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宝宝呛奶的一些急救方法

2017-08-29 16页 doc 48KB 28阅读

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宝宝呛奶的一些急救方法宝宝呛奶的一些急救方法 食道开口与气管的开口在咽喉部相通,吐奶最怕的是奶水由食道逆流到咽喉部时,在吸气的瞬间误入气管,即所谓的呛奶。量大时会造成气管堵塞,不能呼吸,危及生命,量少时直接吸入肺部深处造成吸入性肺炎。 轻微的溢奶、吐奶,宝宝自己会调适呼吸及吞咽动作,不会吸入气管,只要密切观察宝宝的呼吸状况及肤色即可。如果大量吐奶,可按以下方法处理, 1.平躺时发生呕吐,应迅速将宝宝脸侧向一边,以免吐出物向后流入咽喉及气管。 2.把手帕缠在手指伸入口腔中,甚至咽喉,将吐、溢出的奶水食物快速清理出来,以保持呼吸道顺畅,然后用小...
宝宝呛奶的一些急救方法
宝宝呛奶的一些急救方法 食道开口与气管的开口在咽喉部相通,吐奶最怕的是奶水由食道逆流到咽喉部时,在吸气的瞬间误入气管,即所谓的呛奶。量大时会造成气管堵塞,不能呼吸,危及生命,量少时直接吸入肺部深处造成吸入性肺炎。 轻微的溢奶、吐奶,宝宝自己会调适呼吸及吞咽动作,不会吸入气管,只要密切观察宝宝的呼吸状况及肤色即可。如果大量吐奶,可按以下方法处理, 1.平躺时发生呕吐,应迅速将宝宝脸侧向一边,以免吐出物向后流入咽喉及气管。 2.把手帕缠在手指伸入口腔中,甚至咽喉,将吐、溢出的奶水食物快速清理出来,以保持呼吸道顺畅,然后用小棉花棒清理鼻孔。 3.宝宝憋气不呼吸或脸色变暗时,表示吐出物可能已进入气管了,使其俯卧在大人膝上或床上,用力拍打背部四五次,使其能咳出。 4.如果仍无效,马上夹或捏刺激脚底板,使宝宝因疼痛而哭,加大呼吸,此时最重要的是让他吸氧入肺,而不是在浪费时间想如何把异物取出。 在以上过程中,宝宝应同时送往医院检查。 如果呛奶后宝宝呼吸很顺畅,最好还是想办法、让他再用力哭一下,以观察哭时的吸氧及吐气动作,看有无任何异常(如声音变调微弱、吸气困难、严重凹胸等),如有即送医院。如果宝宝哭声宏亮,中气十足、脸色红润,则表示无大碍。 孩子为何呛奶 for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet 来源,东方网 时间, 2005-02-19 呛奶是婴儿、特别是新生儿常见的异常表现。呛奶由何原因所致,如何认识呛奶,如何预防呛奶,这些都是经常困惑家长的问。 正常人,包括新生儿在内,能做到吞咽动作与自主呼吸间很好的协调。进食吞咽时,声门会自动关闭,防止食物误吸到气管内。当病人呼吸系统受到感染或发育不健全时,例如,支气管肺炎 、喉软骨软化、喉炎等,吞咽时声门不能很好关闭,少量食物进入气管造成一定程度的梗阻,呼吸道为排除食物的梗阻,即以呛咳的形式将食物咳出,对于吃奶的婴儿就表现为呛奶。实际上呛咳,呛奶,是自我保护的一种表现,但呛咳并不能保证将进入呼吸道的食物全部排除,残留的食物,奶汁,又可刺激呼吸道造成呼吸系统感染的加剧。所以,呛奶是支气管肺炎患者的常见症状,又与支气管肺炎互为因果。 冬季北方地区寒冷,日照时间短,此季节怀孕的妇女接受紫外线照射少,容易诱发缺钙,表现为小腿抽筋。母亲处于缺钙状态,自然影响到胎儿。若母亲未能及时正确治疗,可造成婴儿出生后存在缺钙的表现。先天性喉软骨软化症即是较严重的一种。由于喉软骨软化,吸气时喉软骨塌陷,造成呼吸道部分阻塞,出现呼噜声。吞咽,特别是进流食,吃奶等,时,因喉软骨软化遮盖喉头,造成梗阻性呼吸困难,婴儿被迫吸气,出现呛奶,可导致支气管肺炎的发生。 及时发现、治疗支气管肺炎,不采用奶眼过大的奶头喂奶,及时调整婴儿吃奶的速度等均是预防呛奶的简便方法。对于严重患儿可采用鼻饲喂养等特殊方for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet 法。呛奶是异常的表现,一定要经过医生的检查,给予及时、适当的治疗,千万不要掉以轻心,以免耽误孩子的治疗。 呛奶,婴儿呛奶应该怎么办 呛奶,宝宝呛奶是怎么回事 宝宝有时会丛鼻孔中呛出奶来,是怎么回事,婴儿呛奶应该怎么办 网友,您好.我初为人父,喜悦之情溢于言表。但我比较苯,在给孩子喂奶时,把宝宝呛到了,进而宝宝一动都不动了,只是有呼吸,但怎么动他他都没反映,把他手抬起来,松开,就自然落下。吓死我了。