静脉注射先锋必致窒息的急救护理

笔报道5例患在静脉注射先锋必过程中，发生急性喉头水肿致窒息的急救护理。急救程序的总原则为争分夺秒，解除气道阻塞，纠正缺氧，对症处理；措施为立即停药，病人平卧，予0．1％肾上腺素1ml皮下注射，小儿酌减；建立通畅气道，小儿直接用食指中指并拢按压小儿舌根部，成人用仰头提颏法或仰头举颌法等打开气道，同时速备口咽通气导管配合医生插入，必要时，配合医生行气管插管或气管切开，及时清理口咽分泌物；给予氧气、药物雾化吸入；迅速建立静脉通路；密切观察病情变化及肾功能情况。强调静脉注射先锋必前必须备好急救药品，对过敏体质的病人密切观察，一旦发生过敏，迅速抢救，挽救生命。

The first-aid nursing of asphyxia caused by intravenous cefobid

ObjectiveThe author reported the first aid nursing of 5 patients with asphyxia caused by acute laryngeal edema while intravenous cefobid was done. The general principle was to remove the obstruction of airway as soon as possible, followed by correction of asphyxia and anti symptom treatment. The concrete measures were as follows: 1. Removing the drug immediately, keeping the patient lie down, and injecting 1ml H; 2. Keeping airway open and smooth; 3. Supplying oxygen and aerosol inhalation; 4. Establishing vascular passages rapidly; 5. Taking close observation over the patients. It is suggested that all nurses master first aid knowledge so that when asphyxia happens, measures can be taken rapidly to save the patients' lives.