Cov kab mob ntsws muaj dej

Hydrocarbon mob ntsws yog tsim los ntawm haus dej lossis ua pa hauv roj av, roj av, rooj tog polish, xim pleev xim dua, lossis lwm yam khoom siv roj lossis cov tshuaj pleev xim. Cov hydrocarbons muaj qhov tsawg heev viscosity, uas txhais tau hais tias lawv yog cov heev, heev nyias thiab khau khiab. Yog koj sim haus cov pa roj carbon monoxide no, qee qhov yuav xoob koj txoj hlab pa thiab mus rau hauv koj ob lub ntsws (mob ntshav) es tsis mus hauv koj cov hlab pas (txoj hlab nqos mov) thiab mus rau hauv koj lub plab. Qhov no tuaj yeem yooj yim yog tias koj sim siphon roj tawm ntawm cov roj av nrog lub hose thiab koj lub qhov ncauj.

Cov khoom no ua rau muaj kev hloov pauv sai ntawm cov ntsws, suav nrog rau o, o, thiab los ntshav.

Cov tsos mob tuaj yeem suav nrog ib qho hauv qab no:

• Coma (tsis muaj lub luag haujlwm)
• Hnoos
• Ua npaws
• Ua tsis taus pa
• Qhov tsis hnov ​​tsw ntawm cov khoom siv hydrocarbon ntawm cov pa
• Stupor (qib qis ntawm kev ceev faj)
• Ntuav

Nyob hauv chav kho mob ceev, tus kws kho mob yuav kuaj xyuas cov cim tseem ceeb, suav nrog kev ntsuas kub, mem tes, dhia pa, thiab ntshav siab.

Cov ntawv sim thiab kev pabcuam hauv qab no (kev nqis tes ua rau kev txhim kho) yuav ua nyob hauv chav haujlwm xwm txheej ceev:

• Arterial ntshav roj (acid-puag tus nqi tshuav) soj ntsuam
• Ua tsis taus pa pab, suav nrog oxygen, kev kho mob ua pa, tshuab raj ua pa thiab tshuab ua pa (tshuab), muaj mob hnyav
• Ua kom tiav cov ntshav suav (CBC)
• Kev ntsuas hluav taws xob xoo
• ECG (electrocardiogram, lossis mob plawv)
• Cov kua dej los ntawm leeg ntshav (leeg ntshav los yog IV)
• Ntshav cov metabolism hauv vaj huam sib luag
• Toxicology npo

Cov neeg muaj mob mentsis yuav tsum tau mus ntsuas los ntawm kws kho mob hauv chav khomob xwm txheej kub ntxhov, tabsis tej zaum tsis tas yuav tsum nyob hauv tsev khomob. Qhov tsawg kawg nkaus saib lub sijhawm tom qab nqus tau cov hydrocarbon yog 6 teev.

Cov neeg muaj mob loj tsawv thiab mob hnyav feem ntau tau mus pw hauv tsev kho mob, qee zaum mus rau qee lub tsev tu neeg mob (ICU).

Kev mus khomob hauv tsev khomob yuav suav qee lossis tag nrho cov kev pabcuam pib nyob hauv chav khomob xwm txheej kub ntxhov ceev.

Feem ntau cov menyuam uas haus dej haus tshuaj lossis nqus cov pa roj carbon monoxide thiab tsim cov tshuaj ua kom mob ntsws zoo rov qab los tom qab kev kho mob tag. Kev siv tshuaj lom neeg (hydrocarbons) lom ntau dua tuaj yeem ua rau ua pa sai thiab tuag. Kev rov qab haus dua tuaj yeem ua rau lub hlwb tas mus li, lub siab thiab lwm yam khoom puas.

Teeb meem yuav suav nrog ib qho hauv qab no:

• Pleural effusion (kua ib puag ncig lub ntsws)
• Pneumothorax (mob ntsws los ntawm kev huffing)
• Tus kab mob thib ob yog tus kab mob

Yog koj paub lossis ntseeg hais tias koj tus menyuam tau nqos lossis nqus tau cov tshuaj hydrocarbon, coj nws mus rau chav kho mob ceev tam sim ntawd. TSIS TXHOB siv ipecac ua kom tus neeg cuam pov tseg.

Yog tias koj muaj cov menyuam yaus, nco ntsoov txheeb xyuas thiab khaws cov khoom uas muaj cov roj carbon hydrocarbons kom zoo.

Mob ntsws - hydrocarbon

• Lub ntsws

Blanc PD. Mob lus teb rau qhov raug lom. Hauv: Broaddus VC, Mason RJ, Ernst JD, li al, eds. Murray thiab Nadel Cov Ntawv Phau Ntawv Qhia Txog Cov PaCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 75.

Wang GS, Buchanan JA. Hydrocarbons. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 152.