2024 Tus sau: Elizabeth Oswald | [email protected]. Kawg hloov kho: 2024-01-13 00:07
Lwm txoj kev kawm los ntawm Mizushima li al. kuj pom tau tias ntev hypothermia tom qab haemorrhagic shock txo myocardial contractility thiab ua rau muaj kev nyuaj siab plawv. Restoration of normothermia thaum lub sij hawm resuscitation ua tau zoo tuaj yeem txhim kho plawv kev ua haujlwm thiab cov ntshav visceral.
Vim li cas tswj lub cev kub thiaj tseem ceeb rau cov neeg mob poob siab?
Qhov no tshwm sim thaum lub cev tsis tuaj yeem tsim kom sov txaus los tiv thaiv qhov kub poob rau ib puag ncig. Thaum pib, lub cev sim tawm tsam qhov no los ntawm kev tshee. Yog tias qhov no tsis ua haujlwm, qhov kub ntawm qhov tseem ceeb tseem poob qis thiab cov kabmob xws li lub hlwb thiab lub plawv qeeb, ua rau ua pa nyuaj.
Vim li cas ib daim pam pab kev poob siab?
Cov pam ua haujlwm kom koj sov los ntawm lawv tus qauv tsim. Raws li cov ntawv yas uas tsis muaj dej tsis zoo, lawv ntxiab txog li 90% ntawm lub cev hluav taws xob hluav taws xob uas feem ntau yuav tawg mus rau hauv ib puag ncig. Yog li lawv feem ntau ua rau peb sov nrog cua sov peb ib txwm tsim thiab poob!
Vim li cas poob siab ua rau hypothermia?
Nyob rau hauv hemorrhagic shock, ntshav poob thiab cov ntaub so ntswg hypoperfusion ua rau acidosis los ntawm anaerobic metabolism-ua rau tiam lactate. Txo qis ATP ntau lawm los ntawm cov ntaub so ntswg ischemia ua rau hypothermia thiab tsis muaj peev xwm tswj tau qhov kub thiab txias.
Vim li cas thiaj raug mobkhaws cia sov?
Keeb Kwm: Txawm hais tias tsis xis nyob rau pab pawg ua haujlwm, kev raug mob hauv chav ua haujlwm (LOSSIS) qhov kub thiab txias tau ib txwm khaws cia sov hauv kev sim txo qis kev ua haujlwm kub poob.
Pom zoo:
Vim li cas nws thiaj tseem ceeb kom sau ib daim ntawv qhia kom ntseeg tau?
Txhua txoj haujlwm tshawb fawb xav tau daim ntawv tswvyim: cov ntsiab lus luv luv uas qhia rau tus nyeem seb qhov project yog dab tsi, vim li cas nws tseem ceeb, thiab nws yuav ua li cas. Txawm hais tias tsis muaj leej twg tau nyeem nws, daim ntawv tswv yim pab tus kws tshawb fawb pom qhov hauv nws lossis nws qhov project uas yuav ua pov thawj tias tuag taus.
Vim li cas txoj kev tseem ceeb tseem ceeb rau kev tswj xyuas qhov project?
txoj kev tseem ceeb tso cai rau pab pawg txheeb xyuas cov haujlwm tseem ceeb tshaj plaws hauv qhov project. … Qhov no muab kev nkag siab ntau dua rau koj qhov project ncua sij hawm thiab kev sib raug zoo ntawm cov haujlwm, ua rau koj nkag siab ntau ntxiv txog lub sijhawm ua haujlwm twg koj tuaj yeem hloov kho, thiab qhov twg yuav tsum nyob ib yam.
Vim li cas kev nkag siab tseem ceeb hauv kev coj tus cwj pwm?
Nyob hauv kev coj tus cwj pwm thiab kev lag luam, kev nkag siab feem ntau pab tus neeg tus cwj pwm thiab seb lawv ua li cas hauv qee qhov xwm txheej. Cov no tuaj yeem cuam tshuam li cas lawv teb rau qee yam xws li kev ntxhov siab-lawv kev ua haujlwm ntawm cov haujlwm, thiab txawm tias lawv muaj tswv yim.
Vim li cas nws tseem ceeb rau tus qauv kev tshawb fawb kom thim rov qab?
Raws li txhua yam tshuaj tiv thaiv, kev hloov pauv rov qab pab piav qhia qee yam uas peb pom tshwm sim hauv ntiaj teb ib puag ncig peb. Txhua lub sij hawm cov me nyuam yaj, khov los yog (hauv lub neej tom ntej) boil ib yam dab tsi, lawv yuav muaj peev xwm paub txog qee degree txheej txheem dab tsi tso cai rau nws tshwm sim.
Dab tsi yog qhov tseem ceeb thiab vim li cas nws tseem ceeb los txheeb xyuas koj qhov tseem ceeb?
Qhov tseem ceeb yuav coj koj hauv kev txiav txim siab hauv lub neej thiab ua rau koj taug qab. Qhov tseem ceeb tshaj plaws, qhov tseem ceeb tshaj plaws yuav ua rau koj ntseeg siab hais tias "tsis yog." Lawv pab koj txheeb xyuas qhov xav tau tiag tiag hauv koj lub neej, piv rau lwm tus xav tias tseem ceeb.