过了大概10分钟,就恢复了,第二天去医院检查,大夫说听的心率和呼吸都没问题,但孩子太小,没法照片子来确认是否有吸入性肺炎。让回家继续观察。在家观察了两天,觉得平时没什么情况,就是觉得没有以前爱睡了,而且有时哭的时候有一点咳嗽。再者,现在一人工喂奶,宝宝吃一段时间,没有呛着,也跟上次呛着后的反映一样,就跟没有知觉了一样,我们很害怕。换成母乳喂养就没事。请问专家这到底是怎么回事啊,我宝宝今天是21天,在19天被我呛到的。有什么解决办法吗,急切盼望中。 专家,呛奶是婴儿、特别是新生儿常见的异常表现。注意哺乳姿势,母乳喂养时 脚踩在小凳上,抱好宝宝,另一只手以拇指和食指轻轻夹着乳头喂哺,以防乳头堵住宝宝鼻孔或因奶汁太急引起婴儿呛咳,吐奶。人工喂养时不采用奶眼过大的奶头喂奶,及时调整婴儿吃奶的速度等均是预防呛奶的简便方法。呛奶是异常的表现,一定要经过医生的检查,给予及时、适当的治疗,如果呛奶后宝宝呼吸很顺畅,最好还是想办法、让他再用力哭一下,以观for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet 察哭时的吸氧及吐气动作,看有无任何异常(如声音变调微弱、吸气困难、严重凹胸等),如有即送医院。如果宝宝哭声宏亮,中气十足、脸色红润,则表示无大碍。 [婴儿呛奶]知识链接,呛奶是什么原因造成的, 问,我的宝宝两个多月,40天时得了肺炎,后来就出现吃母乳时好几口才喘一口气,经常有呛奶现象发生,请问,呛奶是否代表肺炎没有痊愈,喂奶时应注意什么, 答,呛奶是婴儿常见的异常表现。例如,支气管肺炎、喉软骨软化、喉炎等,吞咽时声门不能很好关闭,少量食物进入气管造成一定程度的梗阻,呼吸道为排除食物的梗阻,对于吃奶的婴儿就表现为呛奶。所以,呛奶是支气管肺炎患者的常见症状。实际上呛奶是自我保护的一种表现,但呛奶并不能保证将进入呼吸道的食物全部排除,残留奶汁又可刺激呼吸道造成呼吸系统感染的加剧。呛奶与支气管肺炎互为因果。呛奶是异常的表现,您一定带宝宝去看医生,请医生给予及时、适当的治疗,千万不要掉以轻心,以免耽误孩子的治疗。您现在不要采用奶眼过大的奶头喂奶,及时调整婴儿吃奶的速度等均是预防呛奶的简便方法。 宝宝常呛奶可能缺维生素A 研究发现,婴儿呛奶与维生素A的缺乏密切相关,而补充维生素A后可见良好效果。研究者认为维生素A对维持皮肤黏膜上皮细胞组织的正常结构和健康具有重要作用。当婴儿缺乏维生素A时,由于位于喉头上前部的会咽上皮细胞萎缩角化,导致吞咽时因会咽不能充分闭合盖住气管,而发生呛奶。婴儿可进食些胡萝卜汁、蔬菜汤或适当补充些鱼肝油及维生素A胶丸等,都能很快地改善呛奶症状。 for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet 呛奶,婴儿呛奶应该怎么办 呛奶,宝宝呛奶是怎么回事 宝宝有时会丛鼻孔中呛出奶来,是怎么回事,婴儿呛奶应该怎么办 网友,您好.我初为人父,喜悦之情溢于言表。但我比较苯,在给孩子喂奶时,把宝宝呛到了,进而宝宝一动都不动了,只是有呼吸,但怎么动他他都没反映,把他手抬起来,松开,就自然落下。吓死我了。过了大概10分钟,就恢复了,第二天去医院检查,大夫说听的心率和呼吸都没问题,但孩子太小,没法照片子来确认是否有吸入性肺炎。让回家继续观察。在家观察了两天,觉得平时没什么情况,就是觉得没有以前爱睡了,而且有时哭的时候有一点咳嗽。再者,现在一人工喂奶,宝宝吃一段时间,没有呛着,也跟上次呛着后的反映一样,就跟没有知觉了一样,我们很害怕。换成母乳喂养就没事。请问专家这到底是怎么回事啊,我宝宝今天是21天,在19天被我呛到的。有什么解决办法吗,急切盼望中。 专家,呛奶是婴儿、特别是新生儿常见的异常表现。注意哺乳姿势,母乳喂养时 脚踩在小凳上,抱好宝宝,另一只手以拇指和食指轻轻夹着乳头喂哺,以防乳头堵住宝宝鼻孔或因奶汁太急引起婴儿呛咳,吐奶。人工喂养时不采用奶眼过大的奶头喂奶,及时调整婴儿吃奶的速度等均是预防呛奶的简便方法。呛奶是异常的表现,一定要经过医生的检查,给予及时、适当的治疗,如果呛奶后宝宝呼吸很顺畅,最好还是想办法、让他再用力哭一下,以观察哭时的吸氧及吐气动作,看有无任何异常(如声音变调微弱、吸气困难、严重凹胸等),如有即送医院。如果宝宝哭声宏亮,中气十足、脸色红润,则表示无大碍。 for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet [婴儿呛奶]知识链接,呛奶是什么原因造成的, 问,我的宝宝两个多月,40天时得了肺炎,后来就出现吃母乳时好几口才喘一口气,经常有呛奶现象发生,请问,呛奶是否代表肺炎没有痊愈,喂奶时应注意什么, 答,呛奶是婴儿常见的异常表现。