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2岁女童奶糖卡喉,女护士“伸手”被咬出血,异物卡喉如何紧急施救[多图]

ll 2018-4-25 13:34:06 卡喉2岁女童奶糖卡喉 我要评论(0)

小孩子特别是还不知道危险意识的小孩子很喜欢随便拿小东西就往嘴里放,这就很容易造成小朋友被异物卡喉,小孩子被异物卡喉是非常危险的一件事情,很容易造成窒息死亡的事情发生,近日就有一位2岁女童因为吃奶糖还被卡住喉咙,幸好有位女护士出手相救。那么异物卡喉如何紧急施救呢?

2岁女童奶糖卡喉,女护士“伸手”被咬出血,异物卡喉如何紧急施救(1)

1、2岁女童奶糖卡喉

  一年前,她在路边抢救了一个晕倒的10岁男童;一年后,她又在路边抢救了一个窒息的2岁女童。她说:“生命太脆弱,面对危机,容不得我多想。”她是郑州人民医院急诊科护士邵青青。4月22日上午,她带2岁多的儿子出门时,遇见一名女童被奶糖卡喉窒息,命悬一线,邵青青紧急施救,最终救回了小女孩。

  2岁女童被奶糖卡住气道,不省人事

  “宝宝,你怎么了?”“来人啊,快救救我孩子!”……4月22日9时许,在普罗旺世小区,带着2岁多儿子来做儿童保健的邵青青听到了惊慌的呼救声。她赶紧加快脚步循声迎去,只见一位年轻妈妈抱着两岁多的女童,一边哭着呼救,一边向邵青青这儿飞奔而来。“孩子怎么了?”邵青青急忙问,孩子妈妈一边哭一边说,孩子吃了块奶糖,马上就成这样了。此时,孩子嘴唇黑紫,几乎不省人事,鼻孔里还有白色的黏稠泡沫。邵青青赶紧清理孩子鼻腔分泌物,并把孩子按压在自己的膝盖上,用劲叩孩子的背部,孩子没有任何反应。

  她又把自己的大拇指伸到孩子嘴里,孩子使劲咬了她几下,血顺着她的拇指流了出来。

  这时,一位好心人送来了把勺子,因为怕伤着孩子,邵青青说“不用”,继续用力叩孩子背部,用手刺激孩子的口腔。此时,孩子猛地往外喷出糖块和奶白色痰混合物,哇的一声哭了出来,小脸也瞬间有了血色。随后,孩子的嘴再次闭合,邵青青继续用手抠孩子的嘴,孩子嘴里又流出来一些分泌物。

  “用我一根手指换孩子的命都值”

  孩子得救了,家长为她流血的手指致歉,邵青青说:“流点血没啥,用我一根手指换孩子的命都值!”

  回想起当时的惊险一幕,邵青青忍不住哭了起来:“我感觉生命实在太脆弱了,当时的情况根本容不得我有半点思考,完全是在与生命赛跑。当听到孩子哭的那一刻,我才稍微松了口气!”

  邵青青曾于去年4月12日在天明路宋寨南街,成功抢救了一名上学路上晕倒的10岁男童。两次救人,她的儿子都在身边,目睹了全过程。

  “父母是孩子最好的老师。我希望能在我儿子心中种下正能量的种子,让他更懂事。”邵青青说。

2岁女童奶糖卡喉,女护士“伸手”被咬出血,异物卡喉如何紧急施救(2)

