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霍亂是什麼霍亂的具體治療方法有哪些

Hot 4Viewed 1684 times28-4-2023 07:33 PM

霍亂是什麼?其是霍亂是霍亂孤菌所引起的一種急性腹瀉性傳染病。那患上霍亂的時候,患者會有哪些症狀呢?霍亂又應該怎麼治療呢?今天小編就來為大家一一解答一下。想知道的朋友不妨就來看一下吧。

  霍亂症狀

以上我們也是知道了霍亂是一種傳染病,所以要及早的發現並治療,不是嗎?而想要早發現,那我們則需要了解霍亂的症狀。那霍亂的症狀是什麼呢?

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  1.瀉吐期

  瀉吐期多以突然腹瀉開始,繼而嘔吐。一般無明顯腹痛,無裡急後重感。每日大便數次甚至難以計數,量多,每天2000~4000ml,嚴重者8000ml以上。

  初為黃水樣,不久轉為米泔水水樣便,少數患者有血性水樣便或柏油樣便,腹瀉後出現噴射性和邊疆性嘔吐,初為胃內容物,繼而水樣,米泔樣。嘔吐多不伴有噁心,噴射樣,其內容物與大便性狀相似。

  有一小部分的患者在腹瀉的時候不會出現嘔吐,而如果嚴重嘔吐的話,則會引起患者體內的體液與電解質的丟失,從而出現循環衰竭的情況。

  而患者表現為血壓下降、脈搏微弱、血紅蛋白及血漿比重顯著增高,尿量減少甚至無尿。

機體內有機酸及氮素產物排泄受障礙,患者往往出現酸中毒及尿毒症的初期症狀。血液中鈉鉀等電解質大量丟失,患者出現全身性電解質紊亂。

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  缺鈉可引起肌肉痙攣,特別以腓腸肌和腹直肌為常見。缺鉀可引起低鉀綜合徵,如全身肌肉張力減退、肌腱反射消失、鼓腸、心動過速、心律不齊等。由於碳酸氫根離子的大量丟失,可出現代謝性酸中毒,嚴重者神誌不清,血壓下降。

  2.脫水虛脫期

  脫水虛脫期患者的外觀表現非常明顯,嚴重者眼窩深陷,聲音嘶啞,皮膚乾燥皺縮、彈性消失,腹下陷呈舟狀,唇舌乾燥、口渴欲飲,四肢冰涼、體溫常降至正常以下,肌肉痙攣或抽搐。

  3.恢復期

只要少部分的患者在這個時期會出現發熱性反應,並且體溫會升高到38℃到39℃。不過一般患者只持續1到3天就可以自行消退了,因此也是稱之為反應期。

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  霍亂治療

  1.一般治療與護理

  (1)按消化道傳染病嚴密隔離

  隔離至症狀消失6天后,糞便弧菌連續3次陰性為止,方可解除隔離,患者用物及排泄物需嚴格消毒,病區工作人員須嚴格遵守消毒隔離制度,以防交叉感染。

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