例如,支气管肺炎、喉软骨软化、喉炎等,吞咽时声门不能很好关闭,少量食物进入气管造成一定程度的梗阻,呼吸道为排除食物的梗阻,对于吃奶的婴儿就表现为呛奶。所以,呛奶是支气管肺炎患者的常见症状。实际上呛奶是自我保护的一种表现,但呛奶并不能保证将进入呼吸道的食物全部排除,残留奶汁又可刺激呼吸道造成呼吸系统感染的加剧。呛奶与支气管肺炎互为因果。呛奶是异常的表现,您一定带宝宝去看医生,请医生给予及时、适当的治疗,千万不要掉以轻心,以免耽误孩子的治疗。您现在不要采用奶眼过大的奶头喂奶,及时调整婴儿吃奶的速度等均是预防呛奶的简便方法。 老話題新問題___新生兒嗆奶(求助) 患者性別:女 ?患者年齡:67天 ?詳細病情及諮詢目的: 1、病情介紹,由於母乳奶流量太大,導致寶寶45天左右嗆奶、嘴唇周圍發青、口有泡泡吐沫、呼吸急促、乾嘔、偶爾咳嗽不發燒至今,我們首先採用母乳擠出餵養仍然出現嗆奶後又換用多種最小號新生兒奶嘴、甚至換用布朗博士奶瓶奶嘴依然沒有得到改善。無奈入婦幼保健醫院檢查診斷新生兒吸入性肺炎,醫院採用頭飽曲松鈉及維C隔離治療5天,出院後依然嗆奶,據醫生說治療期間沒有嗆奶現象,。朋友推薦服用《再克》6天有所緩解,停藥for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet 後又出現嗆奶並比以前嚴重頓頓嗆奶。三天前再次換家醫院診斷說以前沒有徹底治愈呼吸道感染推薦服用《希刻勞—頭飽克洛幹混懸劑》,這三天嗆奶次數有所減少。 2、諮詢目的,,1,每次服用藥物才得到緩解,擔心停藥後再次復發。反反復復如何徹底治療,是否需要再次住院治療,,2,為了減少嗆奶風險每次吃母乳前都要基本吸空後才能餵養,寶寶吃奶量不夠入睡。是否需要弄醒寶寶多次餵養, ?本次發病及持續的時間,近一個月 ?目前一般情況:咳嗽、嗆奶、乾嘔、口中有泡泡吐沫。母乳、奶粉、喝水都嗆。 ?病史:新生兒吸入性肺炎 ?以往的診斷和治療經過及效果:住院治療5天醫院餵養奶粉不嗆奶(隔離封閉治療家長見不到治療過程)。 ?輔助檢查:做過X片 ?其他:今天母親感冒服用維C銀翹可否繼續哺乳, 第一次問題補充: 没有专家可以解答吗?宝宝必须住院才能彻底治疗吗?由於上次入院没完全治愈对医院治疗方法有些^^^^宝宝也受罪哦. 但愿我现在才回答还不算迟。 “,一,每次服用藥物才得到緩解,擔心停藥後再次復發。反反復復如何徹底治療,是否需要再次住院治療,” 既然孩子服希刻劳后症状有好转,那么就不一定非住院治疗不可,可以继续口服希刻劳治疗,建议最好加用猴枣散牛黄祛痰。但如果继续口服药物无法控制症状,那当然是要住院治疗才是最好的。 for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet “,二,為了減少嗆奶風險每次吃母乳前都要基本吸空後才能餵養,寶寶吃奶量不夠入睡。是否需要弄醒寶寶多次餵養,” 您在提问里提到“由於母乳奶流量太大,導致寶寶四十五天左右嗆奶”,也就是说流量大是引起孩子呛奶的一个重要因素,其实控制奶流量是比较简单的,那就是乳母可在哺乳时用手指夹一夹乳晕以控制流速,那样就可以解决流量大的问题,也就不必非要吸空后才能喂养了,从而就不会出现宝宝吃不饥饿的情形了。 孩子容易呛奶是因为其会厌功能还不完善所致,也就是说孩子在吸奶与呼吸之间还未能很好地控制,等其会厌功能慢慢完善了,呛奶的现象也就可以随之消失。 孩子呛奶还要注意是否有腭裂存在,但您的孩子是在四十五天左右才出现呛奶的,所以可以不考虑这个原因。 “今天母親感冒服用維C銀翹可否繼續哺乳,” 可以。但母亲要抱孩子的话,请戴口罩,以避免母子之间的传染。 孩子呛奶的时候,第一件事是要让孩子侧卧,最好是向右边侧卧,以防奶液呛到气管里去,从而引起吸入性肺炎,甚至是窒息。如果孩子在呛奶时有奶液从鼻子涌出,只要把涌出来的清除干净就行,鼻腔里的会慢慢变为干痂清除的。 如果孩子呛咳不止,考虑气管内有奶液了,建议立即就医。 但愿我的回答能帮得上您的忙。 呛奶急救法 for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet 食道开口与气管的开口在咽喉部相通,吐奶最怕的是奶水由食道逆流到咽喉部时,在吸气的瞬间误入气管,即所谓的呛奶。量大时会造成气管堵塞,不能呼吸,危及生命,量少时直接吸入肺部深处造成吸入性肺炎。 轻微的溢奶、吐奶,宝宝自己会调适呼吸及吞咽动作,不会吸入气管,只要密切观察宝宝的呼吸状况及肤色即可。