Department of Anesthesiology thiab Intensive Care: chav tsev qauv, cov dej num, kev ua haujlwm

Cov txheej txheem:

Department of Anesthesiology thiab Intensive Care: chav tsev qauv, cov dej num, kev ua haujlwm
Department of Anesthesiology thiab Intensive Care: chav tsev qauv, cov dej num, kev ua haujlwm

Video: Department of Anesthesiology thiab Intensive Care: chav tsev qauv, cov dej num, kev ua haujlwm

Video: Department of Anesthesiology thiab Intensive Care: chav tsev qauv, cov dej num, kev ua haujlwm
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Lub Tsev Haujlwm Saib Xyuas Kev Ruaj Ntseg thiab Kev Kho Mob hnyav yog ib qho tseem ceeb tshaj plaws rau txhua qhov chaw kho mob hauv tsev kho mob. Qhov no yog vim qhov tseeb tias nws nyob hauv qhov kev kho mob hnyav tau muab rau cov neeg mob uas muaj mob hnyav thiab mob hnyav heev.

Lub department ntawm anesthesiology thiab resuscitation suav nrog kev saib xyuas mob hnyav
Lub department ntawm anesthesiology thiab resuscitation suav nrog kev saib xyuas mob hnyav

yog dab tsi?

Lub Tsev Haujlwm Saib Xyuas Kev Ua Yeeb Yam thiab Kev Kho Mob hnyav yog ib feem ntawm lub chaw kho mob hauv tsev kho mob uas kho cov neeg mob uas muaj kab mob hnyav uas cuam tshuam ncaj qha rau lawv lub neej. Nws muaj cov chav ua haujlwm, pawg ntseeg (lawv tus lej tuaj yeem sib txawv nyob ntawm qhov loj ntawm lub tsev kho mob), chav ua haujlwm hauv chav ua haujlwm, tus thawj tswj hwm lub chaw haujlwm, tus kws saib xyuas neeg laus, thiab cov neeg ua haujlwm kho mob. Feem ntau, kev khiav hauj lwm thaiv yog txuam nrog lub tuam tsev tshuaj loog thiab resuscitation. Qhov no yog vim qhov tseeb tias thaum yuav luag txhua qhov kev phais mob, tus neeg mob tau muab tso rau hauv kev siv tshuaj loog, thiab tom qab kev ua haujlwm tiav, nws tau nyob hauv kev soj ntsuam rau qee lub sijhawm.resuscitators.

Tus Thawj Saib Xyuas Haujlwm

Feem ntau nws yog tus kws tshuaj loog tshaj plaws-resuscitator. Nyob rau tib lub sijhawm, nyob rau hauv ntau lub tuam tsev ntawm hom no, lub taub hau kuj kho qee tus neeg mob. Tsis tas li ntawd, nws yog lub luag haujlwm rau kev cob qhia cov kws kho mob uas tau txais kev cob qhia ua haujlwm. Lub taub hau ntawm lub tuam tsev tshuaj tshuaj loog thiab resuscitation yog lub luag hauj lwm rau kev tshuaj xyuas qhov zoo ntawm kev kho mob muab los ntawm cov kws tshwj xeeb nyob rau hauv nws saib xyuas.

Txhawm rau muab kev saib xyuas niaj hnub no, tus kws kho mob xav tau cov cuab yeej zoo
Txhawm rau muab kev saib xyuas niaj hnub no, tus kws kho mob xav tau cov cuab yeej zoo

Tus Kws Saib Xyuas Neeg Mob

Nws cuam tshuam nrog lub koom haum ntawm kev ua haujlwm ntawm cov neeg ua haujlwm kho mob nruab nrab thiab qib qis, kev muab tshuaj ntawm lub tuam tsev. Tsis tas li ntawd, nws tswj kev huv ntawm pawg ntseeg thiab txhua qhov chaw.

Tus kws saib xyuas neeg laus ntawm lub tuam tsev tshuaj loog thiab kev kho kom rov zoo ntsuas qhov ua tau zoo ntawm nws cov neeg ua haujlwm. Nws, nrog rau lub taub hau, yog cov neeg ua haujlwm tswj hwm.

Feem ntau cov tshuaj nyob rau hauv lub anesthesiology thiab intensive care unit yog txhaj
Feem ntau cov tshuaj nyob rau hauv lub anesthesiology thiab intensive care unit yog txhaj

Basic Branch Functions

Ntawm no yog muab kev pab kho mob rau cov neeg mob uas mob hnyav thiab mob hnyav heev. Yog tias ua tau, cov neeg mob kuj tuaj yeem mus pw hauv tsev kho mob ntawm no, uas nws tus mob yuav hnyav dua yav tom ntej. Feem ntau ntawm no yog cov neeg uas muaj cov kab mob hauv qab no:

  • myocardial infarction;
  • mob cerebrovascular raug mob;
  • pulmonary embolism;
  • pulmonary edema;
  • kab mob kub hnyiab;
  • kev sib koom ua ke thiab kev raug mob ua ke;
  • mob hnyav;
  • comas ntawm ntau yam etiologies;
  • mob khaub thuas;
  • bilateral pneumonia.

