The belly of chest unites the clinic of amalgamating skin of diaphragm and damaging wounded and attends to a _ prevention and health care

The belly of chest unites the clinic of amalgamating skin of diaphragm and damaging wounded and attends to a _ prevention and health care
A chest belly is united woundedMean that damaged the internal organs of chest and belly at the same time in violence injured. Its condition of the injury is complicated, serious, make a definite diagnosis of and need to treat surgery immediately.
Nursing before 2 skills
2.1 Monitor the physical sign of the life tightly The belly of chest is united wounded and amalgamated skin of diaphragm is damaged because the condition is critical, break with tremendous force, is severly injuried, clinical manifestation is complicated, so should monitor the physical sign of the life tightly, find the condition change in time, cooperate with the doctor to rescue actively. Observe the condition to change tightly, make sure to find and deal with early early. The monitoring of the physical sign of the life: If the heart rate appears to become fast, blood pressure drops suddenly. Accompany dizzy, pale complexion, four limbs are ice-cold,etc. may be that the heart is serious and is pressed a large amount of internal haemorrhage, should report to a doctor and handle it as soon as possible in time. Oxygen intake, oxygen density 3~4L/min. To the persons who have difficulty in breathing, walk the trachea intubate breathing machine assist breath. The patient often fetches and injures the high slope of side to lie in the location, the truck is crooked a little, in order to reduce abdominal cavity's internal organs hernia thoraxes of people and pulling [1 ] of the intestines and stomach.
2.2 Resist shock Chest belly damage, amalgamate, damage patient through skin jointly because person who lose blood, more, effective the intersection of cycle and blood volume reduce, blood pressure drops, can die from losing blood shock in short time. Employ rapidly intravenously to hold the needle and set up more than two intravenous thorough fares, positive fluid infusion, blood transfusion, supplement the blood capacity, correct losing blood shock [2 ].
2.3 Keep the respiratory tract unobstructed Remove oral cavity and foreign matter of swallowing etc., make respiratory tract to be unobstructed, go into a coma to shock patient fetch, lie the location while being flat, the head leans to one side, it causes and suffocates to prevent the clot, vomit from stopping up the angry way. Offer nasal obstruction or the intersection of nose and the intersection of conduit and oxygen intake, the intersection of wound and getting serious competent trachea intubate immediately, in order to improve the oxygen deficiency state, maintain the effective breathing function. Blood pressure steady to have taboo patient fetch, lie in the location by half, the chest has open wounds, should close with the aseptic gauze immediately, make open pneumothorax turn into closing pneumothorax. Can the clavicular centre line is inserted in a thick syringe needle among not injuring the side the second ribing to the intersection of tension and pneumothorax, lighten the pressure in the thorax, the closing drainage of thorax that then walk, improve the breathing function as soon as possible.
2.4 The lasting intestines and stomach reduce pressure The skin of diaphragm often has situation that stomach enterocele enters the thorax, having completely or complete symptom and physical sign of obstructing to damage a patient. So, the lasting intestines and stomach can prevent the thing backflow of the stomach content to reduce pressure effectively before the skill, prevent the intestines and stomach from aggravating the impact on heart and lungs function because of further swelling, so as not to anaesthetize and hold the front and present the heart rate not normally, the heartbeat stops etc. suddenly.
2.5 Strengthen the psychology to attend to Chest it is wounded to amalgamate diaphragm for belly to unite the intersection of patient and condition that skin damage worried, serious, need to carry on the operation immediately. Most patients exist tensely, frightenedly, the part has sense of suffocating, even there is approaching one's end sense of fear of kind, it is very unfavorable that in the extreme tense situation of this kind of spirit to perform a surgical operation. So, we should carry on comfort and explanation to the patient with the affable and cordial language, might retain the intersection of oxygen and conduit, drainage tube, intestines and stomach for use, reduce pressure tube, the intersection of chest and the intersection of belly and importance and purpose of drainage tube, catheter,etc. to operation, should introduce in detail; Make the patient dispel the bad psychological factor, establish the confidence of overcoming disease, cooperate with the operation on one's own initiative and attend to.
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