This book is the author critically ill rescue experience, introduces in detail the shock treatment, cardiopulmonary cerebral resuscitation in critically ill patients, rehydration, central nervous system disease monitoring and treatment, diagnosis and breathing chest diseases, emergency treatment of massive hemoptysis, new concepts and the treatment of ARDS and MODS, features and treatment deep fungal infection, comprehensive treatment of severe multiple trauma, critical care nutrition, pipeline in the clinical application and management and etc.. The book is rich in content, professional characteristics, strong operability, lucid, explain profound theories in simple language, particularly suitable for critically ill patient, professional and grassroots hospital emergency rescue work of the medical staff to read, and can be used as training materials.
Wu Hengyi (1944-), male (the Han nationality), Hubei Province, chief physician, director of Guangzhou military region in critically ill professional committee chairman, vice chairman of Guangdong Province in critically ill Institute, Guangzhou Military Commission members, adjunct professor of First Military Medical University, by the military medical results two prize 1, three prize 3 items, two Guangdong Province Science and Technology Progress Award 1.
The first lecture of critical care medicine and ICU discipline construction second shock treatment new concept in cardiopulmonary cerebral resuscitation and monitoring of fourth surgical critically ill oxygen metabolism characteristics and treatment of fifth critically ill patients how to implement the fluid resuscitation sixth hyperglycemia harm and treatment about seventh central nervous system monitoring and clinical significance of eighth speak stroke ninth pneumothorax treatment tenth chest injury monitoring and processing eleventh severe asthma treatment twelfth about clinical application of mechanical ventilation thirteenth massive hemoptysis hemoptysis asphyxia and fourteenth new concepts of ARDS and treatment of fifteenth MODS strategies for diagnosis and treatment of sixteenth deep fungal infection and treatment seventeenth speaking of severe multiple trauma emergency treatment of eighteenth critically ill patients nutritional support of severe acute pancreatitis diagnosis and treatment of nineteenth new advances in diagnosis and treatment of twentieth pipe application and management
ICU three, ICU and various departments and sections of the relationship can be summarized in 24 words: "close, the advantage is complementary, be closely related and mutually dependent, be bound together in a common cause, promote each other, improve together". The success of the ICU will make up for the deficiency of various disciplines, lift everyone's any menace from the "rear", become each department reliable rear and ideal base; in turn, the development of various disciplines and enrich the contents of ICU, provide a platform for the development of ICU. For example, severe multiple injury is a great impact on the body, physiological and pathological changes are very significant damage. It hurt because of complex, severe injuries, range is wide, more shock, change quickly, difficult to handle, easy to missed diagnosis, misdiagnosis rate is high, high morbidity and mortality, and its special requirements can ask effectively diagnosis first. Because the pathophysiology involves multiple disciplines and foundation, so any specialist independently are a bit too. First of all, ICU monitoring of advanced medical equipment, have professional staff can be trained with regularity, monitoring and disposal of 24 hours of patient. Secondly, ICU and each department has a very close relationship, patients can receive more processing conveniently on the ICU. Third, the ICU of the abnormal situation of life-threatening hands-on ability, such as the establishment of artificial airway, ventilator, deep venous catheter placement, the rapid expansion of anti shock, bronchoscopy, the application of continuous renal replacement therapy (CRRT) on the emergency situation; it can relieve the crisis and life, such as lifting asphyxia, clear the airway, stop bleeding, relieving cardiac tamponade, closed open pneumothorax and drainage, alleviate cerebral hernia, tension pneumothorax. At the same time, it can create the conditions for trauma department as soon as possible to deal with the primary injury, such as damaged vascular repair or ligation, removal and repair damaged organs, huge hematoma clearance, disabled limb amputation, the primary injury treatment basic guarantee to finish at ICU. Fourth, even in patients with early treatment is satisfactory, does not mean that in the late and there were no complications, such as MODS, sepsis, flora, strong stress reaction. Fifth, some patients with basic disease itself, such as heart failure, hypertension, diabetes, cerebrovascular disease, which may not be very serious wound evolution of perplexing, hazard of four volts, the need to strengthen the treatment in ICU. According to much home hospital Guangdong area statistics, 40% of the patients with traumatic ICU, some higher than this ratio. In our hospital (Genenral Hospital of PLA Guangzhou Military Area) in 2400 patients with severe trauma were ICU L6, 710 patients (29.6%) the mechanical ventilation, 214 cases (8.9%) received operation treatment of 2 specialist during the ICU period, there were 116 (4.8%) patients because of its complications in the implementation of CRRT, there are more than 50% of patients in the ICU received 2 college or above. Thus, the very serious injury and illness is not stable, need further monitoring and treatment of the wounded to ICU is a logical thing. A lot of serious trauma patients admitted, provides plenty of opportunities to practice ICU, greatly enriched the contents of ICU, promote the development and maturity of ICU discipline. Because of the strong support and help to get comprehensive serious trauma patients, significantly reduced mortality, cure rate. Of course, there is a need to explain, the final results of repair were still depends on the primary injury and complications, but ICU in the removal of risk factors, endanger patient life support the maintenance of organ function, it provides an ideal location, played a role can not be ignored.......
Medical Science @ 2017