Tag nrho cov xwm txheej no xav tau kev saib xyuas hnyav. Tag nrho cov neeg mob tau mus pw hauv tsev kho mob hauv lub chaw ua tshuaj loog thiab kev kho kom rov zoo tom qab kev phais mob, thaum lub sijhawm tus neeg raug muab tshuaj loog.

Cov khoom siv sophisticated yog qhov tsim nyog rau txhua chav haujlwm ntawm kev tshuaj loog thiab resuscitation
Cov khoom siv sophisticated yog qhov tsim nyog rau txhua chav haujlwm ntawm kev tshuaj loog thiab resuscitation

khoom siv

Cov chaw haujlwm no feem ntau muaj cov cuab yeej siv niaj hnub thiab zoo tshaj plaws. Ntawm no, cov khoom siv hauv qab no yog qhov yuav tsum tau ua:

  1. Saib xyuas kom tsis tu ncua ntawm electrocardiogram, lub plawv dhia, ua pa thiab ntshav saturation.
  2. Lub tshuab ua pa.
  3. Pulse oximeter.
  4. Nqus nqus tsev vacuum.
  5. Portable x-ray tshuab.
  6. Khoom siv rau broncho-, colono- thiab esophagogastroduodenoscopy.

Ntxiv rau, lub chaw haujlwm no muaj ntau yam kev kuaj mob thiab kho tau yooj yim dua.

Tshuaj kho mob

Lub Tsev Haujlwm Saib Xyuas Kev Ua Yeeb Yam, Kev Kho Mob hnyav thiab Kev Kho Mob hnyav tau muab tshuaj kho mob raws li qhov tseem ceeb. Muaj cov pab pawg hauv qab no ntawm cov nyiaj uas tsis raug rau lwm lub tuam tsev:

  • tshuaj tua kab mob ntawm pawg tseg (cov tshuaj no yog siv tshwj xeeb, vim tias feem ntau cov kab mob tsis muajsustainability);
  • tshuaj rau kev kho mob thrombolysis (cov tshuaj no, ntxiv rau lub tuam tsev tshuaj loog thiab kev kho kom rov zoo, yuav tsum tau muab pov tseg ntawm pab pawg tsheb thauj neeg mob);
  • cov tshuaj zoo neuroprotective (cov tshuaj no yog siv thaum mob stroke thiab TIA txhawm rau txo qhov cuam tshuam ntawm cheeb tsam);
  • tshuaj narcotic.

Vim muaj cov tshuaj niaj hnub siv tau zoo, cov kws kho mob tshuaj loog-resuscitators muaj txhua lub sijhawm los saib xyuas mob hnyav.

Lub chaw saib xyuas tshuaj loog thiab kev kho kom rov zoo muaj cov tshuaj ntau tshaj plaws
Lub chaw saib xyuas tshuaj loog thiab kev kho kom rov zoo muaj cov tshuaj ntau tshaj plaws

Qhov twg muab?

Lub chaw saib xyuas tshuaj loog thiab kev kho kom rov zoo yog qhov yuav tsum tau ua hauv txhua lub tsev kho mob hauv tsev kho mob, tshwj tsis yog hauv tsev kho mob hauv nroog thiab tsev kho mob. Yog tias tsim nyog, cov neeg mob los ntawm lawv raug thauj mus rau cov chaw kho mob loj, qhov chaw uas muaj lub sijhawm los muab kev saib xyuas hnyav.

Hnub no, txhua lub hauv paus tsev kho mob hauv cheeb tsam muaj ib chav haujlwm uas tuaj yeem muab kev pabcuam resuscitation thiab tshuaj loog.

nyuaj ua haujlwm

Kev ua haujlwm ntawm no suav tias yog qhov nyuaj tshaj plaws rau cov neeg ua haujlwm. Kev ua haujlwm ntawm Lub Tsev Haujlwm Saib Xyuas Kev Ruaj Ntseg, Kev Kho Mob thiab Kev Kho Mob hnyav suav nrog kev saib xyuas tas li ntawm txhua tus neeg mob hauv kev kho mob. Lawv qhov xwm txheej tsis ruaj khov thiab tuaj yeem ua rau tsis zoo, uas yuav tsum muaj cov kws saib xyuas neeg mob thiab kws kho mob nyob tsis tu ncuakev nruj thiab kev npaj los muab kev pab tsim nyog.

