简述急性胰腺炎留置双套管的护理措施
急性胰腺炎留置双套管的护理：
①经滴水管(进水管)注入生理盐水稀释腹腔内渗液，用双套管(出水管)及时排除炎性渗出液和其他毒性物质。 其中内套管接负压吸引， 多孔的外套管可增加引流面积， 防止内套管吸引时被周围的组织堵塞，保持吸引通畅。外套管露出皮肤的部分需用纱布覆盖。
②保持引流通畅：根据病情调节负压，负压吸引力不宜过大， 以免损伤内脏组织和血管。重症急性胰腺炎常有坏死组织脱落，稠厚脓液或血块堵塞管腔，可用 20ml 无菌生理盐水缓慢冲洗，无法疏通时应在无菌操作下更换内套管。
③观察并记录 24 小时引流液色、质、量：如引流液呈血性，并有脉搏增快和血压下降，应考虑大血管受腐蚀继发出血可能， 须立即通知医生处理， 并积极作好紧急手术的准备; 如引流液含有胰液或肠液，应考虑胰瘘或肠瘘的可能。
④严格无菌操作，每日更换引流瓶，冲洗液现配现用。
⑤动态监测引流液的胰淀粉酶值和作细菌培养。
⑥加强引流管周围皮肤的保护： 局部涂氧化
锌软膏，防止胰液腐蚀。
暂无解析
Eldercareprogram
Takeupahobby
Wehopedthattherewillbenorepetitionofthiskindoftroubleinthefuture.
A.unaffectedby
B.hurtby
C.unlikelytobeseenby
D.unknownby
2.Theauthor'sattitudetowardnoisewouldbestbedescribedas___.
A.unrealistic
B.traditional
C.concerned
D.hysterical
3.Whichofthefollowingbeststatesthemainideaofthepassage?
A.Noiseisamajorproblem;mostpeoplerecognizeitsimportance.
B.Althoughnoisecanbeannoying,itisnotamajorproblem.
C.Noiseisamajorproblemandhasnotyetbeenrecognizedassuch.
D.Noiseisamajorproblemaboutwhichnothingcanbedone.
4.Theauthorcondemnsnoiseessentiallybecauseit___.
A.isagainstthelaw
B.canmakesomepeopleirritable
C.isanuisance
D.inagangertopeople'shealth
5.Theauthorwouldprobablyconsiderresearchabouttheeffectsnoisehasonpeopletobe___.
A.unimportant
B.impossible.
C.awasteofmoney
D.essential
试题">PARTVREADINGCOMPREHENSION
Inthissectiontherearefourpassagesfollowedbyquestionsorunfinishedstatements,eachwithfoursuggestedanswersmarkedA,B,CandD.Choosetheonethatyouthinkisthebestanswer.
TEXTA
Racket,dinclamor,noise,whateveryouwanttocallit,unwantedsoundisAmerica'smostwidespread
nuisance.Butnoiseismorethanjustanuisance.Itconstitutesarealandpresentdangertopeople'shealth.Day
andnight,athome,atwork,andatplay,noisecanproduceseriousphysicalandpsychologicalstress.Nooneis
immunetothisstress.Thoughweseemtoadjusttonoisebyignoringit,theear,infact,neverclosesandthe
bodystillresponds—sometimeswithextremetension,astoastrangesoundinthenight.
Theannoyancewefeelwhenfacedwithnoiseisthemostcommonoutwardsymptomofthestressbuilding
upinsideus.Indeed,becauseirritabilityissoapparent,legislatorshavemadepublicannoyancethebasisof
manynoiseabatementprograms.Themoresubtleandmoreserioushealthhazardsassociatedwithstress
causedbynoisetraditionallyhavebeengivenmuchlessattention.Nevertheless,whenweareannoyedormade
irritablebynoise,weshouldconsiderthesesymptomsfairwarningthatotherthingmaybehappeningtous,
someofwhichmaybedamagingtoourhealth.
Ofmanyhealthhazardstonoise,hearinglossisthemostclearlyobservableandmeasurablebyhealth
professionals.Theotherhazardsarehardertopindown.Formanyofus,theremaybeariskthatexposuretothe
stressofnoiseincreasessusceptibilitytodiseaseandinfection.Themoresusceptibleamongusmayexperience
noiseasacomplicatingfactorinheartproblemsandotherdiseases.Noisethatcausesannoyanceandirritability
inhealthpersonsmayhaveseriousconsequencesforthesealreadyillinmindorbody.
Noiseaffectsusthroughoutourlives.Forexample,thereareindicationsofeffectsontheunbornchildwhen
mothersareexposedtoindustrialandenvironmentalnoise.Duringinfancyandchildhood,youngstersexposed
tohighnoiselevelsmayhavetroublefallingasleepandobtainingnecessaryamountsofrest.
Why,then,istherenotgreateralarmaboutthesedangers?Perhapsitisbecausethelinkbetweennoiseand
manydisabilitiesordiseaseshasnotyetbeenconclusivelydemonstrated.Perhapsitisbecausewetendto
dismissannoyanceasapricetopayforlivinginthemodernworld.Itmayalsobebecausewestillthinkof
hearinglossasonlyanoccupationalhazard.
1.InParagraph1,thephrase"immuneto"areusedtomean___.
A.unaffectedby
B.hurtby
C.unlikelytobeseenby
D.unknownby
2.Theauthor'sattitudetowardnoisewouldbestbedescribedas___.
A.unrealistic
B.traditional
C.concerned
D.hysterical
3.Whichofthefollowingbeststatesthemainideaofthepassage?
A.Noiseisamajorproblem;mostpeoplerecognizeitsimportance.
B.Althoughnoisecanbeannoying,itisnotamajorproblem.
C.Noiseisamajorproblemandhasnotyetbeenrecognizedassuch.
D.Noiseisamajorproblemaboutwhichnothingcanbedone.
4.Theauthorcondemnsnoiseessentiallybecauseit___.
A.isagainstthelaw
B.canmakesomepeopleirritable
C.isanuisance
D.inagangertopeople'shealth
5.Theauthorwouldprobablyconsiderresearchabouttheeffectsnoisehasonpeopletobe___.
A.unimportant
B.impossible.
C.awasteofmoney
D.essential
Todayconsumersarefacinganincreasingamountofadvertisingfromcompetingcompanies.Towhatextentdoyouthinkconsumersareinfluencedbyadvertisements?Whatmeasurescanbetakentoprotectthem?
Peoplethrowthingsawayandbuynewonesinsteadofrepairingthemandusingagain.Whatdoyouthinkmaybethereasonsforthis?Whatproblemsmightthiscauseinsociety?
Ihopedwecandobusinesstogetherandlookingforwardtohearingfromyousoon.
Therestorationofoldbuildingsinmajorcitiesthroughouttheworldofteninvolvesnumerousgovernmentexpenditure.Thismoneywillbringmorebenefitsifitisusedtoprovidenewhousingorroaddevelopment.Towhatextenddoyouagreeordisagree.
Whileonlyabout300workersreceivedisablementbenefitforindustrialdermatitiseveryyear,theremaybebetween15,000and60,000newcasesofthisconditioneveryyear.
Wesincerelyhopethatthistransactionwillturnouttothesatisfactionofbothparties.