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急性氯气中毒抢救治疗的措施,简介如下: 一、上呼吸道痉挛型:主要病理变化为喉或气管、支气管痉挛而致窒息,故又可称“窒息型”。迅速出现高度青紫、高度呼吸困难、窒息感,而肺部体征不明显,经解痉、给氧等处理后迅速恢复。急诊处理:1.喉痉挛:立即气管切开。2.气管、支气管痉挛:(1)立即给异丙肾上腺素或舒喘灵气雾剂,或解痉合剂经氧气加压雾化或超声雾化器喷入呼吸道,必要时通过气管切开或面罩加压给氧,直至痉挛解除,青紫消失;(2)同时静注氨茶碱;(3)静注地塞米松;(4)5%碳酸氢钠每公斤体重5毫升静注一次,以后视酸中毒程度酌情再给;(5)防治并发症:注意呼吸
Acute chlorine poisoning rescue treatment measures, described as follows: First, upper respiratory spasm type: The main pathological changes for the throat or trachea, bronchial spasm and suffocation, it can be called “suffocation type.” Rapid high purple, high degree of difficulty breathing, apnea, and pulmonary signs is not obvious, after antispasmodic, oxygen and other rapid recovery after treatment. Emergency treatment: 1. Laryngeal spasm: immediately tracheotomy. 2. Trachea, bronchospasm: (1) immediately to isoprenaline or Shu Chaner aerosol, or antispasmodic agent by oxygen pressurized atomizer or ultrasonic spray into the respiratory tract, if necessary, through the tracheostomy or mask (2) Simultaneous intravenous aminophylline; (3) intravenous injection of dexamethasone; (4) 5% sodium bicarbonate 5 ml per kg body weight intravenously once, depending on the time Acidosis, as appropriate, give; (5) prevention and treatment of complications: pay attention to breathing