2、异物卡喉如何紧急施救

  海姆立克急救法

  应用于成人

  1、急救者首先以前腿弓、后腿蹬的姿势站稳,然后使患者坐在自己弓起的大腿上,并让其身体略前倾。

  2、将双臂分别从患者两腋下前伸并环抱患者,一手握拳,另一手从前方握住该手手腕,拳头虎口贴在患者胸部下方、肚脐上方的上腹部中央。

  3、突然用力收紧双臂,用握拳手虎口向患者上腹部,快速向内、向上方猛烈施压,迫使其上腹部下陷。

  4、重复以上手法直到异物排出。

  应用于婴幼儿

  1、使患儿平卧,面向上,抢救者跪下或立于其足侧。或取坐位,并使患儿骑在抢救者的两大腿上,面朝前。

  2、抢救者以两手的中指或食指,放在患儿胸廓下和脐上的腹部,快速向上重击压迫,但要注意力度。

  3、重复之,直至异物排出。

  自救

  稍稍弯下腰去,靠在一固定的水平物体上(如桌子边缘、椅背、扶手栏杆等),以物体边缘压迫上腹部,快速向上冲击。需要提醒的是,自救利用的物体边缘是指桌椅横梁,而不是桌角、椅背角。

  特别提示

  1、抱住后只要注意一点,重压缓放。如果放快了,容易导致空气回流把气管里的异物推得更深,所以现场急救的同时也要尽快送医。

  2、“海姆立克急救法”虽卓有成效,但也易产生合并症,如:肋骨骨折、腹部或胸腔内脏破裂或撕裂,故除非必要时,一般不随便采用此法。在使用本法成功抢救患者后应检查患者有无并发症发生。

  3、并非所有气管异物都能用“海姆立克急救法”排除,还是需要尽快就医。

  4、高血压心脏病患者慎用此法。

2岁女童奶糖卡喉,女护士“伸手”被咬出血,异物卡喉如何紧急施救(3)

3、如何预防宝宝吞异物

1、辅食尽量细碎

宝宝在4-6个月龄时,爸爸妈妈就要根据宝宝的发育情况进行辅食添加了。这个阶段的宝宝咀嚼能力还没有发育完全,所以辅食添加要尽量细碎软烂,已米糊和蔬果汁为宜,蔬果类辅食也最好经过充分的碾压成泥或者用料理机搅拌,不要有块状食物,以免宝宝造成卡喉的情况发生。

2、避免易误吞食的食物

我们经常在新闻中能够看到,宝宝误吞食了花生、果核、果冻等食品造成窒息或者抢救的情况发生。因此,爸爸妈妈也要注意,一定要避免喂此类食物。如果想要给宝宝添加坚果类辅食,那么就要通过将坚果打成泥糊再进行喂养。

3、管理收纳好生活小用品

由于宝宝在婴儿期没有分辨危险的能力,但是宝宝的好奇心又足够大,很容易随手抓到一些小物品就往嘴里送。家有宝贝的爸爸妈妈们,一定要收纳好这些易造成宝宝误吞食的生活用品,如:纽扣、针、钉子、螺丝螺母、电池、小件装饰物……最好的方法就是将家中一切物品能够收纳到柜子中,不要令宝宝触及到。

4、药物不要随便放

就像我们前面说的,宝宝没有分辨危险的能力,爸爸妈妈除了将生活中的小物件都收纳好之外,药物类也要“藏”好,以免好奇宝宝以为是糖豆,造成宝宝误吞食。

5、宝宝玩具要定期检查

宝宝手中的玩具也是经常造成宝宝误吞食的危险物品之一,相信大家也经常看到这样的画面,宝宝看着手中的玩具,然后定格2-3秒钟的时间后,就开始将玩具往嘴里送。虽然我们知道在购买宝宝玩具时,不会购买那些宝宝真的一口能够吞下的玩具,但是也要注意,玩具是否能够拆卸,那些易脱落或拆卸的零件也可能造成宝宝误吞食。此外,爸爸妈妈也要经常检查宝宝玩具有螺丝螺母固定的地方,是不是松动了。

2岁女童奶糖卡喉,女护士“伸手”被咬出血,异物卡喉如何紧急施救(4)

小孩子吞食异物被卡喉的事情生活中也是时有发生,小孩子不知道什么东西能吃,什么东西不能吃,因此就容易发生危险,作为家长的就应该时刻关注小孩子的动向,不要让他们随便往嘴里塞东西,也不要让小朋友单独玩耍。上位也提到了一些预防宝宝吞食异物的方法,家长朋友们要多留意一下。

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