水土不服
应对策略:水上不服丰要表现为胃肠不适、纳差、吐泻、易着凉、精神不振、失眠等,这是南于气候、地理条件、当地水质及饮食习惯改变造成的。
初到异地,要根据气温增减衣服,做到饮食有节,起居有度。经过一定时间,水上不服现象就会消失。因此,轻症者不需特殊治疗,注意休息,调整生活节奏就可以了。症状严重者,如发生感冒、腹泻、过敏等,可在“行军小药箱”中取出相应药物。对症治疗。
此外,平时加强身体锻炼,提高机体抵抗力;不挑食、小偏食,则是避免发生水上小服的基本措施。当然,这就和平时“军训”的强度和密度相关啦。
高原反应
应对策略:一般将海拔3000米以卜的地区称为高原。当海拔达3000米时,虽然肺泡氧分压下降,但体内血液中与氧结合的血红蛋白仍可达90%的饱和度,以致人体缺氧不明显,损害1不大,当海拔达5500米时,肺泡的氧分压则严重降至仅为海平面时的l/2水平,此时与氧结合的血红蛋白仅为40%,使人出现头痛、头昏、心慌、气短、食欲不振、恶心呕吐、腹胀、胸闷、胸痛、疲乏无力、口唇干裂、鼻衄等缺氧症状。
由于人体分解脂肪比分解糖类需要更多的氧气,在到达高原后的7一10天内.饮食结构应作出调整,适当减少脂肪的摄人量,增加糖类的摄入,进食容易消化的食物。宜少食、多餐,晚餐不,直过饱。
在高原环境中,机体的新陈代谢加快,故应增加饮食中的蛋白质、铁剂和维生素B族等的含量,多吃一写瘦肉、蔬菜和水果。
高原地区干燥,水的表面张力小,人体运动时通气量明显加大,呼吸灾水增加,特别要注意,初入高原者常无口渴感,所以更应适时、适量补液。
起居方面.到达当天最好不要洗澡。主张甲.睡晚起,枕头应适当垫高,睡眠要充足,室温不宜_人高、初到高原地区,走路要尽量缓慢,不嘤快步走,更不能跑.急救攻略。
旅游在外,难免发生一写意外情况。这时,身边的“战友”切勿慌张,可根据具体情况.沉着地进行现场救治。
各种意外情况
应对策略:
关节扭伤
关节不慎扭伤后,切忌搓揉、按摩,应立即用冷水或冰冷敷,用手帕或绷带扎紧扭伤部位..24小时后,可就地取材,用血、散淤、消肿的中药外敷,如条件不允许,也可采取最简单的方法热水浸泡15分钟左右。
昏厥
此时千万不可搬动病人,应注意观察其心跳和呼吸有无常。如心跳、呼吸正常,可轻拍病人并大声呼叫,使其惊醒。如停呼吸,则说明情况较严重,应使病人头部偏向一侧并稍放低,取后仰头姿势,然后采取人工呼吸和心脏按摩等方法进行急救。
心绞痛
有心绞痛病史的人,出外游玩时应随身带上急救药品。旅途中如发生心绞痛,陪伴者首先应让其坐起,不可搬动,并迅速给予硝酸甘油含于舌下,以缓解病情。
心源性哮喘
旅途的奔波劳累可能诱发或加重心源性哮喘的急性发作。这时,首先应对病人采取半卧位安置.并用带状物轮流扎紧病人四肢中的三肢,约隔五分钟一次,可减少进入心脏的血流量,减轻心脏负担。
癫痫
应迅速解开病人的衣扣,松肝裤带,以免病人呼吸困难。让病人平卧,将其头部侧向一边.拭去较多的口腔分泌物,以防止呕吐物或分泌物误吸人气管。千万不要把正在发作的病人抱着坐起来,否则易使病人腰肌撕裂。轻轻按住病人手足.以免病人手足在抽搐时碰伤。如抽搐时间较长,应尽快送医院处理。
毒虫叮咬
应对策略:
毒蛇咬伤外出时应避开草长石头多的地方,看到小蛇更不要轻易去玩弄,要知道,蛇越小、颜色越深,毒性也越大。
万一被毒蛇咬伤了,不要惊慌,应立即用肥皂水洗净伤口,有条件的可涂卜碘酊,并用绷带扎紧伤口的上方,越快越好,再用经乙醇或烧灼消毒的小刀割肝伤口.挤出毒血,并减少活动,延缓毒素扩散,争取两小时内送院治疗。如果蛇已被打死,则应将它装在容器内,一同带到医院鉴定。
蝎子蜇伤蝎子一般出没在木材、岩石下和建筑物中。在室内,蝎子可隐藏在衣服、鞋子和被褥中,所以,住穿农服和鞋子前,应仔细检查。晚上睡觉前,要检查被褥。
蝎子蜇人时,毒腺分泌毒液,通过尾刺进入人体。人被蜇伤后,应立即将尾刺取出,用1:5000的高锰酸钾溶液清洗蜇伤处,尽早把伤者送往医院救治。
蜂类蜇伤蜂类常常在被惊动时蜇人,所以应避免接近蜂类,特别要注意避免惊动成群的蜂类,因为多处蜂蜇伤有可能致命。蜂尾一般有毒囊和刺针.刺针进入皮肤即放出“毒液。蜜蜂往往将其毒针遗留在刺伤处,而黄蜂则将其毒针缩回。
被蜂蜇伤后应保持镇静。如有毒刺和毒囊遗留在蜇伤处,应立即用针挑出,不要用手挤,因为这样会把毒囊中的毒液挤入伤口。蜇伤处可用肥皂水暂时清洗,如情况严莆,应立即送往医院诊治。
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