Kev ua haujlwm ntawm no kuj nyuaj heev vim tias muaj ntau tus neeg mob cawm tsis tau. Qhov no ua rau muaj teeb meem puas siab puas ntsws loj rau cov kws kho mob thiab cov kws saib xyuas neeg mob ntawm lub chaw tshuaj loog thiab resuscitation department. Nws yog ib qho nyuaj ua hauj lwm ntawm no rau cov tub txawg hluas uas nyuam qhuav pib lawv txoj hauj lwm thiab tseem tsis tau siv rau lub tswv yim hais tias tsis nyob rau hauv txhua rooj plaub ib tug neeg yuav dim.

Qhov nyuaj ntawm kev ua haujlwm ua rau muaj kev hloov pauv ntawm cov neeg ua haujlwm siab, txawm tias cov nyiaj ua haujlwm siab heev hauv chav haujlwm no.

Txhua lub tsev kho mob loj muaj tshuaj loog thiab chav saib xyuas mob hnyav
Txhua lub tsev kho mob loj muaj tshuaj loog thiab chav saib xyuas mob hnyav

Kev sib raug zoo nrog lwm yam tshwj xeeb

Cov kws kho mob tshuaj loog-resuscitators koom nrog pab cov neeg mob uas muaj teeb meem tshaj plaws. Nws tsis yog qhov xav tsis thoob tias nyob rau hauv cov txheej txheem ntawm kev kho mob lawv koom nrog cov kws kho mob ntawm lwm yam tshwj xeeb rau kev sab laj. Lawv feem ntau cuam tshuam nrog cov kws kho mob hauv qab no:

  • kws kho mob;
  • surgeons;
  • neurologists;
  • endocrinologists;
  • kws kho plawv;
  • gynecologists;
  • nephrologists.

Ua tsaug rau kev pab tswv yim ntawm cov kws kho mob tshwj xeeb no, cov kws kho mob muaj lub sijhawm los sau cov txheej txheem kho mob zoo tshaj plaws. Hauv qhov xwm txheej hnyav tshaj plaws, kev sib tham txog kev kho mob tau sib sau ua ke los tsim cov tswv yim los pab tus neeg mob. Feem ntau, nws muaj cov thawj coj ntawm lub tuam tsev lossis cov kws paub txog kev kho mob tshaj plaws. Raws li ib feem ntawm kev sab laj, tus neeg mob txoj kev npaj kho mob tau ua tib zoo xav.

HowUa ib tug tshuaj loog-resuscitator?

Txoj kev xav, yuav luag txhua tus kawm tiav ntawm lub tsev kho mob siab dua ntawm kev kawm tuaj yeem tau txais qhov tshwj xeeb. Txhawm rau ua qhov no, koj yuav tsum muaj qhov qhab nia nruab nrab zoo, txij li kev xaiv cov tshuaj loog-resuscitators rau pab pawg kws kho mob tshwm sim ntawm kev sib tw. Cov tub ntxhais kawm uas tau qhab nia siab tshaj plaws hauv chav kawm tau txais ntawm no.

Nyob yav tom ntej, tus kws tshaj lij uas twb tau txais daim ntawv pov thawj tiav lawm yuav tau mus ua haujlwm hauv ib lub tsev kho mob uas muaj chaw kho mob thiab tshuaj loog. Tom qab kawm tiav, nws yuav muaj peev xwm koom nrog kev kho mob ywj pheej hauv txhua qhov chaw kho mob hauv tus neeg mob.

Tus kws tshuaj loog yog xav tau rau feem ntau ntawm kev phais
Tus kws tshuaj loog yog xav tau rau feem ntau ntawm kev phais

Nyob rau tus kws tshaj lij

Cov kws kho mob zoo li no ib txwm yog ib tus kws tshaj lij nrhiav cov kws tshaj lij. Yog tias xav tau, tus kws kho mob hluas uas tau ua tiav kev xyaum haujlwm tuaj yeem tau txais txoj haujlwm yooj yim txawm nyob hauv nroog loj. Hauv cov tsev kho mob me me, feem ntau koj tuaj yeem pom qhib qhov chaw ua haujlwm rau lub taub hau ntawm lub tuam tsev tshuaj loog, resuscitation thiab kev saib xyuas hnyav. Ntxiv mus, cov kws tshaj lij no tau muab ib qho ntawm cov nyiaj hli siab tshaj plaws hauv lub tsev haujlwm.

Cov kws tshaj lij no tsis txaus tsis yog hauv kev saib xyuas kev noj qab haus huv hauv tebchaws nkaus xwb, tab sis kuj txawv teb chaws. Nrog kev paub ntawm cov lus, anesthesiologists-resuscitators los ntawm lub post-Soviet lub teb chaws tuaj yeem yooj yim nrhiav tau cov hauj lwm tau nyiaj ntau hauv cov teb chaws Europe.

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