Hluav taws xob raug mob txhais tau hais tias muaj kev raug mob rau kev ncaj ncees, kev ua haujlwm ntawm cov ntaub so ntswg thiab lub cev, uas tshwm sim nyob rau hauv kev cuam tshuam ntawm kev lag luam, hluav taws xob hauv tsev lossis ntuj tsim hluav taws xob. Cov kev raug mob hluav taws xob sib txawv muaj qhov sib txawv ntawm lub cev, uas tuaj yeem ua rau kub hnyiab, ua txhaum ntawm lub cev thiab tshuaj lom neeg muaj pes tsawg leeg ntawm cov ntshav, cov ntaub so ntswg tawg, pob txha, dislocations, thiab ua txhaum ntawm cov txheej txheem bioelectrical sab hauv.
Kev raug mob no feem ntau tuag taus.
Kev faib hluav taws xob raug mob
Cov kev raug mob hluav taws xob hauv qab no tuaj yeem paub qhov txawv ntawm qhov txhab.
- Cov kev raug mob hauv zos tau tshwm sim hauv kev raug mob ntawm daim tawv nqaij, cov ntaub so ntswg mos, ligaments, electrophthalmia (kev puas tsuaj rau daim nyias nyias ntawm lub qhov muag), metallization ntawm daim tawv nqaij. Kev raug mob hluav taws xob hauv zos yog qhov tshwm sim los ntawm qhov tshwm sim ntawm cov cim hluav taws xob ntawm lub cev - txhais tau meej heevcov pob grey lossis daj daj uas tshwm ntawm cov ntsiab lus ntawm kev sib cuag nrog cov peev txheej tam sim no.
- Kev raug mob dav dav nrog hluav taws xob poob siab rau cov leeg nqaij, tshwm sim hauv convulsions, tuag tes tuag taw ntawm lub plawv, ua pa.
Raws li qhov hnyav ntawm txhua yam kev raug mob hluav taws xob tau muab faib ua plaub qib.
- Qib I raug mob yog tshwm sim los ntawm convulsions yam tsis nco qab. Kuj tseem muaj blanching ntawm daim tawv nqaij, kev ntxhov siab, ua tsis taus pa, mob taub hau, thiab nce ntshav siab. Twb yog tom qab qhov kev txiav txim ntawm qhov kev poob siab, tus neeg raug tsim txom pib mob.
- Qib II raug mob yog nrog los ntawm tonic convulsions thiab tsis nco qab. Nyob rau theem thib ob ntawm kev raug mob hluav taws xob, cov neeg raug tsim txom muaj qhov txo qis hauv cov ntshav siab, kev mob me me hauv lub ntsws. Feem ntau muaj plawv arrhythmia, poob siab.
- III degree ntawm qhov hnyav yog tus cwj pwm los ntawm kev ua pa hnyav, convulsions, ruptures ntawm cov hlab ntsha ntawm lub ntsws, cuam tshuam ntawm lub plawv thiab tag nrho cov kev ncig, ib tug ntse txo nyob rau hauv cov ntshav siab, lub plawv atherosclerosis cuam tshuam, retinal detachment, o ntawm lub hlwb, lub ntsws. Necrotic foci tuaj yeem tshwm sim hauv lub ntsws, daim siab, spleen, thyroid thiab pancreas. Kev raug mob thib peb tuaj yeem ua rau tsis nco qab.
- IV degree yog tus cwj pwm los ntawm kev ua pa nres vim qhov ua rau tuag tes tuag taw ntawm qhov chaw ua pa thiab ventricular fibrillation ntawm lub plawv. Feem ntau tshwm sim thaum muaj hluav taws xob hla ntawm tus neeg lub taub hau.
Los ntawm qhov cuam tshuam ntawm cov hluav taws xob tam sim no, cov kev raug mob hluav taws xob hauv qab no tuaj yeem paub qhov txawv:
- instant, tau txais hauv ob peb feeb;
- mob ntev, tshwm sim los ntawm kev sib cuag tsis tu ncua thiab ntev nrog qhov muaj zog tam sim no.
