Monday, March 7, 2016

Vomiting gastric lavage operation methods and precautions

That surgery gastric lavage gastric lavage, refers to certain components of the liquid poured into the stomach cavity, and the mixture then extracted stomach contents, so repeatedly. Its purpose is to clear the stomach is not absorbed or toxicological cleaning gastric cavity, the stomach surgery, examination preparation. For acute poisoning swallow as organic phosphorus, inorganic phosphorus, alkaloids, and other drugs to Bobby, gastric lavage is an extremely important rescue measures. Gastric lavage gastric lavage surgery patients have vomiting, stomach surgery gastric lavage, laparotomy gastric lavage stoma surgery three kinds. The focus here vomiting gastric lavage methods.

Vomiting, gastric lavage surgery:
Vomiting is the body eliminate stomach poison instinctive reaction of self-defense. Vomiting due to gastric lavage technique is simple, the service shortly poison, and conscious patients with acute poisoning (except clothing corrosive poison, petroleum products and esophageal varices, upper gastrointestinal bleeding, etc.) is an effective self-help rescue scene, mutual aid measure.

Indications
1. conscious, having a gag reflex, and can cooperate with the acute poisoning, should first encourage oral gastric lavage.
2. oral toxicant time soon, within 2h best.
3. self-help in the field without the tube.

Contraindications
1. disturbance of consciousness.
2. seizures, uncontrolled seizures before.
3. uncooperative patient, who refused to drink.
4. clothes and petroleum products, such as corrosive poison acute poisoning.
5. associated with upper gastrointestinal bleeding, aortic aneurysm, esophageal varices and the like.
6. pregnant women and the elderly.



method
1. the first patients do ideological work, specifying the requirements and methods to obtain the cooperation is conducive to the smooth progress of the operation.
2. the patient was sitting, a large number of frequent oral gastric washing about 400 ~ 700ml, to the patient a sense of expansion for the degree of saturation.
3. then take the spatula or bamboo chopsticks (all wrapped with gauze) in patients with pharyngeal stimulation, can cause reflex vomiting, gastric lavage fluid or discharge of gastric contents. So repeatedly, until a clear, odorless discharge of gastric washing up.

Precautions
1. induce vomiting after gastric lavage should immediately rushed to a nearby large hospital, as appropriate, the implementation of gastric intubation gastric lavage technique.
2. vomiting, gastric lavage should be careful aspiration, due to severe vomiting may induce acute upper gastrointestinal bleeding.
3. pay attention to drink intake and discharge amount approximately equal.

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