手术中止血带使用有哪些注意事项?

2018-06-22 15:41

TPU袖带

手术中止血带使用注意事项
Attention to the use of tourniquet during operation
1、使用止血带前,认真检查有否漏气,止血仪是否灵活实用,否则要及时更换;
1, before using tourniquet, carefully check whether there is leakage, hemostatic instrument is flexible and practical, otherwise it should be replaced in time.
2、按肢体及年龄,准确选用止血带(小、中、大号);
2, accurately choose tourniquet (small, medium and large) according to body and age.
3、无菌止血带可由洗手护士在手术台上协助主刀医生捆扎,确保适宜的松紧度;
3, aseptic tourniquet can be assisted by the hand nurses on the operating table to assist the surgeon to tie up, so as to ensure the appropriate tightness.
4、捆扎止血带前先用纱布或无菌巾缠绕保护肢体,并使其铺平,防止受力不均匀,而引起水泡或瘀血发生;
4, before bandaging tourniquet, use a gauze or aseptic towel to twine around to protect the body and make it smooth, prevent uneven force, and cause blisters or blood stasis.
5、捆扎时松紧要适宜,以能容纳一指为宜;
5, tightness should be suitable when strapping, so that one finger can be accommodated.
6、捆扎后要用纱布绷带加固两周,防止涨开或脱滑;
6, after bandage, use gauze bandage to consolidate for two weeks, prevent from opening or sliding.
7、严格掌握止血带的使用时限,单肢体第1次使用不超过90min,第2次使用不超过60min,2次间隔为5~10min。
7, strictly grasp the use time of tourniquet, the use of single limb first times not more than 90min, second times the use of not more than 60min, 2 interval of 5 to 10min.
8、驱赶血液时,要均匀持续用力,驱血带环绕重叠大于或等于1/3,且由肢体远端向近端逐渐驱赶血液至止血带边缘,充气至所需KPA,以达到充分止血的目的。
8, when the blood is driven, it should be carried out evenly and continuously. The blood drive belt surround overlapping or equal to 1/3, and from the distal limb to the proximal end, the blood is gradually driven to the tourniquet edge and inflated to the required KPA for the purpose of sufficient hemostasis.