Tuesday, December 14, 2010
【 Weak current college 】 life safety---carbon monoxide poisoning-Power By 【 China power house network 】
All carbon material such as coal, wood, and so on are incomplete combustion produces carbon monoxide (CO). Carbon monoxide entering the body quickly and the formation of hemoglobin, carboxyhemoglobin, but difficult to dissociation. High concentrations of carbon monoxide, and cytochrome oxidase inhibitors of iron-binding, and cellular respiration. (A) diagnostic points have cause carbon monoxide poisoning of the environment, such as combustion, smoke, etc., and the lack of good ventilation equipment. The wounded were headache, palpitations, nausea, vomiting, malaise, blackout and other symptoms and signs, to coma, convulsions, and death. According to the level of carbon monoxide poisoning may be divided into three degrees:
① mild blood carbon monoxide in 10% ~ 20%, headache, dizziness, palpitations, nausea, vomiting, malaise or short-term blackout, from the environment can be rapidly eliminated.
② moderate blood carbon monoxide in 30%-40%, in addition to the above symptoms worse, skin, mucous is cherry red, irritability, fast pulse, often unconscious or collapse, timely rescue's future can be fully restored.
③ severe blood carbon monoxide at 5O%. In addition to the above symptoms worse, the patient can be collapsed, followed by coma. May be associated with myocardial damage, convulsion, pulmonary edema, edema, etc, can produce sequelae. (B) spot first aid immediately patients move to fresh air, loose clothing, but it is necessary to pay attention to keep warm. On the respiratory and cardiac stop to immediately line artificial respiration and chest heart massage and intramuscular respiratory stimulant, lobelia alkaline or back to sue ling, etc., at the same time, give oxygen. Coma to acupuncture people, CMA, Yongquan, etc. 10. Patients with spontaneous breathing, heartbeat recovery before her to the hospital. If so, you can make general follow-up treatment:
① correct metabolism of hypoxia improve organization may use veil nasal tube or high pressure oxygen, application of cytochrome C15 mg (medication before doing allergy test), Coenzyme A50 units, ATP20 mg intravenous drip to improve tissue metabolism.
② reduce tissue response available dexamethasone 10 mg-30 mg intravenous drip, 1 time per day.
③ high fever or twitching to use hibernation, brain edema with mannitol or hypertonic sugar for dehydration.
④ in severe cases, consideration could be given a blood transfusion or transfusion, enable organizations to get oxyhemoglobin, early correction of hypoxia.
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