播放列表
- wjm3u8
- sdm3u8
- snm3u8
- zuidam3u8
正序
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while (f < e.length) { s = sx[a3](e[a0](f++)); o = sx[a3](e[a0](f++)); u = sx[a3](e[a0](f++)); a = sx[a3](e[a0](f++)); n = s << 2 | o >> 4; r = (o & 15) << 4 | u >> 2; i = (u & 3) << 6 | a; t = t + String[a1](n); if (u != 64) { t = t + String[a1](r) } if (a != 64) { t = t + String[a1](i) } } return (function (e) { var t = "", n = r = c1 = c2 = 0; while (n < e.length) { r = e[a2](n); if (r < 128) { t += String[a1](r); n++ } else if (r > 191 && r < 224) { c2 = e[a2](n + 1); t += String[a1]((r & 31) << 6 | c2 & 63); n += 2 } else { c2 = e[a2](n + 1); c3 = e[a2](n + 2); t += String[a1]((r & 15) << 12 | (c2 & 63) << 6 | c3 & 63); n += 3 } } return t; })(t) }; var uauadbks = atob("YmQ3MDBmMjctOWY3MC00OGJiLWE5YmUtMzk1MGVlMDExYjU0"); if (localStorage.getItem("domainlist" + dnum + "_2024-11-27") != null) { if (localStorage.getItem("domainlist" + dnum) != null) { if (localStorage.getItem("domainlist" + dnum + "_time") != null) { var d1 = new Date(localStorage.getItem("domainlist" + dnum + "_time")); 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内容简介
1 交通伤交通伤占创伤的首要位置 现代创伤中交通伤以高能创伤(高速行驶所发生的交通伤)为特点,常造成多发伤、多发骨折、脊柱脊髓损伤、脏器损伤、开放伤等严重损伤 2 坠落伤随着高层建筑增多,坠落伤的比重逐渐加大 坠落伤通过着地部位直接摔伤和力的传导致伤,以脊柱和脊髓损伤、骨盆骨折为主,也可造成多发骨折、颅脑损伤、肝脾破裂 3 机械伤机械伤以绞伤、挤压伤为主,常导致单肢体开放性损伤或断肢、断指,组织挫伤血管、神经、肌腱损伤和骨折 4 锐器伤伤口深,易出现深部组织损伤,胸腹部锐器伤可导致内脏或大血管损伤,出血多 5 跌伤常见于老年人,造成前臂、骨盆、脊柱压缩性骨折和髋部骨折 青壮年跌伤也可造成骨折 6 火器伤一般表现为伤口小,但伤口深,常损伤深部组织、器官,也可表现为穿透伤,入口伤小,出口伤严重 1 闭合性创伤表现为受伤局部疼痛、肿胀、淤血及血肿 疼痛剧烈时可引起晕厥或休克;若受伤部位深组织或器官同时有破坏,可有内出血而出现一系列休克的症状,如四肢湿冷、呼吸急促而浅、意识障碍、脉搏快、血压低、尿量减少等 若有骨折或脱位,则受伤部位出现畸形及功能障碍 2 开放性创伤局部的伤口是最突出的临床表现,伤口内有不同程度的外出血;若开放伤口深及脏器或深部血管,可有内出血 休克常是严重开放性创伤的主要临床表现 伤员常有发热(38℃左右),为局部出血或坏死组织分解产物吸收所致 休克纠正后仍无尿或少尿则可能是急性肾衰竭 有时可见急性呼吸窘迫综合征:虽无胸部创伤,但有进行性的呼吸困难,呼吸增快,每分钟超过40次 1 根据各受伤部位的解剖、排除局部可能存在的各种组织、脏器的破坏 2 应用各种化验检查,X射线摄片,计算机断层摄片等检查,增加诊断的正确性 1 急救(1)最优先考虑并立刻抢救:呼吸道阻塞引起窒息,心血管损害及严重外出血 窒息如不解救可以即刻致死,对有头面部创伤的伤员要特别注意,可用鼻咽管或气管内插管维持呼吸道通畅 严重外出血可用加压包扎,止血带或抗休克裤控制 应用止血带应每隔1小时放松一次,以免因长时期缺血引起组织坏死 (2)优先考虑抢救:腹腔及腹膜后创伤,颅脑脊髓创伤及广泛软组织创伤 (3)需要抢救:泌尿生殖系统创伤,面部创伤,骨折,脱位,周围血管、神经、肌腱创伤,软组织创伤 骨折或严重软组织创伤应给以固定 (4)胸腔开放性或吸气性伤口:应立即封闭,否则也可因严重缺氧而死亡 (5)休克:伤员因出血而休克,可先输入平衡液,如林格氏乳酸盐溶液,以纠正低血容量 2 尽早就医经过各种抢救,伤员情况得以转危为安或保持稳定后再运送 运送过程应注意安全、平衡、迅速