First aid and treatment of abdominal injury
Traumatology / / May 14, 2016
first aid for injuries of the abdomen
victim must be put and build peace.By the abdomen can be applied ice packs.When the phenomena of shock shows the introduction of heart means (kordiamin - 2 ml), transfusion solutions Plasma substitutes, oxygen inhalation.You can not enter morphine and other analgesics, because it can mask the clinical picture of intra-abdominal injury.Urgent transportation of victims to the surgical department.In open lesions on the abdomen wound is necessary to impose aseptic bandage.It is impossible to reduce a fall out of the internal organs injury.If there is absolute evidence of penetrating injury can be administered painkillers - morphine (1 mL of 1% solution), omnopon (1 mL of 1% solution), Promedolum (1 mL of 2% solution), and then - quick hospitalization and emergency surgery.It is forbidden to drink, and to give the victims inside any drugs.
treatment of injuries of the abdomen
main therapeutic measures should be aimed at combating shock, bleeding and peritonitis.The
Technique operations detailed in the specific manuals.Against the background of the serious condition of the victim should abandon the complex reconstruction operations in favor of sparing simple procedures (suturing wounds, removal of damaged intestine under the skin with the imposition of the stoma, and so on. D.).During the operation, you must have the stomach probe (if necessary, in the small intestine) to prevent fluid retention in the intestinal paresis in the postoperative period.When rupture of hollow organs of the abdominal cavity is well drained, abundantly watered antibiotic solution perfused (for detoxification) if necessary, special polyionic solutions.Antibiotics are not only introduced into the abdominal cavity, but intramuscularly and intravenously.To combat the insufficiency of the protein intravenous albumin, protein, plasma protein hydrolysates.Water and ion balance is corrected using the polyionic solutions.
- main signs belly
- organs abdominal organ injury injury
- damage to abdominal organs and limbs
- First aid and treatment for injuries of the abdomen
- struggle with pain in injuries
- skeletal traction
- Multiple fractures of the tibia
- Multiple fractures ankle
- struggle with acute blood loss in trauma
- tourniquet technique
- Transosseous osteosynthesis external fixation
Intensive therapy affected after the operation should be carried out for at least 11.5 weeks.Acceptance of food and water is allowed in 2-3 days.Constant monitoring of urine output, hemodynamic, clinical and biochemical parameters of blood.To combat intestinal paresis intravenous hypertonic solutions of sodium chloride, potassium chloride, procaine perform blockade aspirated stomach contents, put an enema.
Among the early complications of abdominal injuries are more common atelectasis and pneumonia, kidney or liver failure (as a result of massive blood loss or intoxication), venous thrombosis.The main preventive measures of these complications are massage, therapeutic exercise (in the bed), early activation of patients.By the late complications of abdominal injuries are abscesses (mezhkishechnye, subdiaphragmatic, subhepatic), intestinal fistulas, adhesive disease with various forms of obstruction of the intestines, post-traumatic hernia.