如果大量吐奶,可按以下方法处理, 1.平躺时发生呕吐,应迅速将宝宝脸侧向一边,以免吐出物向后流入咽喉及气管。 2.把手帕缠在手指伸入口腔中,甚至咽喉,将吐、溢出的奶水食物快速清理出来,以保持呼吸道顺畅,然后用小棉花棒清理鼻孔。 3.宝宝憋气不呼吸或脸色变暗时,表示吐出物可能已进入气管了,使其俯卧在大人膝上或床上,用力拍打背部四五次,使其能咳出。 4.如果仍无效,马上夹或捏刺激脚底板,使宝宝因疼痛而哭,加大呼吸,此时最重要的是让他吸氧入肺,而不是在浪费时间想如何把异物取出。 在以上过程中,宝宝应同时送往医院检查。 如果呛奶后宝宝呼吸很顺畅,最好还是想办法、让他再用力哭一下,以观察哭时的吸氧及吐气动作,看有无任何异常,如声音变调微弱、吸气困难、严重凹胸等,,如有即送医院。如果宝宝哭声宏亮,中气十足、脸色红润,则表示无大碍。 for computer software engineering GB/T50314-2000 of electrical installations code for construction and acceptance of GBJ232- 92 intelligent building weak design construction figure set GJBT-471 2. system description this times engineering weak design including: hours a Kok information facilities system integrated wiring system (containing room network, communications part) wired TV system information guide and the released system hours II Kok public security system fire automatically alarm system (containing public broadcast part) security technology prevention system security monitoring system out entrance control system car library management system hours three Kok building equipment monitoring system hours four Kok information application system queued station ICU visitation system operation the system monitoring and training system call intercom system hours, five hours Kok Kok intelligent integrated system of information system (1) cabling systems (including computer room network, communication component) computer network systems and voice communications systems Center of information on medical floor computer room located in the engine room. Voice communication system using a local telecommunications operator providing voice service, configuration-independent integrated services digital program-controlled switchboards. Operators providing communications ... If any compatibility requirements, by way of increased access to the Communications Board within the chassis to meet
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