第六十七章 治疗性低体温(2 / 2)

如果能够自主睁眼,评分为4分,如果语音刺激睁眼3分,疼痛刺激睁眼2分,不睁眼1分。

语言正常5分,语言混乱4分,用词不恰当3分,声音无法理解2分,无语言1分。

能够遵嘱动作6分,能够对疼痛定位5分,对疼痛刺激产生屈曲肢体的动作4分,疼痛出现异常的屈曲3分,疼痛刺激后肢体伸展2分,疼痛无反应1分。

综合以上三项的评分加起来为格拉斯哥昏迷评分总分。

格拉斯哥昏迷评分的最高分15分,为意识清楚,

12到14分为轻度意识障碍,

9到11分为中度意识障碍,

8分以下为昏迷。

而患者的评分只有3分,显然是处于昏迷等级,因此应该立即进行插管和机械通气。

“第一题回答完全正确。+3分”

“第二题,请合理使用场景中提供的材料,对患者实施针对性治疗。”

助理医生说完后,便是将房间中间的的场地完全交给了唐楼。

在房间的正中央是穿着一身登山服的患者,而在他的左手边的桌子上,有着一袋白色的晶体,在患者右手边的柜子里,冒着一丝丝的寒气。

唐楼继续观察,发现了病床下方有着一个洗脸盆,以及一条毛巾。

唐楼走了过去,打开了柜子,一股寒意袭来,竟然是一袋子的碎冰块。

另一个柜子桌面上放着一只水银温度计。

思考了一番,唐楼自然是明白了场景中的物品意图,只是还需要进一步确认自己的猜想。

“助理医生,进一步进行血液检查,包括动脉血气和肾功能。”

“好的,唐医生。”

“你,再次查看心电图,寻找心脏缺血...”

“你,床边超声检查,寻找是否存在肺栓塞,评估心室功能,水负载...”

唐楼一边清晰的发出指令,同步开始利用场景之中的物品。

“来,你过来,帮我把脸盆搬过来。”

唐楼自己则将柜子中的碎冰块,哗啦啦的倒入其中。

“生理盐水...”

...

...

在唐楼忙碌的时候,评审室之中,一些实习生已经有点看不懂了。

“他这是在干什么啊?”

“不知道哎,但是很厉害的样子。”

“制作一杯冰阔乐?将患者馋醒。”

“不不不,其实他就是想来一个冰桶挑战。”

“我觉得,可能他是想告诉大家,患者已经凉了。”

“......”

在后排淘汰选手鬼扯抖机灵时,前排的各个主任则是不一样了,脸上露出了赞许的目光。

正所谓外行看热闹,内行看门道。

牛博林将唐楼的目的直接朗声告诉给了后排的学渣:

“该病患,显然是属于休克性初始心律性院外骤停,即OHCA。对于这样的患者我们应该降温以预防继发性脑损伤,这被称为治疗性低体温。”

“若是条件允许,自然是冰毯机降温法是最优选择,但是背景之中,明显患者是由于徒步旅行位于偏僻山区,被送往的医院定然条件极差,那么如何开展冷疗法?”

“在恶劣手术条件下,展开急救是最考验一个急诊科医生能力和水平的时候。比如唐楼现在使用的就是最简单,却也实用的冷湿敷。”

...

...

在其余医务人员完成唐楼要求的各项检查后,唐楼同步将盆内冰水制好,将毛巾用作了治疗巾...

“首先将患者的衣物全部去除,然后将治疗巾浸于冷水,拧干,以不滴水为宜,敷在患者体表,每3-5分钟更换一次...随时监控体温,控制在32-36℃...”

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