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保定隆泰医疗器械制造有限公司欢迎您!主营产品:医用止血带、一次性止血带、一次性奶瓶等。

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当前位置:使用止血带失误的常见原因
1、未严格掌握扎止血带的适应症,滥用止血带。确实用其他方法不能止住的大、中动脉出血,方可使用止血带。但实践中有时医护人员的做法是:凡伤口出血,不论其出血多少,均使用之。因此,造成的不良后果,应认定为医疗过错。 1. Do not strictly control the indications of the tourniquet and abuse the tourniquet. Do not use other methods to stop large, middle arterial hemorrhage, can use tourniquet. But in practice, it is sometimes practiced by the medical staff: all wounds, no matter how much they bleed, are used. Therefore, the adverse consequences, should be regarded as medical errors. 2、止血带上得松紧不当。尤其过紧时可引起肢体周围神经损伤,过松时则不能阻断动脉血流,反而造成静脉障碍,使出血增加。正确的止血带压力以恰能达到止血为度。可根据伤病员的年龄、受伤部位和肌肉发达的差异而有所不同,因此造成的不良后果可以认定为医疗过错。 2. The tourniquet was not properly tightened. In particular, it can cause peripheral nerve damage when it is too tight, and it can not block the blood flow of the artery when it is loose, but it can cause a vein barrier and increase the bleeding. The correct tourniquet pressure can achieve the hemostasis. Depending on the age, injury, and muscle development of the injured person, the adverse consequences can be identified as medical errors. 3、不能严格掌握止血带放松的时间,总的倾向是止血带扎得时间偏长。正确的原则是使用止血带的时间越短越好。骨科手术中,如果手术操作已完成,则应尽早去除止血带。一般扎止血带不宜超过一个半小时,在转运四肢有大血管损伤的伤员时,患肢扎止血带的时限最好不超过3~4小时。根据情况每次放松3~5分钟。肌肉缺血6~10小时后,即使恢复血液循环,也将失去收缩功能,且易发生气性坏疸。因此造成不良后果,可以认定为医疗过错。 3. Unable to strictly control the relaxation time of the tourniquet, the general tendency is to stop the blood belt for a long time. The correct principle is to use a tourniquet for less time. In orthopedic surgery, a tourniquet should be removed as soon as the operation is completed. Normally, the tourniquet should not be more than an hour and a half, and the time limit of the limb should be no more than 3 ~ 4 hours when the injured person has a large vascular injury. According to the situation, relax for 3 to 5 minutes each time. After 6 ~ 10 hours of muscle ischemia, even if the blood circulation is restored, it will lose its contraction function and can be prone to bad air quality. Therefore, the adverse consequences can be considered as medical errors.