1. Thaum lub sij hawm congestion thiab ruddy lub sij hawm,daim tawv nqaij hauv zos ua liab, o, kub, loog los yog kev sib tw vim yog lub siab.Nyob rau lub sijhawm no, tus neeg mob yuav tsum pw ntawm lub txaj txaj (tseem hu ua Operating Room Positioner) txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau, tus txiav, tus txiav yuav tsum tau txiav.45% cawv lossis 50% safflower cawv tuaj yeem nchuav rau hauv xibtes ntawm tes rau hauv zos zaws hauv siab rau 10 min.Qhov liab thiab o ntawm lub siab rwj yog smeared nrog 0.5% iodine tincture.
2. Thaum lub sij hawm inflammatory infiltration,Lub zos redness thiab o tsis txo qis, thiab cov tawv nqaij compressed hloov ntshav liab.Subcutaneous induration tshwm sim, thiab epidermal hlwv daim ntawv, uas yog heev yooj yim mus tawg, thiab tus neeg mob hnov mob.Nyob rau lub sijhawm no, siv cov paj rwb swab dipped hauv 4.75g / l-5.25g / l complex iodine los so ntawm qhov chaw cuam tshuam kom qhuav ib feem, thiab xyuam xim kom tsis txhob muaj kev kub ntxhov;Cov hlwv loj tuaj yeem muab rho tawm nrog lub koob txhaj tshuaj nyob rau hauv kev ua haujlwm ntawm aseptic thev naus laus zis (tsis tas txiav tawm ntawm daim tawv nqaij), tom qab ntawd coated nrog 0.02% Furacilin Solution thiab qhwv nrog kev hnav tsis taus.Tsis tas li ntawd, ua ke nrog infrared los yog ultraviolet hluav taws xob kev kho mob, nws muaj peev xwm ua si lub luag hauj lwm ntawm anti-inflammatory, ziab thiab txhawb cov ntshav ncig.Yog hais tias lub hlwv tawg lawm, lub puab txheej ntawm cov qe tshiab tuaj yeem flattened thiab nruj ntawm lub qhov txhab, thiab npog nrog cov ntaub qhwv tsis muaj menyuam.Yog hais tias muaj npuas nyob rau hauv lub puab daim nyias nyias ntawm lub qe, maj mam nyem nws nrog ib tug sterile paj rwb pob kom ntws nws, ces npog nws nrog sterile gauze, thiab hloov cov hnav khaub ncaws nyob rau hauv zos ib hnub twg los yog ob hnub kom txog thaum lub qhov txhab zoo.Lub puab txheej ntawm lub qe tuaj yeem tiv thaiv kom tsis txhob poob dej thiab cua sov, tsis txhob kis kab mob, thiab yog qhov tsim nyog rau kev loj hlob ntawm epithelial;Txoj kev hnav khaub ncaws hloov pauv no muaj cov txiaj ntsig zoo ntawm qhov mob thib ob ntawm lub txaj, kev kho luv luv, kev ua haujlwm yooj yim thiab mob tsawg dua rau cov neeg mob.
3. Phab ntsa rwj theem.Epidermal hlwv maj mam nthuav dav thiab tawg, thiab muaj daj exudate nyob rau hauv lub qhov txhab dermal.Tom qab kis kab mob, cov kua paug tawm, thiab cov ntaub so ntswg necrosis thiab ulcer tsim.Ua ntej, yaug nrog 1: 5000 poov tshuaj permanganate daws, thiab tom qab ntawd qhuav lub qhov txhab thiab cov tawv nqaij ib puag ncig.Qhov thib ob, cov neeg mob tuaj yeem siv 60 watt incandescent teeb rau irradiate qhov chaw uas mob tshwm sim.Cov kab hluav taws xob infrared tso tawm los ntawm lub teeb incandescent muaj cov txiaj ntsig zoo rau kev kho mob.Qhov deb ntawm irradiation yog li 30 cm.Thaum ci, lub noob yuav tsum tsis txhob nyob ze rau ntawm qhov txhab kom tsis txhob scalding, thiab yuav tsum tsis txhob nyob deb dhau.Txo cov nyhuv ci.Qhov kev ncua deb yuav tsum yog raws li kev txhawb nqa kom qhuav thiab kho qhov txhab.1-2 zaug hauv ib hnub, 10-15 feeb txhua lub sijhawm.Tom qab ntawd nws tau kho raws li aseptic hnav khaub ncaws hloov txoj kev ntawm kev phais;Moisturizing hnav khaub ncaws kuj tseem siv tau los tsim ib qho chaw tsim nyog rau kev kho mob ntawm qhov chaw mob, kom cov kab mob tshiab epithelial tuaj yeem npog lub qhov txhab thiab maj mam kho qhov mob.Cov xwm txheej hauv zos yuav tsum tau saib xyuas txhua lub sijhawm thaum lub sijhawm irradiation los tiv thaiv scalding.Infrared hauv zos irradiation tuaj yeem nthuav dav cov tawv nqaij hauv zos capillaries thiab txhawb cov ntaub so ntswg hauv zos.Qhov thib ob, rau lub sijhawm ntev tsis kho qhov txhab, thov ib txheej dawb granulated qab zib rau ntawm lub qhov txhab, tom qab ntawd npog nws nrog cov ntaub qhwv tsis muaj menyuam, kaw lub qhov txhab nrog tag nrho daim nplaum nplaum, thiab hloov cov hnav khaub ncaws txhua 3 mus rau 7 hnub.Nrog kev pab los ntawm cov nyhuv hyperosmotic ntawm qab zib, nws tuaj yeem tua cov kab mob, txo qhov o ntawm lub qhov txhab, txhim kho kev ncig hauv zos, nce cov khoom noj khoom haus hauv zos, thiab txhawb kev kho qhov txhab.
4. Necrotic ulcer theem.Nyob rau hauv lub sij hawm necrotic, cov ntaub so ntswg necrotic nkag mus rau hauv qis dermis, purulent secretion nce, cov ntaub so ntswg necrotic blackens, thiab cov ntxhiab tsw kis mus rau ib puag ncig thiab cov ntaub so ntswg sib sib zog nqus, uas tuaj yeem ncav cuag cov pob txha, thiab txawm ua rau mob sepsis, cuam tshuam rau tus neeg mob lub neej. .Nyob rau theem no, ua ntej ntxuav lub qhov txhab, tshem tawm cov ntaub so ntswg necrotic, ua kom cov kua dej tsis zoo, thiab txhawb kev kho mob ntawm qhov chaw mob.Ntxuav qhov chaw mob nrog sterile isotonic saline los yog 0.02% nitrofuran kua, thiab muab qhwv nrog sterile Vaseline gauze thiab hnav khaub ncaws, thiab hloov nws ib hnub lossis ob zaug.Nws tuaj yeem kho nrog metronidazole ntub compress lossis isotonic saline tom qab ntxuav qhov chaw mob nrog nyiaj sulfadiazine lossis nitrofuran.Rau cov neeg uas muaj cov kab mob sib sib zog nqus thiab cov dej tsis zoo, 3% hydrogen peroxide tov yuav tsum tau siv los yaug kom tsis txhob muaj cov kab mob anaerobic loj hlob.Kev tso tawm ntawm qhov mob ntawm tus kab mob yuav tsum tau sau tsis tu ncua rau kab lis kev cai kab lis kev cai thiab tshuaj rhiab heev, ib zaug ib lub lim tiam, thiab cov tshuaj yuav tsum raug xaiv raws li kev soj ntsuam xyuas.
(Rau siv xwb)