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溺水该如何进行急救 邓磊 四川省人民医院 溺水时的一般急救急救措施分两种:溺水在夏天尤其是小孩当中的发生的几率是特别高,溺水的时候一般急救要分两种情况,如果已经出现了呼吸心跳的停止,首先要给做的是徒手心肺复苏,如果溺水的病人这个时候还有心跳,还有呼吸,第一个要做的就是排水,排水的方法可以按照海姆立克急救法来做,也可以跪下来把患者的腹部放在大腿的膝关节的部位,同时用手拍打背部,让患者通过呛咳的方法排出体内的水,另外在排水的时候一定要注意患者尽量不要发生误吸,就是排出来的这些水尽量不要再误吸到的气道里边,还要注意的一种情况就是溺水的患者,有一类叫做干性溺水,这类患者由于在溺水的时候由于紧张恐惧和焦虑,声门是关闭的,其实这个时候患者的肺里头是有水的,而发生窒息的主要的原因,是由于声带麻痹关闭了过后,自己窒息而导致的缺氧的发生,对于这类患者来讲,溺水过后其实做排水它的意义就不大了 How to give first aid for drowning There are two kinds of general first aid measures for drowning: drowning is particularly high in summer, especially among children, When drowning, there are two kinds of first aid, If there has been a stop in breathing and heartbeat, The first thing to do is cardiopulmonary resuscitation, If the drowning patient has a heartbeat at this time, And breathing, The first thing to do is to drain, The method of drainage can be done according to Heimlich's first aid method, You can also kneel down and place the patient's abdomen on the knee joint of the thigh, At the same time, pat your back with your hand, Let the patient expel the water from the body by choking, In addition, when draining the water, it is necessary to pay attention to the patients to avoid aspiration, It means that the discharged water should not be sucked into the airway by mistake, One of the things to watch out for is drowning patients, There is a category called dry drowning, This kind of patients, due to the stress, fear and anxiety during drowning, The glottis are closed, In fact, there is water in the patient's lungs at this time, And the main cause of suffocation, It's because when the vocal cord paralysis is closed, The occurrence of hypoxia caused by self suffocation, For these patients, It doesn't really make sense to drain after drowning