Yog vim li cas hluav taws xob raug mob
Koj tuaj yeem raug mob los ntawm hluav taws xob thaum cuam tshuam nrog qhov chaw hauv tsev, tom haujlwm, lossis thaum xob laim. Lub teeb hluav taws xob ncaj qha yog qhov ntuj tsim, quab yuam majeure, uas tus neeg tsis muaj peev xwm ua pov thawj.
Txwv tsis pub, cov laj thawj yog raws li hauv qab no.
- Psychophysiological cwj pwm. Qhov ntawd yog, kev raug mob tuaj yeem yog qhov tshwm sim ntawm qhov tsis muaj zog, qhov xwm txheej ntxhov siab, qaug zog ntau dhau, lub xeev ntawm kev noj qab haus huv, tus neeg raug tsim txom ntawm cov tshuaj, dej cawv.
- Technical. Cov laj thawj zoo li no suav nrog kev ua haujlwm tsis zoo ntawm cov khoom siv hluav taws xob, vim tias qhov hluav taws xob tuaj yeem tshwm sim hauv cov hlau ntawm lub cuab yeej; siv cov khoom siv hluav taws xob tsis yog rau lawv lub hom phiaj; kev cuam tshuam lub zog; ua txhaum txoj cai rau kev ua haujlwm ntawm cov khoom siv.
- Lub koom haum ua cim. Qhov ua rau muaj hluav taws xob raug mob ntawm lub koom haum tej zaum yuav yog kev tsis saib xyuas thaum ua haujlwm nrog cov khoom siv txuas nrog lub hauv paus, tsis quav ntsej cov cai tswj kev nyab xeeb hauv chaw ua haujlwm thiab hauv tsev.
Kev raug mob hluav taws xob tsuas yog 2-2.5% ntawm tag nrho cov kev raug mob thiab feem ntaulawv tau txais los ntawm cov neeg uas nws txoj haujlwm yog ncaj qha ntsig txog hluav taws xob, uas yog, cov kws tsim hluav taws xob, cov khoom tsim hluav taws xob, cov neeg tsim khoom.
Kev raug mob hluav taws xob tuaj yeem tshwm sim thaum muaj hluav taws xob txaus ntshai lossis tam sim no rau tus neeg, vim yog lub cev thiab lub xeev ntawm tib neeg kev noj qab haus huv, ib puag ncig.
Symptoms of electric shock
Tam sim ntawd thaum hluav taws xob poob siab, tus neeg tuaj yeem hnov xws li pob, spasm, leeg, kub hnyiab. Tom qab tam sim no nres ua yeeb yam, cov tsos mob tseem ceeb tau pom los ntawm lub hauv paus paj hlwb. Cov cim qhia ntawm kev raug mob hluav taws xob muaj ntau yam nrog rau cov duab kho mob ntawm kev raug mob. Muaj lethargy, lethargy, indifference rau ib puag ncig, xeev siab, mob taub hau thiab kiv taub hau.
Lub cev lub cev ua rau lub cev raug mob hluav taws xob li no:
- pib nce, thiab tom qab ntawd txo qis hauv ntshav siab;
- nce lub plawv dhia;
- arrhythmia;
- nthuav cov ciam teb ntawm lub siab.
Moist rales yuav tshwm sim hauv lub ntsws, foci ntawm emphysema pom ntawm x-rays, thiab hnoos tshwm sim. Qee zaum, mob ua pa tsis ua haujlwm raug kuaj pom. Qee tus neeg raug mob ntuav, raws plab, xeev siab.
hluav taws xob raug mob kub hnyiab
Hluav taws xob hlawv tshwm sim ntawm qhov chaw nkag thiab tawm ntawm hluav taws xob tam sim no.
Tab sis tsis muaj tagtam sim no yuav tsum tsis txhob raug coj los ua ib qho laj thawj kom tsis suav nrog hluav taws xob raug mob. Ntau tus neeg raug tsim txom (ntau dua 30%) yog cov cim uas ploj lawm.
