Concomitant eha. Mau a me ka hui trauma

Concomitant eha ka loaʻa o keʻano o nā diagnoses, ano no na koena o ka loa traumatic hopena ma luna o nā loko lehulehu, a me ka like ana o ke kino. Here, mua o nā mea a pau lesions kaʻawale ma ka a, a me ka luna ' nā palapū o ke poo , a na nā loko, ua nui aʻe' ana o ka musculoskeletal nenoaiu.

Ke kumu nui no ka loaa hui traumas

Concomitant eha loa pinepine, kena ae la ma ka mea he ulia pakalaki, moe mai ke kiekie nui, a no ka mea, o ka hana i koe o ke kāʻili wale. E like me ka loaa ole ia 'ikepili helu, ka bulk o pili i nā palapū ma loa e kau mai maluna o ka i komo o ka ulia ma ka wawae. I ka Ia manawa, o ka loa pinepine hihia o ka make malama i loko o ka haule ana mai o ka kiekie.

Inā mākou e kamailio e pili ana i ka luahi o ka lalau wale, alaila, e wehewehe aku ia wahi, i hiki e loa cranial a me ka lehalehu t trauma, a me ka spinal kaula nā palapū, na nā loko.

lapaʻau kiʻi

Alu eha ke oko a he ākeaʻano o symptoms, i hilinai kuhikuhi ma ka wahi o ka loa noho pilikia poino, i ke alo o ka hemorrhage, traumatic hawewe kūlana, kāna hana, lolo, kāna hana o ka naau, naehana nenoaiu.

Ka pono lapaʻau kiʻi i loko o ka makaukau o ka hui pu nā palapū ua nānā 'ana ma luna o alakai poino, i ke alo o ka i hūnā iā i ka hoʻoweliweli' ana i ke ola. Eia naʻe, eia nā hihia ia he mea oi ma mua o like ma ka oolea nui ka pōʻino.

Ano o ka hui pu nā palapū

Aia He He mea Mea Maluna o ka luna 'hui polytrauma, i mea kūpono loa ina kūpono hoʻoholo o ke degere o ka poho kauka pilikia.

Ma muli o ke 'ano o ka poino pili trauma alakai hoʻolaha like penei:

• hamama a paʻa lolo ino a me ka cranial nā palapū ma ka huipūʻana me ka iaʻano o nā wahi o ke kino e like me thoracic, celiac Oihana, mau lala, pelvis;
• hamama a paʻa poino umauma, hui me ka traumatic lolo eha;
• hamama a paʻa poino celiac lua, poo, spine, mau lala;
• huikau spinal eha hui me nā palapū o nā māhele: ka lolo, abdomen, pelvis, umauma;
• nui pelvic poino, hui me ka lolo, celiac, thoracic nā palapū.

Mau a me ka hui trauma

Ke alo aku o ka lau nā palapū ma ka hihia o ke alo aku o ka luahi ike paka i ke alakai i ke kahua o ka ai-kapaia psevdodominantnyh poino. Oia ke ano pinepine ke kumu i ka hoʻomanawanui, e kālele ana ma luna o ka emi loa nā palapū, distracting mai ke kauka pololeiʻike.

Hōʻole 'PalekanaEND_LINK ka wahaheʻe i loko o ka makaukau o mau trauma pilikia e leie aku e manual, a alakaʻi X-Ray hookolokolo ana o ka iwi holoʻokoʻa.

I ka wa e kaawale aku o ka ike paka i loko o ka? Iecaianoaaiiie o mau polytrauma mua anamanaʻo me ka mākaʻi no ka alo ana o lesions i loko o ka thorax, spine, abdomen, iwipoo a me pelvis. I ka Ia manawa, i ke kumu e hana X-Rayʻike, ke lilo lala alo abrasions, edemas, hematomas, uncharacteristic eii? Moku'āina lala motility.

First pilikia mālama

Kaumaha concomitant poino pili i ka pōʻino ma i ka noaaeeecaoee o ka poino moku'āina Ua pili kēia kalele iho ma luna o ka mämä holo o ka pilikia mua. No ka halihali ana o ke ahonui i ka hihia o ka hui nā palapū kauoha paakiki stretcher, hiki hoemi i ka likelihood o airway iaʻi i loko o ke koko, luaʻi, a me ke pale aku'ōlelo a retraction o ka mandible. Ma ia laua, i ka māhele o ka nasopharynx ua holoiʻia gauze 'ole' inikua omo fluids. Loa alu trauma e koi kūikawā e komo ai o ka waha gag.

Eia, ma ka hihia o ka hoʻokō 'ole' ia, he mama i ka paka ʻimi hoʻopunipuni ka hanu nā waha-i-waha 'ole ma ka mokuna KI-ZM. I ka wa koke, ka manaʻo, a me ka hapanui importantly, i ka pololei kōkua ma ka hoʻokō 'ana o ka luna hana, ka luahi ua ho'ōla mai ka hanu, ma hope a IeAUPIIe, IAa IO ia lŘlŘ ka manao moku'āina.

Ma hope o haawi i ka loli pahu pili trauma e stabilize nui ke kino pono ka hoohiki ana poliglyukina, prednisolone, hydrocortisone. Ma ke alo o ka loa nā palapū i lala arterial kahe ana ke koko hanana superimposed mea kaua.

Concomitant poino i na keiki, a me kekahi kanaka i loko o kekahi mea nui ana i a he mea he haʻahaʻa ke koko, a me ka pono o ka hooponopono ana o insulina ka pahu kui i loko o ka aa koko 40% ko ana hanai ana monakō koko poliglyukina hōmona.

Ma ka hanana o kaʻike ākea pāpaʻa i kela a me stabilize ma ka puʻe o 80 mm o Hg. Art. ma ka hihia o ka lala fractures pu malu ana, 'aʻole pono e kali manawa i loko o ke kau o ka papale hainaka. Akā, i ka pulakaumaka ua kia ma luna o pale i ka holo pono o ka nui nā loko.