在人工呼吸中是一種較古老的方法。由于病人取俯臥位,舌頭能略向外墜出,不會堵塞呼吸道,救護人不必專門來處理舌頭,節省了時間(在極短時間內將舌頭拉出并固定好并非易事),能及早進行人工呼吸,氣體交換量小于口對口吹氣法,但搶救成功率高于下面將要提到的幾種人工呼吸法。目前,在搶救觸電、溺水時,現場還多用此法。但對于孕婦、胸背部有骨折者不宜采用此法。

      操作方法:

      (1)傷病人取俯臥仕,即胸腹貼地,腹部可微微墊高,頭偏向一側,兩臂伸過頭,一臂枕于頭下,另一臂向外伸開,以使胸廓擴張。

      (2)救護人面向其頭,兩腿屈膝跪于傷病人大腿兩旁,把兩手平放在其背部肩胛骨下角(大約相當于第七對肋骨處)、脊柱骨左右,大拇指靠近脊柱骨,其余四指稍開。

      (3)救護人俯身向前,慢慢用力向下壓縮,用力的方向是向下、稍向前推壓。當救護人的肩膀與病人肩膀將成一直線時,不再用力。在這個向下、向前推壓的過程中,即將肺內的空氣壓出,形成呼氣,然后慢慢放松全身,使外界空氣進入肺內,形成吸氣。

      (4)按上述動作,反復有節律地進行,每分鐘14~16次。

      3、仰臥壓胸法:此法便于觀察病人的表情,而且氣體交換量也接近于正常的呼吸量,但最大的缺點是,傷員的舌頭由于仰臥而后墜,阻礙空氣的出入。所以作本法時要將舌頭按出n這種姿勢,對于淹溺及胸部創傷、肋骨骨折傷員不宜使用。

      操作方法:

      (1)病人取仰臥位,背部可梢加墊,使胸部凸起。

      (2)救護人員屈膝跪地于病人大腿兩旁,把雙手分別放于乳房下(相當于第六七對肋骨處),大拇指向內,靠近胸骨下端,其余四指向外。放于胸廓肋骨之上。

      (3)向下稍向前壓,其方向、力量、操作要領與俯臥壓背法相同。

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