Hluav taws xob hlawv kuj muaj ntau qib ntawm qhov hnyav.
First degree tshwm li me me foci ntawm epidermal coagulation yam tsis muaj blistering.
Kev kub hnyiab thib ob muab tag nrho kev puas tsuaj rau daim tawv nqaij nrog kev tsim cov hlwv.
Qib thib peb yog nrog los ntawm cov kab mob ntawm tag nrho cov tuab ntawm daim tawv nqaij thiab dermis. Muaj necrosis superficial.
Nyob rau qib plaub ntawm qhov hnyav, tsis yog ntawm daim tawv nqaij nkaus xwb, tab sis kuj yog cov ntaub so ntswg hauv qab, sib sib zog nqus necrosis.
Kev raug mob hluav taws xob sab saum toj kub hnyiab tau tsawg dua li qhov kub hnyiab. Kev raug mob hluav taws xob hauv qee kis tuaj yeem ua rau muaj kev puas tsuaj rau thaj chaw loj ntawm cov ntaub so ntswg lossis txawm tias charring ntawm libs.
Kev kuaj mob xob laim
Yog muaj xob laim raug mob, muaj:
- qhov muag tsis pom ib ntus;
- ib ntus dumbness thiab lag ntseg;
- kev ntshai ntawm kev ntshai;
- ntshai teeb;
- tuag tes tuag taw ntawm lub ntsws thiab lub plawv;
- mob taub hau.
Qhov hnyav ntawm cov tsos mob tshwj xeeb yog nyob ntawm qhov mob hnyav.
Kev pab thawj zaug rau hluav taws xob raug mob
Yuav kom pab tau tus neeg raug mob, koj yuav tsum xub tiv thaiv koj tus kheej. Nws yog ib qho tsim nyog los de-energize qhov hluav taws xob qhov chaw, rub cov hlau tawm ntawm tus neeg raug tsim txom txhais tes. Yog tias qhov no ua tsis tau, cesNws yog ib qho tsim nyog los cais tus neeg raug tsim txom los ntawm lub hwj chim. Txhawm rau ua qhov no, koj yuav tsum siv cov cuab yeej tiv thaiv, xws li lub rooj tsavxwm, ib lub pas ntoo, cov cuab yeej insulated, hnab looj tes rubberized, insulating stands, rubberized khau. Yog tias tsis muaj cov cuab yeej zoo li no nyob ze, koj tuaj yeem tiv thaiv koj tus kheej los ntawm kev txav mus rau tus neeg raug tsim txom nrog "duck kauj ruam". Cov ko taw yuav tsum tsis txhob tawm hauv av. Tus ntiv taw ntawm ib ko taw yuav tsum nyob rau hauv txoj kab nrog pob taws ntawm lwm tus ko taw.
Yuav tsum rub tus neeg raug mob los ntawm qhov chaw raug mob mus deb ntawm 10-15 meters. Nyob rau tib lub sijhawm, nws yog ib qho tsim nyog yuav tsum tuav nws los ntawm cov npoo ntawm cov khaub ncaws, tsis txhob kov qhov liab qab ntawm lub cev. Kev pab thawj zaug rau hluav taws xob raug mob yuav tsum pib thaum tus neeg raug tsim txom nyob hauv qhov chaw nyab xeeb. Ua pa thiab mem tes raug kuaj. Yog hais tias lawv tsis palpable, ces nws yog ib qho tsim nyog pib ua pa ua pa thiab hauv siab compressions. Yog hais tias tus neeg tsis tau poob kev nco qab, nws yuav tsum tau muab tshuaj sedative, muab dej haus kom ntau li ntau tau thaum tos lub tsheb thauj neeg mob tuaj txog.
Yog tias qhov kub hnyiab tau pom meej ntawm daim tawv nqaij, lawv yuav tsum tau muab cov ntaub qhwv huv huv los yog ntaub qhwv. Yog xav tias muaj pob txha, ceg ceg yuav tsum tau splinted.
Tshuaj kho mob kub hnyiab
Kev saib xyuas raws li kev raug mob hluav taws xob thawj zaug tsis yog ib txwm tsim nyog. Ib tug neeg uas raug mob ntawm qib 2, 3 thiab 4 ntawm qhov hnyav, tom qab tau txais kev pabcuam thawj zaug, yuav tsum raug coj mus rau qhov chaw kho mob lossis chaw phais mob, qhov chaw uas nws yuav tau txais kev tsim nyog.kev pab kho mob.
thawj yam yog txhaj tshuaj tiv thaiv kab mob tetanus. Tom ntej no, kev kho mob hauv zos ntawm kev kub hnyiab thiab kev kho mob dav dav pib, txhawm rau kho cov kab mob cuam tshuam thiab lub cev ua haujlwm.
Raws li kev ntsuas tiv thaiv kev kub hnyiab, hnav khaub ncaws tsis muaj menyuam nrog cov tshuaj tua kab mob yog siv rau cov cim. Cov chaw kub hnyiab ntawm daim tawv nqaij tuaj yeem raug hluav taws xob ultraviolet, uas ua rau cov txheej txheem ntawm cov cell tuag thiab ua kom nrawm tsim thiab rov ua kom cov epithelium noj qab haus huv.
Ua ke nrog kev kho mob hauv zos ntawm thaj chaw puas ntawm lub cev, nws yog ib qho tsim nyog yuav tsum tau ua cov kev kho mob hnyav, uas rov ua haujlwm ntawm lub plawv, nrog rau kev ua haujlwm ntawm lub hauv nruab nrab thiab lub paj hlwb peripheral.
hom teeb meem tom qab hluav taws xob raug mob
Kev raug mob los ntawm hluav taws xob tam sim no yog qhov txaus ntshai ntawm lawv tus kheej thiab qhov tshwm sim uas tuaj yeem txhim kho tam sim ntawd thiab tom qab ntawd, tom qab kev kho kom rov zoo thiab tag nrho rov qab los ntawm qhov raug mob. Tej zaum yuav muaj teeb meem:
- ua txhaum ntawm lub vestibular apparatus;
- hnov tsis hnov lus;
- retrograde amnesia;
- paresis ntawm nqua;
- kev puas tsuaj rau lub raum, siab, tsim pob zeb hauv lub cev;
- kev puas tsuaj rau cov hlab ntsha, qaum qaum, hlwb;
- kev puas siab puas ntsws thiab kev tsis sib haum xeeb ntawm lub paj hlwb kev xav thiab parasympathetic;
- coma;
- los ntshav loj heev.
Yog tias muaj hluav taws xob hla lub taub hau, cesKev raug mob ntawm lub cev ntawm lub zeem muag nrog retinal detachment, clouding ntawm lub lens, pathological hloov nyob rau hauv lub intraocular ib puag ncig, thiab kev loj hlob ntawm glaucoma kuj yog inevitable.
tiv thaiv kev raug mob hluav taws xob
Qhov tseem ceeb ntawm kev tiv thaiv kev raug mob los ntawm hluav taws xob tam sim no yog ua raws li cov cai tswj kev nyab xeeb thaum lub sijhawm ua haujlwm, teeb tsa thiab kho cov khoom siv hluav taws xob. Cov neeg ua haujlwm nrog cov hluav taws xob tam sim no yuav tsum tau qhia zoo thiab yuav tsum muaj cov cuab yeej tiv thaiv tus kheej. Cov neeg ua haujlwm rau cov khoom siv hluav taws xob uas twb muaj lawm yuav tsum tsis tu ncua, ob zaug hauv ib xyoos, raug kuaj mob. Nyob rau hauv cov ntaub ntawv no, nws yog ib qho tsim nyog yuav tau mus los ntawm ib tug kws kho mob, kws phais neeg, neuropathologist, ophthalmologist, otolaryngologist raws li indications.
Nrog kev ceev faj txog kev nyab xeeb, ntau qhov kev raug mob hluav taws xob tuaj yeem zam tau.
